Display options
Share it on

Skull Base. 2001 Nov;11(4):277-85. doi: 10.1055/s-2001-18634.

Navigation with the StealthStationtrade mark in Skull Base Surgery: An Otolaryngological Perspective.

Skull base : official journal of North American Skull Base Society ... [et al.]

R Heermann, B Schwab, P R Issing, C Haupt, T Lenarz

PMID: 17167630 PMCID: PMC1656888 DOI: 10.1055/s-2001-18634

Abstract

The introduction of computer-assisted navigation systems has played a significant role in assuring the integration and consistent intraoperative use of radiological information. We used a frameless stereotactic navigation system to treat 62 patients with a variety of skull base pathologies. The optoelectric appliance uses digital imaging information to locate surgical instruments in the operative area. The aim of this study was to evaluate the clinical accuracy, practicality, and impact of this navigation system on otolaryngological procedures. In conjunction with rigid head fixation and bone-anchored registration markers, the precision of registration was 0.8 mm and the accuracy of clinical measurements was less than 2 mm. With conventional fiducials and flexible head positioning, deviations were as large as 4.5 mm. The additional use of surface registration increased the precision of registration. Preoperative preparations took 15 to 35 minutes, depending on the complexity of the planning. Intraoperative computer support is an important aid to a surgeon's orientation, especially when a patient's anatomy is atypical. Navigation systems will likely improve the quality of surgery and facilitate training.

References

  1. Comput Aided Surg. 1998;3(4):202-4 - PubMed
  2. Am J Otol. 1999 Mar;20(2):143-4 - PubMed
  3. J Orthop Sci. 1999;4(3):197-206 - PubMed
  4. Comput Aided Surg. 1998;3(6):306-11 - PubMed
  5. Neurosurgery. 1999 Aug;45(2):261-9; discussion 269-70 - PubMed
  6. Arch Otolaryngol Head Neck Surg. 1999 Oct;125(10):1100-4 - PubMed
  7. Laryngoscope. 1999 Nov;109(11):1793-9 - PubMed
  8. Comput Aided Surg. 1999;4(5):275-80 - PubMed
  9. Am J Rhinol. 1999 Nov-Dec;13(6):449-54 - PubMed
  10. Laryngoscope. 2000 Jun;110(6):972-6 - PubMed
  11. Laryngoscope. 2000 Aug;110(8):1277-82 - PubMed
  12. Otolaryngol Head Neck Surg. 2000 Sep;123(3):188-94 - PubMed
  13. Eur Surg Res. 1988;20(1):51-8 - PubMed
  14. Int J Oral Maxillofac Surg. 1995 Feb;24(1 Pt 2):111-9 - PubMed
  15. Comput Med Imaging Graph. 1994 Jul-Aug;18(4):247-56 - PubMed
  16. Ophthalmic Surg. 1993 Jun;24(6):411-7 - PubMed
  17. J Otolaryngol. 1993 Apr;22(2):69-71 - PubMed
  18. J Image Guid Surg. 1995;1(3):172-8 - PubMed
  19. Laryngoscope. 1997 Apr;107(4):491-9 - PubMed
  20. Laryngoscope. 1997 Mar;107(3):373-7 - PubMed
  21. Laryngoscope. 1997 May;107(5):594-601 - PubMed
  22. Laryngoscope. 1997 May;107(5):631-3 - PubMed
  23. Laryngoscope. 1997 May;107(5):690-3 - PubMed
  24. Otolaryngol Clin North Am. 1997 Jun;30(3):389-401 - PubMed
  25. Otolaryngol Head Neck Surg. 1997 Jul;117(1):131-4 - PubMed
  26. Otolaryngol Clin North Am. 1998 Apr;31(2):331-40 - PubMed
  27. Zentralbl Neurochir. 1998;59(1):14-22 - PubMed
  28. Laryngoscope. 1998 Jul;108(7):949-61 - PubMed
  29. Laryngoscope. 1998 Aug;108(8 Pt 1):1164-70 - PubMed

Publication Types