The accuracy of computer-aided surgery in neurotologic approaches to the temporal bone: a cadaver study.
OBJECTIVE
To assess the accuracy of computer-aided surgery for common neurotologic approaches to the temporal bone.


METHODS
Cadaveric heads were dissected by using standard neurotologic approaches to the temporal bone including translabyrinthine, middle fossa, and retrosigmoid. Dissected anatomic landmarks from each approach were compared with CT images that were obtained before dissection on the VectorVision 2 system (BrainLAB Corp, Munich, Germany) and the variability measured from digital images. Each approach was performed 5 times, with each anatomic landmark measured 3 times from each approach.


RESULTS
The accuracy of the computer-aided surgery system was less than 1 mm for all anatomic points measured. Forty-two of the 49 measured points were accurate to less than 0.5 mm.


CONCLUSIONS
Computer-aided surgery of the temporal bone using common neurotologic approaches can be performed accurately and reliably in cadaver specimens.


CONCLUSIONS
The utility and limitations of computer-aided surgery in the temporal bone are discussed.


METHODS
B-2.
Copeland
Benjamin J
BJ
Department of Otolaryngology-Head and Neck Surgery, Neuroscience Hospital, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Senior
Brent A
BA
Buchman
Craig A
CA
Pillsbury
Harold C
HC
D002102:Cadaver; D006801:Humans; D019635:Neurosurgical Procedures / Q000379:methods*; D013506:Otologic Surgical Procedures / Q000379:methods*; D015203:Reproducibility of Results; D025321:Surgery, Computer-Assisted; D013701:Temporal Bone / Q000601:surgery*