Suspension laryngoscopy using a curved-frame trans-oral robotic system.

Abstract:

PURPOSE:Suspension laryngoscopy has been employed for laryngeal diseases such as treatment for a polyp, cystoma, or granuloma. After securing a straight path with a laryngoscope, the surgeon inserts rigid instruments and examines the target lesion by using a microscope. However, many patients suffer from secondary complications due to the use of a rigid laryngoscope. In addition, about 11-12 % of patients cannot be operated on using laryngoscope because of anatomical restrictions. A surgical method to treat patients using a curved-frame trans-oral robotics system was developed. METHODS:A new surgical procedure is investigated using a new surgical robot system that employs a curved frame as a guide to insert flexible instruments into the target lesion. For this, a master-slave robotic system was developed, and the performance of the proposed procedure was tested by using a phantom laryngeal model. RESULTS:A routine laryngeal polypectomy procedure was simulated and performed using flexible instruments guided by a master-slave surgical robot in suspension laryngoscopy. CONCLUSION:A surgical robotic system was able to perform routine procedures to remove a polyp in the vocal cord under clinically realistic conditions on an adult phantom.

authors

Kwon YS,Tae K,Yi BJ

doi

10.1007/s11548-013-0944-1

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

535-40

issue

4

eissn

1861-6410

issn

1861-6429

journal_volume

9

pub_type

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