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实施机器人辅助的最小侵入性耳植入:可行性研究

Anne-Lise Fourez1, Akil Kaderbay1, Charles Villerabel1

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概括

在一项试点研究中,机器人辅助的耳植入手术被证明是安全和有效的. 在大多数情况下,机器人系统能够成功插入电极阵列,钻孔准确度高,没有面部神经并发症.

关键词:
耳植入器是一种耳植入器.这是一个HEARO机器人系统.最少的侵入性手术是最少的侵入性手术.机器人辅助手术是一种机器人辅助的手术.

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科学领域:

  • 神经外科 神经外科
  • 耳鼻喉科 耳鼻喉科 耳鼻喉科
  • 医疗机器人 医疗机器人

背景情况:

  • 耳植入器是严重到严重听力损失的标准治疗方法.
  • 至少侵入性的外科手术技术正在不断探索,以改善结果和减少并发症.

研究的目的:

  • 评估机器人辅助图像引导的耳植入器手术的效率和安全性.
  • 评估使用机器人系统进行耳植入的直接道方法的可行性.

主要方法:

  • 展望性,干预性,单心性研究,涉及接受单侧耳植入术的成年患者.
  • 机器人系统用于钻入尾管的道,包含基于安全轨迹规划的包含标准.
  • 主要结果测量是通过机器人钻孔道插入电极阵列的成功率.

主要成果:

  • 十分之九的机器人辅助手术是成功的,其中一个是漏失败.
  • 观察到高钻探准确度:0.13毫米 (面部神经),0.14毫米 (鼓膜),0.2毫米 (圆窗).
  • 在所有机器人钻探的道中都成功插入了电极阵列;没有发生面部.

结论:

  • 使用直接道方法的机器人辅助图像引导的耳植入是安全和高效的.
  • 机器人系统有助于精确的钻探和成功的电极阵列插入,为标准技术提供了有前途的替代方案.