Trends and perspectives in minimally invasive surgery in otorhinolaryngology-head and neck surgery.

The roots of minimally invasive surgery (MIS) in otolaryngology-head and neck surgery (ORL-HNS) can be traced to the 1950s. Today, endonasal sinus surgery and endolaryngeal surgery already fulfill the principles of MIS. To widen its spectrum of indications, however, MIS must be able to offer three a...

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Publicado en:Laryngoscope Vol. 107; no. 11; pp. 1483 - 1490
Autores principales: Plinkert P, Lowenheim H, Plinkert, P, Löwenheim, H
Formato: pictorial tables/charts Journal Article
Publicado: Wiley-Blackwell 1997
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Trends and perspectives in minimally invasive surgery in otorhinolaryngology-head and neck surgery.
      aug:
        au:
          Plinkert P
          Lowenheim H
          Plinkert, P
          Löwenheim, H
        affil: Department of Otorhinolaryngology, University of Tübingen, Germany
      sug:
        subj:
          Endoscopy Trends
          Larynx Surgery
          Orbit Surgery
          Paranasal Sinuses Surgery
          Pharynx Surgery
          Skull Surgery
          Surgery, Otorhinolaryngologic Equipment and Supplies
          Surgery, Otorhinolaryngologic Trends
          Trachea Surgery
          Suture Techniques
      ab: The roots of minimally invasive surgery (MIS) in otolaryngology-head and neck surgery (ORL-HNS) can be traced to the 1950s. Today, endonasal sinus surgery and endolaryngeal surgery already fulfill the principles of MIS. To widen its spectrum of indications, however, MIS must be able to offer three advantages that conventional macrosurgery and microsurgery already have: free maneuverability for the instrument, sensory feedback, and three-dimensional imaging. Every anatomical region (e.g., paranasal sinuses, upper aerodigestive tract, cerebellopontine angle) requires specific surgical instrumentation. Here, the authors present recently developed steerable instruments that allow two additional degrees of freedom not attainable with conventional instruments. These instruments may permit access to problem zones (e.g., laterally extending frontal and ethmoidal sinus recesses) in the near future. For better control of the instrument and the operative procedure, tactile feedback can be achieved with appropriate microsensor systems. Three-dimensional vision can be realized by three-dimensional video-endoscopes and sequential image processing.
      pubtype: Academic Journal
      doctype:
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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