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 Viewing Wand uses the patient's computed tomography/magnetic resonance (CT/MR) data and a 3D reconstruction thereof and a high-precision 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.
Gunkel
A R
AR
ENT Department, University of Innsbruck, Austria.
Freysinger
W
W
Martin
A
A
Völklein
C
C
Bale
R J
RJ
Vogele
M
M
Thumfart
W F
WF
D003646:Debridement / Q000295:instrumentation*; D004867:Equipment Design; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000295:instrumentation*; D008279:Magnetic Resonance Imaging; D010036:Otolaryngology / Q000295:instrumentation; D010256:Paranasal Sinuses / Q000601:surgery*; D013238:Stereotaxic Techniques / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed