title: [Applications for a robot in the lateral skull base. Evaluation of robot-assisted mastoidectomy in an anatomic specimen].
abstract: In the past decade, a great variety of robot systems have been applied in numerous areas of life. In the public health system, robots are increasingly used in the operating theater. The potential for reproducibility and predictability was one of the main arguments for the use of robots in orthopedic treatment of bones, especially the implantation of a cementless total hip replacement. In otorhinolaryngological surgery (ENT), different hearing aids were developed: the cochlea implant for the deaf or the totally implantable hearing aid for the hearing impaired. Their site of implantation is localized in the lateral skull base. Removal of the bone mass with the reamer requires both great precision and considerable physical effort on the part of the surgeon, which does not result in an ergonomic operating technique. The following project describes the evaluation of processing parameters for a robot-assisted mastoidectomy to expose an implantation bed. The goal was to establish different parameters for robot-controlled reaming in the calotte or mastoid. In addition, several parameters were tested for their influence on surface structure, procedure reliability, and quality as well as the ability of the Mayfield clip to stabilize the head during the operation.
authors.affiliation: Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Universitätskliniken des Saarlandes (UKH), Kirrberger Strasse, 66421 Homburg/Saar. peter.plinkert@med-rz.uni-saarland.de
authors.forename: P K
authors.initials: PK
authors.lastname: Plinkert
authors.forename: B
authors.initials: B
authors.lastname: Plinkert
authors.forename: A
authors.initials: A
authors.lastname: Hiller
authors.forename: J
authors.initials: J
authors.lastname: Stallkamp
mesh_terms: D019929:Cochlear Implantation / Q000295:instrumentation*; D004867:Equipment Design; D006310:Hearing Aids; D006801:Humans; D008416:Mastoid / Q000601:surgery*; D008953:Models, Anatomic; D012371:Robotics / Q000295:instrumentation*; D019291:Skull Base / Q000601:surgery*; D013523:Surgical Equipment