Three-Dimensional Image-Guided Endonasal Surgery With a Microdebrider

We report the first intraoperative use of a microdebrider as a stereotactic three‐dimensional (3D) navigation instrument in paranasal and frontobasal surgery. The microdebrider uses rotating blades and an integrated suction device for controlled removal of tissue under video‐endoscopic view. The ISG...

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Bibliographic Details
Published in:The Laryngoscope 1997-06, Vol.107 (6), p.834-838
Main Authors: Gunkel, Andreas Rüdiger, Freysinger, Wolfgang, Martin, Arno, Völklein, Claudia, Bale, Reto Josef, Vogele, Michael, Thumfart, Walter Franz
Format: Article
Language:English
Subjects:
Biological and medical sciences
Debridement - instrumentation
Equipment Design
Humans
Image Processing, Computer-Assisted - instrumentation
Magnetic Resonance Imaging
Medical sciences
Otolaryngology - instrumentation
Paranasal Sinuses - surgery
Stereotaxic Techniques - instrumentation
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Technology. Biomaterials. Equipments
Tomography, X-Ray Computed
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Summary:We report the first intraoperative use of a microdebrider as a stereotactic three‐dimensional (3D) navigation instrument in paranasal and frontobasal surgery. The microdebrider uses rotating blades and an integrated suction device for controlled removal of tissue under video‐endoscopic view. The ISG Viewing Wand uses the patient's computed tomography/magnetic resonance (CT/MR) data and a 3D reconstruction thereof and a highprecision position‐sensitive mechanical arm for intraoperative three‐dimensional navigation. We have linked the microdebrider to the Viewing Wand to transform it into a continuously available intraoperative stereotactic localizing device. We discuss the problems related to this extension of the Viewing Wand and demonstrate the practical use in an exemplary polypectomy.
ISSN:0023-852X
1531-4995
DOI:10.1097/00005537-199706000-00020