FOR 1585: Multiport Bone Surgery at the Otobase

FOR 1585：Otobase 的多孔骨手术

• 批准号: 179880849
• 金额: --
• 依托单位: Klinik für Hals-Nasen-Ohrenheilkunde
• 依托单位国家: 德国
• 项目类别: Research Units
• 财政年份: 2010
• 资助国家: 德国
• 起止时间: 2009-12-31 至 2016-12-31
• 项目状态: 已结题
• 来源: https://gepris.dfg.de/gepris/projekt/179880849?language=en
• 关键词: 1585; Multiport; Bone; Surgery; Otobase

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.

该研究单位的重点是调查外科手术在耳的基础上，旨在尽量减少组织损伤。这符合患者对微创外科手术的要求，具有可预测的风险和较低的发病率。此外，它符合健康保险基金的愿望，即降低费用，采用法医学上可理解的、客观记录的手术技术。患者可以从更短的诊所停留时间和更快的重新融入就业和社会生活以及更少的功能性长期后果和不可察觉的美学变化中受益。此外，切除的手术野将降低感染风险。待开发的手术程序应独立于外科医生及其日常工作，并提供手术结果的普遍可重复性。因此，外科医生将获得其手动技能的帮助，以高精度和最小化的误差完成任务。这将增加手术结果和可能并发症的可预测性（目标是最大并发症发生率为0.5%）。到目前为止，还没有基于在耳基底处多角度钻孔的外科手术。相反，外科医生解剖术野中的所有碰撞结构（探索性手术），这意味着更高的发病率。没有人会盲目地在耳底钻一个整体，既不是徒手也不是在当前医疗导航系统的帮助下（确认手术）。外科医生将无法这样做，因为骨头内有重要的结构：颈动脉，面神经，平衡和听觉器官。考虑到工作流程，有几个问题需要回答-在医学，图像采集和处理以及测量工程领域。该研究单位成员之间的跨学科合作-每个人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。

项目成果

On-the-fly geometrical calibration fine-tuning of a mobile C-arm CBCT system

• DOI: 10.1515/teme-2015-0059
• 发表时间: 2016-01
• 期刊: tm - Technisches Messen
• 作者: Wissam El Hakimi;G. Sakas

Minimally Invasive Multiport Surgery of the Lateral Skull Base

• DOI: 10.1155/2014/379295
• 发表时间: 2014-01-01
• 期刊: BIOMED RESEARCH INTERNATIONAL
• 作者: Stenin, Igor;Hansen, Stefan;Schipper, Joerg
• 通讯作者: Schipper, Joerg

Chirurgische Simulation an der Laterobasis

侧基底手术模拟

• DOI: 10.1007/s00106-016-0202-2
• 发表时间: 2017
• 期刊: HNO
• 影响因子: 0.9
• 作者: Stenin I;Kristin J;Klenzner T;Schipper J
• 通讯作者: Schipper J

Minimally invasive, multi-port approach to the lateral skull base: a first in vitro evaluation

侧颅底微创多孔入路：首次体外评估

• DOI: 10.1007/s11548-017-1533-5
• 发表时间: 2017
• 期刊: International Journal of Computer Assisted Radiology and Surgery
• 影响因子: 3
• 作者: Stenin I;Hansen S;Nau-Hermes M;El-Hakimi W;Becker M;Bredemann J;Kristin J;Klenzner T;Schipper J
• 通讯作者: Schipper J