First use of flat-panel computed tomography during cochlear implant surgery : Perspectives for the use of advanced therapies in cochlear implantation.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	First use of flat-panel computed tomography during cochlear implant surgery : Perspectives for the use of advanced therapies in cochlear implantation.
Μεταγλωττισμένος Τίτλος:	Erster Einsatz der Flat-Panel-Computertomographie bei der Cochleaimplantation : Perspektiven für die Weiterentwicklung der Cochleaimplantation.
Συγγραφείς:	Rotter N; Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Frauensteige 12, 89075, Ulm, Germany. nicole.rotter@uniklinik-ulm.de., Schmitz B; Department of Diagnostic and Interventional Radiology, Ulm University Medical Center, Ulm, Germany., Sommer F; Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Frauensteige 12, 89075, Ulm, Germany., Röhrer S; Department of Neurosurgery, Ulm University Medical Center, Ulm, Germany., Schuler PJ; Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Frauensteige 12, 89075, Ulm, Germany., Bischof F; Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Frauensteige 12, 89075, Ulm, Germany., Scheithauer MO; Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Frauensteige 12, 89075, Ulm, Germany., Hoffmann TK; Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Frauensteige 12, 89075, Ulm, Germany.
Πηγή:	HNO [HNO] 2017 Jan; Vol. 65 (1), pp. 61-65.
Τύπος έκδοσης:	Case Reports; Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Springer Verlag Country of Publication: Germany NLM ID: 2985099R Publication Model: Print Cited Medium: Internet ISSN: 1433-0458 (Electronic) Linking ISSN: 00176192 NLM ISO Abbreviation: HNO Subsets: MEDLINE
Imprint Name(s):	Publication: Berlin : Springer Verlag Original Publication: Berlin.
Ιατρικοί όροι (MeSH):	X-Ray Intensifying Screens, Cochlear Implantation/instrumentation , Monitoring, Intraoperative/instrumentation , Prosthesis Fitting/instrumentation , Surgery, Computer-Assisted/instrumentation , Tomography, X-Ray Computed/instrumentation, Cochlear Implantation/methods ; Monitoring, Intraoperative/methods ; Prosthesis Fitting/methods ; Surgery, Computer-Assisted/methods ; Tomography, X-Ray Computed/methods ; Adult ; Equipment Design ; Equipment Failure Analysis ; Humans ; Male ; Treatment Outcome ; Young Adult
Περίληψη:	Background: Cochlear implantation in routine cases with normal anatomy is commonly performed without intraoperative image guidance. Revision cochlear implantation as well as surgery in malformations require not only a precise understanding of the underlying complex anatomy, but surgeons need to transform two-dimensional computed tomography (2D CT) scans into the surgical field and use this information for intraoperative surgical navigation. So far, information about the exact position of the electrode during insertion cannot be provided to the surgeon. Here, we present our first operative experience with cochlear implant surgery supported by intraoperative Dyna-CT technology, providing the surgeon with detailed views of the electrode location. Methods: To prove the feasibility of the procedure, two cases of cochlear implantation were performed with intraoperative application of cone-beam CT acquired by a C-arm Dyna-CT system (Artis Zeego, Siemens Healthcare, Erlangen, Germany). Image reconstruction was performed intraoperatively in order to assess the correct positioning of the electrodes. Results: Intraoperative Dyna-CT enabled clear visualization of the surgical anatomy and intracochlear electrode position. Dyna-CT technology can be applied with acceptable additional time requirements without adding too much complexity to the surgical procedure. Conclusion: Intraoperative data acquisition by Dyna-CT represents a suitable option for online surgical navigation during cochlear implant surgery. This imaging technology will push further advances in cochlear implant surgery and lateral skull base surgery, particularly if linked to intraoperative navigation.
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Contributed Indexing:	Keywords: Cochlear implantation; Cone-beam computed tomography; Electrodes; Preservation, structure
Entry Date(s):	Date Created: 20160819 Date Completed: 20170818 Latest Revision: 20181113
Update Code:	20260130
DOI:	10.1007/s00106-016-0213-z
PMID:	27534759
Βάση Δεδομένων:	MEDLINE

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Περιγραφή
ISSN:	1433-0458
DOI:	10.1007/s00106-016-0213-z