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Minimally Invasive Cochlear Implantation: First-in-Man of Patient-Specific Positioning Jigs

A minimally-invasive surgical (MIS) approach to cochlear implantation, if safe, practical, simple in surgical handling, and also affordable has the potential to replace the conventional surgical approaches. Our MIS approach uses patient-specific drilling templates (positioning jigs). While the most...

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Autores principales: Salcher, Rolf, John, Samuel, Stieghorst, Jan, Kluge, Marcel, Repp, Felix, Fröhlich, Max, Lenarz, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082655/
https://www.ncbi.nlm.nih.gov/pubmed/35547379
http://dx.doi.org/10.3389/fneur.2022.829478
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author Salcher, Rolf
John, Samuel
Stieghorst, Jan
Kluge, Marcel
Repp, Felix
Fröhlich, Max
Lenarz, Thomas
author_facet Salcher, Rolf
John, Samuel
Stieghorst, Jan
Kluge, Marcel
Repp, Felix
Fröhlich, Max
Lenarz, Thomas
author_sort Salcher, Rolf
collection PubMed
description A minimally-invasive surgical (MIS) approach to cochlear implantation, if safe, practical, simple in surgical handling, and also affordable has the potential to replace the conventional surgical approaches. Our MIS approach uses patient-specific drilling templates (positioning jigs). While the most popular MIS approaches use robots, the robotic aspect is literally put aside, because our high-precision parallel kinematics is only used to individualize a positioning jig. This jig can then be mounted onto a bone-anchored mini-stereotactic frame at the patient's skull and used to create a drill-hole through the temporal bone to the patient's cochlea. We present the first clinical experience where we use sham drill bits of different diameters instead of drilling into the bone in order to demonstrate the feasibility and accuracy.
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spelling pubmed-90826552022-05-10 Minimally Invasive Cochlear Implantation: First-in-Man of Patient-Specific Positioning Jigs Salcher, Rolf John, Samuel Stieghorst, Jan Kluge, Marcel Repp, Felix Fröhlich, Max Lenarz, Thomas Front Neurol Neurology A minimally-invasive surgical (MIS) approach to cochlear implantation, if safe, practical, simple in surgical handling, and also affordable has the potential to replace the conventional surgical approaches. Our MIS approach uses patient-specific drilling templates (positioning jigs). While the most popular MIS approaches use robots, the robotic aspect is literally put aside, because our high-precision parallel kinematics is only used to individualize a positioning jig. This jig can then be mounted onto a bone-anchored mini-stereotactic frame at the patient's skull and used to create a drill-hole through the temporal bone to the patient's cochlea. We present the first clinical experience where we use sham drill bits of different diameters instead of drilling into the bone in order to demonstrate the feasibility and accuracy. Frontiers Media S.A. 2022-04-25 /pmc/articles/PMC9082655/ /pubmed/35547379 http://dx.doi.org/10.3389/fneur.2022.829478 Text en Copyright © 2022 Salcher, John, Stieghorst, Kluge, Repp, Fröhlich and Lenarz. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Salcher, Rolf
John, Samuel
Stieghorst, Jan
Kluge, Marcel
Repp, Felix
Fröhlich, Max
Lenarz, Thomas
Minimally Invasive Cochlear Implantation: First-in-Man of Patient-Specific Positioning Jigs
title Minimally Invasive Cochlear Implantation: First-in-Man of Patient-Specific Positioning Jigs
title_full Minimally Invasive Cochlear Implantation: First-in-Man of Patient-Specific Positioning Jigs
title_fullStr Minimally Invasive Cochlear Implantation: First-in-Man of Patient-Specific Positioning Jigs
title_full_unstemmed Minimally Invasive Cochlear Implantation: First-in-Man of Patient-Specific Positioning Jigs
title_short Minimally Invasive Cochlear Implantation: First-in-Man of Patient-Specific Positioning Jigs
title_sort minimally invasive cochlear implantation: first-in-man of patient-specific positioning jigs
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082655/
https://www.ncbi.nlm.nih.gov/pubmed/35547379
http://dx.doi.org/10.3389/fneur.2022.829478
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