A method based on 3D shape analysis towards the design of flexible instruments for endoscopic maxillary sinus surgery

Julie Legrand, Kenan Niu, Zhen Qian, Kathleen Denis, Vincent Vander Poorten, Laura Van Gerven, Emmanuel Vander Poorten

Onderzoeksoutput: Articlepeer review

4 Citaten (Scopus)

Samenvatting

The emergence of steerable flexible instruments has widened the uptake of minimally invasive surgical techniques. In sinus surgery, such flexible instruments could enable the access to difficult-to-reach anatomical areas. However, design-oriented metrics, essential for the development of steerable flexible instruments for maxillary sinus surgery, are still lacking. This paper proposes a method to process measurements and provides the instrument designer with essential information to develop adapted flexible instruments for limited access surgery. This method was applied to maxillary sinus surgery and showed that an instrument with a diameter smaller than 2.4 mm can be used on more than 72.5% of the subjects’ set. Based on the statistical analysis and provided that this flexible instrument can bend up to 164. 4 , it is estimated that all areas within the maxillary sinus could be reached through a regular antrostomy without resorting to extra incision or tissue removal in 94.9% of the population set. The presented method was partially validated by conducting cadaver experiments.

Originele taal-2English
Pagina's (van-tot)1534–1550
Aantal pagina's17
TijdschriftAnnals of Biomedical Engineering
Volume49
Nummer van het tijdschrift6
DOI's
StatusPublished - jun 2021

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