title: Minimally invasive head holder to improve the performance of frameless stereotactic surgery.
abstract: Frameless stereotactic procedures crucially depend on the firmness of immobilization. Once registered, shifting of the patient leads to inaccuracy, and the patient registration has to be realigned. To overcome the drawbacks of conventional invasive fixation for neurosurgery and the widely accepted fixation with surgical tape in ENT, the Vogele-Bale-Hohner (VBH) head holder has been developed. It permits rigid, noninvasive fixation of the head by using an individualized dental cast attached to the upper jaw by vacuum. Oral intubation is uncomplicated. In addition, a special registration device providing well defined reference points can be mounted to the mouthpiece. We report the first promising clinical applications of this device.
authors.forename: R J
authors.initials: RJ
authors.lastname: Bale
authors.forename: M
authors.initials: M
authors.lastname: Vogele
authors.forename: W
authors.initials: W
authors.lastname: Freysinger
authors.forename: A R
authors.initials: AR
authors.lastname: Gunkel
authors.forename: A
authors.initials: A
authors.lastname: Martin
authors.forename: K
authors.initials: K
authors.lastname: Bumm
authors.forename: W F
authors.initials: WF
authors.lastname: Thumfart
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D004867:Equipment Design; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007103:Immobilization; D007430:Intraoperative Care; D007442:Intubation, Intratracheal / Q000295:instrumentation; D008437:Maxilla; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation; D009055:Mouth; D009064:Mouth Protectors; D009493:Neurosurgery / Q000295:instrumentation; D010036:Otolaryngology / Q000295:instrumentation*; D010255:Paranasal Sinus Neoplasms / Q000601:surgery; D011127:Polyps / Q000601:surgery; D011300:Preoperative Care; D015203:Reproducibility of Results; D013238:Stereotaxic Techniques / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed; D014618:Vacuum