Robotics in Skull-Base Surgery

✍ Scribed by Mohammed Maan Al-Salihi (editor), Ali Ayyad (editor), R. Shane Tubbs (editor), Joachim Oertel (editor)

• Publisher: Springer
• Year: 2023
• Tongue: English
• Leaves: 117
• Edition: 1st ed. 2023
• Category: Library

✦ Synopsis

This book is the first book in the field of robotics in skull-base surgery. It uncovers the pioneering realm of robotics in skull-base surgery through this remarkable compendium. With a comprehensive exploration from neurosurgical and otolaryngological perspectives, it delves into the diverse applications of robotics, accompanied by a thorough literature review.

The chapters run the gamut from using robotics for approaches to the anterior and lateral skull base to using this technology for more specific approaches such as transoral methods and radiosurgery.

The major advantage of this work is its organization and systematic delivery of information, which makes it a reliable and comprehensible source for the medical professional. It is a “go-to” resource for all researchers, clinicians, and medical doctors who are interested in the most recent trends in robotics in skull-base in Neurosurgery and ENT surgery.

✦ Table of Contents

Foreword
Acknowledgment
Contents
1: Introduction to Robotics in Skull Base Surgery
1.1 Introduction
1.2 Robotics in Skull Base Surgery
1.3 Robot Structure and Features
1.4 Approaches to Robotic Skull Base Surgery
1.4.1 Endonasal Endoscopic Approach
1.4.2 Transoral Surgery
1.4.3 Transoral Robotic Surgery (TORS) Combined with Extended Endonasal Approach (EEA-TORS)
1.4.4 Other Approaches
1.5 Advantages
1.6 Limitations and Challenges
1.7 Conclusions
References
2: Robotics in Transoral Approaches of the Skull Base
2.1 Introduction
2.1.1 Evolution of Robotic Surgery
2.2 Key Publications about TORS
2.3 Summary and Conclusion
References
3: Robotic Endoscopic Transnasal Skull Base Surgery in Clinical Practice: A Systematic Literature Review
3.1 Introduction
3.2 Material and Methods
3.2.1 Inclusion and Exclusion Criteria
3.3 Results
3.3.1 Transoral Robotic Surgery (TORS) Combined with an Extended Endonasal Approach (EEA-TORS)
3.3.2 Robotic Armrest
3.3.3 Robotic Endoscope Holders
3.4 Discussion
3.5 Conclusion
References
4: Robotics in Sinus Surgery
4.1 Introduction
4.2 Robotic Endoscope Holders
4.3 Steerable Flexible Endoscopes
4.4 Educational Aspect
4.5 Conclusion and Future Perspective
References
5: Robotics for Approaches to the Anterior Cranial Fossa
5.1 Historical and Current Methods in Anterior Cranial Fossa Approaches
5.2 Brief Overview of Robotic Skull Base Surgery
5.3 Robotic Surgical Approaches to the Anterior Skull Base
5.3.1 Single Portal
5.3.1.1 Transoral Robotic Surgery
5.3.1.2 Robotic Surgery
5.3.1.3 Transorbital/Supraorbital Robotic Approaches
5.3.2 Multi-Portal/Combined Approaches
5.3.2.1 Cervical Transoral Robotic Surgery
5.3.2.2 Suprahyoid-Transoral Robotic Approaches
5.3.2.3 Endonasal Transmaxillary Approach
5.3.2.4 Transcranial Robotic Approach
5.4 Limitations of Robotic Surgery in the Anterior Cranial Fossa
5.5 Future Directions
5.6 Conclusions
References
6: Robotics for Approaches to the Mastoid/Mastoidectomy
6.1 The Evolution of Cochlear Implantation Surgery
6.2 The HEARO-Procedure
6.3 Conclusion and Future Perspectives
References
7: Robotics for Approaches to the Lateral Skull Base
7.1 Introduction
7.2 Pterional and Frontolateral Approaches to the Lateral Anterior and Middle Cranial Fossae
7.3 Retrosigmoid (Lateral Suboccipital) and Far Lateral Approaches to the Lateral Posterior Fossa
References
8: Robotics in Radiosurgery
8.1 Gamma Knife
8.2 Robotics in Gamma Knife
8.3 Linear Accelerator
8.4 Robotic Linear Accelerator (CyberKnife)
8.5 Conclusion
References
9: Robotics in Neurotology
9.1 Surgical Procedures and Other Interventions in Neurotology
9.1.1 Challenges and Surgical Principles
9.2 Potential Advantages of Robotics in Neurotology
9.2.1 Accuracy
9.2.2 Minimally Invasiveness
9.2.3 Individualization
9.2.4 Automation
9.2.5 Control
9.2.6 Better Outcomes, Potentially
9.2.7 Training, Education, and Remote Surgery
9.3 Potential Fields of Application
9.4 Challenges for Robotic Systems
9.4.1 Safety
9.4.2 Duration
9.4.3 Complexity
9.4.4 Costs
9.4.5 Radiation
9.4.6 Liability
9.5 Use Case: Minimally Invasive Cochlear Implantation
9.6 Current Implementations of Robotics in Neurotology
9.6.1 Ad 1—Devices Addressing Electrode Insertion
9.6.2 Ad 2—Devices Addressing Creating a Minimally Invasive Access to the Inner Ear
9.7 Future Developments
References
10: The Future of Robotics in Skull Base Surgery
10.1 Introduction
10.2 Current State of Surgical Robotics
10.2.1 Applications of Robotic Surgery in Urological, Gynecological, and General Surgery
10.2.2 Applications of Robotic Surgery in Neurosurgery and Otolaryngology
10.3 Current Research on Skull Base Robotic Surgery
10.3.1 Advantages and Limitations of Robotics in Skull Base Surgery
10.3.2 Robotic Approaches to the Skull Base
10.3.2.1 Transnasal Approach
10.3.2.2 Transoral Approach
10.3.2.3 Supraorbital and Transorbital Approaches
10.3.2.4 Transantral Approach
10.3.2.5 Transcervical Approach
10.4 Envisioning the Future of Robotic Surgery
10.4.1 Novel Surgical Robotic Systems
10.4.1.1 Flex Robotic System
10.4.1.2 Senhance Surgical Robotic System
10.4.1.3 Versius Robotic System
10.4.1.4 REVO-I Surgical Robotic System
10.4.1.5 Single Port Orifice Robotic Technology Surgical System
10.4.1.6 Concentric Tube Robot System
10.4.2 Image Guidance and Augmented Reality
10.4.3 Telesurgery
10.4.4 Surgical Robotic Automation
10.5 The Idealized Skull Base Robotic Surgery
10.6 Conclusion
References