@inproceedings{8499adccd2be4296bf850ac70726ad1e,
title = "Manual accuracy in comparison with a miniature master slave device- Preclinical evaluation for ear surgery",
abstract = "Manual accuracy in microsurgery is reduced by tremor and limited access. A surgical approach through the middle ear also puts delicate structures at risk, while the surgeon is often working at an unergonomic position. At this point a micromanipulator could have a positive influence. A system was developed to measure {"}working accuracy{"}, time and precision during manipulation in the middle ear. 10 ENT- surgeons simulated a perforation of the stapedial footplate on a modified 3D print of a human skull in a mock OR. Each trial was repeated more than 200 times aiming manually and using a micro-manipulator. Data of over 4000 measurements was tested and graphically processed. Work strain was evaluated with a questionnaire. Accuracy for manual and micromanipulator perforation revealed a small difference. Learning curves showed a stronger decrease both in deviation and time when the micromanipulator was used. Also a lower work strain was apparent. The micromanipulator has the potential as an aiding device in ear surgery.",
keywords = "Accuracy, Learning curve, Master slave, Micromanipulator, Patient model, Precision, Stapedotomy",
author = "A. Runge and M. Hofer and E. Dittrich and T. Neumuth and R. Haase and M. Strauss and A. Dietz and T. L{\"u}th and G. Strauss",
year = "2011",
doi = "10.3233/978-1-60750-706-2-524",
language = "English",
isbn = "9781607507055",
series = "Studies in Health Technology and Informatics",
publisher = "IOS Press",
pages = "524--530",
booktitle = "Medicine Meets Virtual Reality 18",
}