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Published in: European Archives of Oto-Rhino-Laryngology 12/2015

01-12-2015 | Otology

Template-guided implantation of the Bonebridge: clinical experience

Authors: Nozomu Matsumoto, Yutaka Takumi, Byunghyun Cho, Kentaro Mori, Shin-ichi Usami, Makoto Yamashita, Makoto Hashizume, Shizuo Komune

Published in: European Archives of Oto-Rhino-Laryngology | Issue 12/2015

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Abstract

The surgical procedure for Bonebridge implantation cannot be done in some cases without exposing the dura mater or sigmoid sinus. Surgical simulation technol ogy can help to identify such difficulties prior to surgery and be used to clarify the optimal location and orientation of the device to be implanted. However, there has not been a simple strategy to drill the temporal bone at exactly the same location as that simulated on the computer. Based on our previous development of the surface template-assisted marker positioning (STAMP) method for performing image-guided otologic surgery, we recently developed a noninvasive guiding method, the BB-STAMP method, for performing image-guided Bonebridge implantation. Three patients underwent Bonebridge implantation at our surgical center during the years of 2013–2014. The authors in the simulation center supported the surgery using the BB-STAMP method. The time and effort required to prepare for the surgery were evaluated. In addition, a postoperative analysis was performed to assess the accuracy of placing the device in the planned location. The BB-STAMP method enabled the surgeon to precisely replicate the computer simulation in the real patient with submillimetric accuracy without complexity. Thus, the use of experienced and elaborative simulation coupled with the creation of a tailor-made three-dimensional template (BB-STAMP) enables surgeons to perform quick, precise and safe surgical procedures at distant institutions.
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Metadata
Title
Template-guided implantation of the Bonebridge: clinical experience
Authors
Nozomu Matsumoto
Yutaka Takumi
Byunghyun Cho
Kentaro Mori
Shin-ichi Usami
Makoto Yamashita
Makoto Hashizume
Shizuo Komune
Publication date
01-12-2015
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 12/2015
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-014-3452-1

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