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FESS control: Realization and evaluation of navigated control for functional endoscopic sinus surgery 1  

Authors: Kirill Koulechov a;  Gero Strauss b;  Andreas Dietz b;  Mario Strauss a;  Matthias Hofer b; Tim C. Lueth a
Affiliations:   a Institute of Micro Devices and Medical Devices, Technical University of Munich,
b ENT Clinics, University of Leipzig, Germany
DOI: 10.1080/10929080600750789
Publication Frequency: 6 issues per year
Published in: journal Computer Aided Surgery, Volume 11, Issue 3 May 2006 , pages 147 - 159
Subject: Surgery;
Formats available: HTML (English) : PDF (English)
Previously published as: Journal of Image Guided Surgery (1522-712X) until 1996

The circumstances under which this title is published have changed:

Reason for change: New publisher – please contact cas.editor@yahoo.com
Date of change: 2009



Abstract

In this paper, a new system for navigated control in functional endoscopic sinus surgery (FESS) is presented. The system allows the safe and convenient use of a shaver that can be enabled by the surgeon only within a specified working space. Preoperatively, the surgeon defines this working space in the axial slices of the CT scan. During the surgery, the positions of the shaver and patient are tracked by an optical navigation system, which calculates whether the shaver is within the working space. The navigated control electronics receives a signal from the navigation system and disables the shaver if it is outside the working space. If the shaver is inside the working space, the surgeon can set its speed freely with a foot pedal. Experimental evaluation shows that the system allows convenient and intuitive safe removal of inflamed tissue while protecting sensitive structures. The clinical applicability was proven in a clinical trial with 10 patients.
1 Part of this research was previously presented at the 19th International Congress and Exhibition on Computer Assisted Radiology and Surgery (CARS 2005), held in Berlin, Germany, in June 2005.
Keywords: Navigated control; navigation; computer assisted surgery; robotics
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