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Cochlear Implantation Assisted by Noninvasive Image Guidance
- Cochlear Implantation Assisted by Noninvasive Image Guidance
- Matsumoto, N[Matsumoto, Nozomu]; Oka, M[Oka, Masamichi]; Cho, B[Cho, Byunghyun]; Hong, J[Hong, Jaesung]; Jinnouchi, M[Jinnouchi, Misaki]; Ouchida, R[Ouchida, Riichi]; Hashizume, M[Hashizume, Makoto]; Komune, S[Komune, Shizuo]
- DGIST Authors
- Hong, J[Hong, Jaesung]
- Issue Date
- Otology and Neurotology, 33(8), 1333-1338
- Article Type
- Adult; Aged; Child, Preschool; Cochlear Implant; Cochlear Implantation; Computer Assisted Surgery; Computer Assisted Tomography; Computer Program; Ear; Female; Human; Humans; Image-Guided Surgery; Image Processing; Image Processing, Computer-Assisted; Implantation; Infant; Instrumentation; Learning Curve; Male; Methodology; Middle Aged; Minimally Invasive Surgery; Post-Operative Complication; Post-Operative Complications; Preschool Child; Radiography; Retrospective Studies; Retrospective Study; Software; Surgery, Computer-Assisted; Surgical Navigation; Surgical Procedures, Minimally Invasive; Temporal Bone; Tomography, X-Ray Computed; Treatment Outcome
- Objective: We recently developed a new noninvasive registration method for image-guided otologic surgery (STAMP method). We investigated the benefit and potential drawback of our new method in clinical application and tested the feasibility of routine image-guided surgery. Study Design: Retrospective case review. Setting: Tertiary referral university hospital. Patients: Forty-six cases (45 patients) that underwent cochlear implantation in Kyushu University Hospital during the period of 2007 and 2010 were informed of the option to use navigated surgery. INTERVENTION: Twenty-five cochlear implantations were performed using STAMP-registered image-guided surgery. MAIN OUTCOME MEASURE: The error of image-guided surgery and time of surgery were collected and analyzed. Results: STAMP method offered serviceable accuracy in 18/25 cochlear implantations. The learning curve suggested that the accuracy is at least stabilizing, if not improving, and the success rate is expected to rise. Time of cochlear implant surgery was not significantly extended by the use of image guidance. Conclusion: STAMP method had comparable errors with minimal invasiveness. Our new method potentially enables routine use of image-guided surgery. © 2012, Otology & Neurotology, Inc.
- Lippincott Williams and Wilkins
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