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机器人锁孔进入半圆形通道进行前庭植入:一个解剖学可行性研究
Philipp Aebischer1,2, Tom Gawliczek3, Elke Loos4,5,6
1Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern, Murtenstrasse 50, 3008, Bern, Switzerland. philipp.aebischer@unibe.ch.
概括
机器人钥匙孔手术使前庭植入物的半圆通道能够安全,最小侵入性地进入. 这种以图像为导向的方法在解剖学上是可行的,用于治疗严重的双边前庭病变.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 生物医学工程 生物医学工程
背景情况:
- 垂体植入物为严重的双边垂体病变提供了有前途的治疗方法.
- 至少侵入性和精确的手术进入半圆形通道是一个重大挑战.
研究的目的:
- 评估使用机器人钥匙孔访问用于前庭植入的解剖学可行性.
- 为了评估三个半圆形通道的图像引导钻探.
主要方法:
- 对30个高分辨率CT扫描进行分析,以模拟钻井轨迹.
- 对外科手术可访问性,安全边缘和电极插入角度的轨迹的评估.
- 在皮层乳腺切除术中确定优化的入口点.
主要成果:
- 在所有情况下,都实现了对所有三个半圆道的安全通道.
- 对于侧面和后面通道,发现了有利的半圆通道入口角度.
- 上方运河需要更的角度,但保持在可接受的范围内;所有轨迹都来自单个乳腺切除区域.
结论:
- 机器人钥匙孔进入半圆形通道是解剖学上可行的.
- 这种方法支持微创,图像引导的前庭植入的临床潜力.
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