ENT challenges at the small scale

  title={ENT challenges at the small scale},
  author={Chris Coulson and Andrew P. Reid and David W. Proops and Peter N. Brett},
  journal={The International Journal of Medical Robotics and Computer Assisted Surgery},
  • C. Coulson, A. Reid, P. Brett
  • Published 1 June 2007
  • Computer Science
  • The International Journal of Medical Robotics and Computer Assisted Surgery
In this paper we consider two relatively frequently performed operations in the field of ear, nose and throat (ENT) surgery and consider how they could be improved by using robotic applications. We consider currently available robots and propose theoretical robotic solutions. 
Leader manipulator with hand rest function for microsurgery
  • Solmon Jeong, K. Tadano
  • Medicine
    The international journal of medical robotics + computer assisted surgery : MRCAS
  • 2021
The hand rest assists microsurgeons with maintaining a stable hand condition and poses mechanical difficulties such as interferences from manipulators in manipulating a surgical robot using teleoperation.
Development of a miniature robot for hearing aid implantation
A novel robotic assistant dedicated to otologic surgery for an implantable hearing aid system, which is a procedure involving drilling into the lateral skull of the patient, designed so as to fulfill the requirements of precise bone drillings for hearing aid implantation.
The use of robotics in otolaryngology-head and neck surgery: a systematic review.
A microsurgical robot research platform for robot-assisted microsurgery research and training
The MRRP can be utilized for microsurgical skills training, since motion kinematic data and vision data can provide objective means of verification and scoring, and can further be used for verifying high-level control algorithms and task automation for RAMS research.
Microsurgery robots: addressing the needs of high-precision surgical interventions.
Research in this direction is progressing quickly and microsurgery robot prototypes are gradually demonstrating significant clinical benefits in challenging applications such as reconstructive plastic surgery, ophthalmology, otology and laryngology, offering confidence in a brighter future for high-precision surgical interventions.
From Teleoperation to Autonomous Robot-assisted Microsurgery: A Survey
This review paper introduces the development tendency of RAMS from teleoperation to autonomous systems, and highlights the upcoming new research opportunities that require joint efforts from both clinicians and engineers to pursue further outcomes for RAMS in years to come.
Development of universal gripping adapters: Sterile coupling of medical devices and robots using robotic fingers
A new universal gripping adapter for a medical macro-micro telemanipulation system for the middle ear surgery is presented to enable the surgeon to precisely manipulate tissue in interventions at the middleEar like the stapedotomy.
Convergence Analysis of an Iterative Targeting Method for Keyhole Robotic Surgery
The assessment of the robustness of an iterative targeting algorithm in perturbed conditions confirms the clinical relevance of the method because it can be applied on commercially available robots without modifying the internal controller, thus improving the targeting accuracy and meeting surgical accuracy requirements.
A new Micromanipulator System for middle ear surgery
The MMS-II is lightweight, small, and easy to use; it requires no PC, besides a small microcontroller-based joystick console, which allows the system to be used in standard surgical procedures.
Intra‐operative image update: first experiences with new software in computer‐assisted sinus surgery
The surgical progress in the operating field cannot be visualized unless new imaging scans are performed, and conventional navigation systems do not provide the opportunity for any modification of acquired image datasets.


The first clinical application of a "hands-on" robotic knee surgery system.
The Acrobot system has been successfully used to accurately register and cut the knee bones in TKR surgery, demonstrating the great potential of a "hands-on" robot for improving accuracy and increasing safety in surgery.
Contour and Paired‐Point Registration in a Model for Image‐Guided Surgery
This study assesses target registration error (TRE) of contour‐based registration (CBR) and paired‐point registration (PPR) for endoscopic sinus surgery.
Image-Guided Transnasal Endoscopic Surgery of the Paranasal Sinuses and Anterior Skull Base
The InstaTrak, a commercially available image-guided surgical navigation system, was useful for localization to within less than 3 mm in 106 (98%) cases and in the remaining three surgeries where the perceived accuracy was not within 3 mm, the device was not used.
Navigation as a quality management tool in cochlear implant surgery
A referencing methodusing concealed bordering anatomical structures may be further needed to perform the cochleostomy reliably under the guidance of a navigation system to keep the point accuracy below one millimeter, this cadaver study assessed the value of navigation in cochlear implant surgery.
An Automatic Technique for Micro-Drilling a Stapedotomy in the Flexible Stapes Footplate
An automated system is presented that is able to determine and control the level of protrusion on breakthrough, and to detect the onset of breakthrough and to control drill protrusion beyond the medial surface.
Preservation of Residual Hearing in Children and Post-Lingually Deafened Adults after Cochlear Implantation: An Initial Study
Investigating whether the residual hearing of severely hearing-impaired children and adults could be preserved using the soft surgery approach suggests that surgeons are often able to preserve residual hearing during cochlear implant surgery using thesoft surgery technique.
Conservation of Residual Acoustic Hearing After Cochlear Implantation
  • T. Balkany, Sarah S. Connell, K. Arheart
  • Medicine
    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2006
Conservation of pure-tone hearing was possible in 89% of implanted patients; however, residual speech perception was not conserved with this long perimodiolar electrode.
Hearing preservation in cochlear implantation for electric acoustic stimulation
Preservation of low-frequency hearing in cochlear implantation is possible in patients implanted because of profound high-frequency deafness and with the development of new, more atraumatic electrode designs, preservation of residual hearing should be further improved.
On the functional morphology of the human petrous bone.
The assumption that in the human petrous bone, the outer periosteal layer is adapted to resorb elastic deformation, whereas the brittle labyrinthine capsule is better adapted to the functions of an auditory and vestibular organ is supported.