FOR 1585: Multiport Bone Surgery at the Otobase

研究单位侧重于耳基外科手术的调查，旨在最大限度地减少组织损伤。这符合患者对微创外科手术的要求，具有可预测的风险和低发病率。此外，这也符合健康保险基金关于降低费用和医学上可理解、客观记录的手术技术的愿望。患者可以缩短在诊所的停留时间，更快地重新融入就业和社会生活，以及减少功能性长期后果和不可察觉的审美变化。此外，手术区域的小型化将降低感染的风险。待开发的外科手术应独立于外科医生和他或她的日常表现，并提供手术结果的增加无处不在的可重复性。因此，外科医生将得到他的手工技能的帮助，以高精度和最小化的错误完成任务。这将增加手术结果和可能的并发症的可预测性（目标是最大并发症率为0.5%）。到目前为止，还没有基于耳基底多角度钻孔的外科手术。相反，外科医生会解剖手术视野中的所有碰撞结构（探查性手术），这意味着更高的发病率。没有人会盲目地在耳基上钻一个整体，无论是徒手还是借助现有的医疗导航系统（确认手术）。外科医生不能这样做，因为骨头中有重要的结构：颈动脉、面神经、平衡和听觉器官。考虑到工作流程，在医学、图像采集和处理以及测量工程领域有几个问题需要回答。本研究股成员之间的跨学科合作- -每个成员都有自己指定的优秀能力- -代表了实现预期目标的所有必要条件。

The Research Unit focusses on the investigation of surgical procedures at the otobasis aiming on the minimisation of tissue damage. This complies to the patients request for minimally traumatic surgical procedures with predictable risks and lowered morbidity. Furthermore, it is in compliance with the health insurance funds wishes for decreased costs and medicolegally comprehensible, objectively documented surgical techniques. The patient could benefit from a shorter stay at the clinic and a faster re-integration into employment and social life as well as less functional long-term consequences and indiscernible aesthetic changes. Moreover, the miniaturised surgical field would lower the infection risk. The surgical procedure to be developed shall be independent from the surgeon and his or her daily performance and provide an increased ubiquitous reproducibility of the surgerys outcome. Thus, the surgeon will receive assistance for his manual skills to accomplish the task with high precision and minimised errors. This will result in an increased predictability of the surgerys outcome and possible complications (the aim is a maximum complication rate of 0.5 percent). So far, there exist no surgical procedures based on multiangular drilling at the otobasis. Instead, the surgeon dissects all collision structures in the surgical field (explorative surgery) with the implication of higher morbidity. No one would blindly drill a whole into the otobasis, neither freehand nor with the assistance of current medical navigation systems (confirmative surgery). The surgeon would be prevented from doing so since there are vital structures within the bone: carotid artery, facial nerve, equilibrium and acoustic organs. Considering the workflow, there are several questions to be answered - in the fields of medicine, image acquisition and processing as well as measurement engineering. The interdisciplinary cooperation between the members of this Research Unit - each having its own designated excellent competencies - represents all necessary qualifications to achieve the desired goals.