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

Kirill Koulechov, Gero Strauss, Andreas Dietz, Mario Strauss, Matthias Hofer, Tim Lueth

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

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.

Original languageEnglish
Pages (from-to)147-159
Number of pages13
JournalComputer Aided Surgery
Volume11
Issue number3
DOIs
StatePublished - 1 May 2006

Keywords

  • Computer assisted surgery
  • Navigated control
  • Navigation
  • Robotics

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