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Anatomical Workspace Study of Endonasal Endoscopic Transsphenoidal Approach

PURPOSE: To determine the workspace through an anatomical dimensional study of the skull base to further facilitate the design of the robot for endonasal endoscopic transsphenoidal (EET) surgery. METHODS: There were 120 cases having a paranasal sinus CT scan in the database. The internal volumes of...

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Autores principales: Chumnanvej, Sorayouth, Pattamarakha, Duangkamol, Sudsang, Thanwa, Suthakorn, Jackrit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: De Gruyter 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814958/
https://www.ncbi.nlm.nih.gov/pubmed/31667352
http://dx.doi.org/10.1515/med-2019-0060
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author Chumnanvej, Sorayouth
Pattamarakha, Duangkamol
Sudsang, Thanwa
Suthakorn, Jackrit
author_facet Chumnanvej, Sorayouth
Pattamarakha, Duangkamol
Sudsang, Thanwa
Suthakorn, Jackrit
author_sort Chumnanvej, Sorayouth
collection PubMed
description PURPOSE: To determine the workspace through an anatomical dimensional study of the skull base to further facilitate the design of the robot for endonasal endoscopic transsphenoidal (EET) surgery. METHODS: There were 120 cases having a paranasal sinus CT scan in the database. The internal volumes of the nasal cavities (NC), the volumes of the sphenoid sinuses (SS), and the distance between the anterior nasal spine and base of the sellar (d-ANS-BS) were measured. RESULTS: The Pearson correlation coefficient (PCC) between the relevant distances and the volumes of the right NC was 0.32; between the relevant distances and the volumes of the left NC was 0.43; and between the relevant distances and volumes of NC was 0.41; with a statistically significant difference (p < 0.001). All PCCs had a statistically significant meaningful difference (p < 0.05). CONCLUSION: The volume of NCs were significantly correlated with distances (p < 0.05). The safest and shortest distance to guide the robotic arm length in the EET approach could be represented by d-ANS-BS. This result was also used as primary information for further robotic design.
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spelling pubmed-68149582019-10-30 Anatomical Workspace Study of Endonasal Endoscopic Transsphenoidal Approach Chumnanvej, Sorayouth Pattamarakha, Duangkamol Sudsang, Thanwa Suthakorn, Jackrit Open Med (Wars) Research Article PURPOSE: To determine the workspace through an anatomical dimensional study of the skull base to further facilitate the design of the robot for endonasal endoscopic transsphenoidal (EET) surgery. METHODS: There were 120 cases having a paranasal sinus CT scan in the database. The internal volumes of the nasal cavities (NC), the volumes of the sphenoid sinuses (SS), and the distance between the anterior nasal spine and base of the sellar (d-ANS-BS) were measured. RESULTS: The Pearson correlation coefficient (PCC) between the relevant distances and the volumes of the right NC was 0.32; between the relevant distances and the volumes of the left NC was 0.43; and between the relevant distances and volumes of NC was 0.41; with a statistically significant difference (p < 0.001). All PCCs had a statistically significant meaningful difference (p < 0.05). CONCLUSION: The volume of NCs were significantly correlated with distances (p < 0.05). The safest and shortest distance to guide the robotic arm length in the EET approach could be represented by d-ANS-BS. This result was also used as primary information for further robotic design. De Gruyter 2019-10-19 /pmc/articles/PMC6814958/ /pubmed/31667352 http://dx.doi.org/10.1515/med-2019-0060 Text en © 2019 Sorayouth Chumnanvej et al., published by De Gruyter http://creativecommons.org/licenses/by/4.0 This work is licensed under the Creative Commons Attribution 4.0 Public License.
spellingShingle Research Article
Chumnanvej, Sorayouth
Pattamarakha, Duangkamol
Sudsang, Thanwa
Suthakorn, Jackrit
Anatomical Workspace Study of Endonasal Endoscopic Transsphenoidal Approach
title Anatomical Workspace Study of Endonasal Endoscopic Transsphenoidal Approach
title_full Anatomical Workspace Study of Endonasal Endoscopic Transsphenoidal Approach
title_fullStr Anatomical Workspace Study of Endonasal Endoscopic Transsphenoidal Approach
title_full_unstemmed Anatomical Workspace Study of Endonasal Endoscopic Transsphenoidal Approach
title_short Anatomical Workspace Study of Endonasal Endoscopic Transsphenoidal Approach
title_sort anatomical workspace study of endonasal endoscopic transsphenoidal approach
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814958/
https://www.ncbi.nlm.nih.gov/pubmed/31667352
http://dx.doi.org/10.1515/med-2019-0060
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