Stapes footplate surgery is complex and delicate. This surgery is carried out in the middle ear to improve hearing. High accuracy is required to avoid critical tissues and structures near the surgical worksite. By suppressing the surgeon’s tremor during the operation, accuracy can be improved. In this paper, a fully handheld active micromanipulator known as Micron is evaluated for its feasibility for this delicate operation. An ergonomic handle, a custom tip, and a brace attachment were designed for stapes footplate surgery and tested in a fenestration task through a fixed speculum. Accuracy was measured during simulated surgery in two different scenarios: Micron off (unaided) and Micron on (aided), both with image guidance. Preliminary results show that Micron significantly reduces the mean position error and the mean duration of time spent in specified dangerous zones.
Stapedectomy is a delicate surgical procedure of the middle ear to improve hearing. In the middle ear there are anatomical structures that can be damaged during the surgery. Suppression of tremor during the procedure may reduce the likelihood of damage. This paper reports on a study of the feasibility of using Micron, a fully handheld micromanipulator, in stapedectomy. An ergonomic handle, a special tip, and a brace attachment were designed for this purpose and tested in a perforation task through a fixed speculum. Fenestration area and time in forbidden zones were analyzed in a penetration task under two conditions: unaided, and aided by tremor compensation. Preliminary results show a statistically significant improvement in cross-sectional area of fenestration and in time spent in forbidden zones.
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