Document Detail

Robotic surgery for the sinuses and skull base: what are the possibilities and what are the obstacles?
MedLine Citation:
PMID:  23299117     Owner:  NLM     Status:  MEDLINE    
PURPOSE OF REVIEW: Robotic surgery in otolaryngology - head and neck surgery has become a valuable tool in certain anatomic approaches; however, its application in surgery of the paranasal sinuses and anterior skull base is still in an investigatory phase and requires further evaluation.
RECENT FINDINGS: Existing robotic surgical systems face particular limitations in their application at the skull base because of instrument size and lack of variability. Unfortunately, only one system is available commercially that is applicable in the head and neck region and FDA approved for use in patients. This system, although advantageous in many otolaryngologic procedures, is difficult to use for endoscopic sinus and skull base surgery. However, other systems that target this anatomic subsite specifically are in development and show promise. Advances in the design of robotic arms, materials, and shape will potentially give surgeons a significant advantage over traditional endoscopic techniques.
SUMMARY: This article will review the current applications of robotic systems in paranasal sinus and skull base surgery, describe the requirements of a robotic system for use in this type of surgery, and describe a system under development at our institution.
John S Schneider; Jessica Burgner; Robert J Webster; Paul T Russell
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in otolaryngology & head and neck surgery     Volume:  21     ISSN:  1531-6998     ISO Abbreviation:  Curr Opin Otolaryngol Head Neck Surg     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-09     Completed Date:  2013-06-14     Revised Date:  2014-06-04    
Medline Journal Info:
Nlm Unique ID:  9417024     Medline TA:  Curr Opin Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  11-6     Citation Subset:  IM    
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MeSH Terms
Endoscopy / methods
Otorhinolaryngologic Surgical Procedures / instrumentation,  methods*
Paranasal Sinus Diseases / surgery*
Skull Base / surgery*
Surgery, Computer-Assisted / instrumentation,  methods*
Grant Support

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