在具有挑战性的情况下精确地植入骨架桥:使用虚拟规划和电磁导航的新方法
Nils Kristian Prenzler1,2, Susan Busch3,4, Niels Rudnik3
1Dept. of Otorhinolaryngology, Hannover Medical School, Hannover, Germany. prenzler.nils@mh-hannover.de.
概括
使用Otoplan®软件进行导航辅助骨导电植入手术可以提高安全性和可靠性. 这种方法确保了骨桥 (BB) 植入物的精确放置,改善了听力损失儿童的听力学结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 医疗器械技术 医疗器械技术
背景情况:
- 波恩布里奇 (BB) 骨导电植入物对具有导电性或混合性听力损失的儿童有效.
- 术前成像的局限性可能会限制安全的植入物放置,需要先进的外科手术技术.
- 导航系统提供精度,可以防止外科手术并发症,如持续或血管损伤.
研究的目的:
- 评估使用Otoplan®软件与儿童骨架 (BB) 植入器导航系统的安全性和有效性.
- 评估虚拟植入计划的准确性,并将其转化为外科安置.
- 确定与此技术相关的听力学结果和并发症率.
主要方法:
- 六名儿科患者 (3-12岁) 接受了BB植入,由Otoplan®虚拟规划和导航指导.
- 在导航系统内放置了标记螺丝,用于在操作过程中进行形光束CT (CBCT) 注册.
- 计划中的植入物位置被投射到患者身上,指导手术程序.
主要成果:
- 所有程序都证实了足够的骨厚度 (>4.0毫米) 能够安全地放置螺丝.
- 在初始安装 (4-6周) 之前,没有观察到手术内或术后并发症.
- 用语音测试测量的听力学成功率在所有可评估患者中超过了90%.
结论:
- 虚拟植入使用Otoplan®软件,与导航系统集成,准确指导螺丝放置安全BB植入.
- 导航导向投影提高了手术可靠性和患者安全.
- 这种方法代表了骨导电植入术在儿科病例中的实际进步.
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