Robot-assisted stapedotomy: micropick fenestration of the stapes footplate.
Journal Article (Journal Article)
Objective
Micropick fenestration of the stapes footplate, a difficult step in stapedotomy, was selected for trials evaluating the potential for robotic assistance (RA) to improve clinical measures of surgical performance.Study design
In a surgical model of stapedotomy, we measured accuracy of fenestration to a desired point location and force applied to the stapes footplate. Performance variables were measured for 3 experienced and 3 less-experienced surgeons.Results
RA significantly reduced the maximum force applied to the stapes footplate. For fenestration targeting, RA significantly improved accuracy for less-experienced surgeons and significantly worsened targeting for more-experienced surgeons.Conclusions
RA significantly improves performance for micropick fenestration in a surgical model of stapedotomy. For certain tasks, RA differentially affects performance for users of different experience levels.Clinical significance
These are the first results showing quantitative improvements in performance during simulated ear surgery using RA and differential effects of RA on performance for users of different experience levels.Full Text
Duke Authors
Cited Authors
- Rothbaum, DL; Roy, J; Stoianovici, D; Berkelman, P; Hager, GD; Taylor, RH; Whitcomb, LL; Francis, HW; Niparko, JK
Published Date
- November 2002
Published In
Volume / Issue
- 127 / 5
Start / End Page
- 417 - 426
PubMed ID
- 12447235
Electronic International Standard Serial Number (EISSN)
- 1097-6817
International Standard Serial Number (ISSN)
- 0194-5998
Digital Object Identifier (DOI)
- 10.1067/mhn.2002.129729
Language
- eng