FOR 1585: Multiport Bone Surgery at the Otobase

研究单位专注于耳科手术程序的调查，目的是将组织损伤降至最低。这符合患者对微创手术的要求，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降低成本和医学法上可理解的、客观记录的外科技术的愿望。患者可以受益于在诊所停留的时间更短，重新融入工作和社交生活的速度更快，以及功能较少的长期后果和难以察觉的审美变化。此外，微型化的手术场地将降低感染风险。将要开发的外科手术程序应独立于外科医生及其日常表现，并提供更普遍的外科手术结果的重复性。因此，外科医生将获得帮助，因为他的手工技能，以高精度和最大限度地减少错误完成任务。这将增加对手术结果和可能的并发症的可预测性(目标是最大并发症发生率为0.5%)。到目前为止，还没有基于耳基多角度钻孔的外科手术。相反，外科医生解剖外科领域(探查手术)中的所有碰撞结构，这意味着更高的发病率。没有人会盲目地在耳基上钻出一个整体，既不是徒手，也不是在现有医学导航系统(确认手术)的帮助下。外科医生将被阻止这样做，因为骨骼中有重要的结构：颈动脉、面神经、平衡和声器官。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。该研究股成员之间的跨学科合作--每个人都有自己指定的卓越能力--代表着实现预期目标的所有必要资格。

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.