An Imaging-Compatible Oral Retractor System for Transoral Robotic Surgery.

3D printing Image guidance Intraoperative imaging Oral retractor Transoral robotic surgery da Vinci surgical systems

Journal

Annals of biomedical engineering
ISSN: 1573-9686
Titre abrégé: Ann Biomed Eng
Pays: United States
ID NLM: 0361512

Informations de publication

Date de publication:
25 May 2024
Historique:
received: 20 09 2023
accepted: 02 05 2024
medline: 26 5 2024
pubmed: 26 5 2024
entrez: 25 5 2024
Statut: aheadofprint

Résumé

This study aimed to develop and validate a Computed Tomography (CT)/Magnetic Resonance Imaging (MRI)-compatible polymer oral retractor system to enable intraoperative image guidance for transoral robotic surgery (TORS). The retractor was designed based on standard-of-care metallic retractors and 3D (three-dimensional) printed with carbon fiber composite and nylon. The system was comprehensively evaluated in bench-top and cadaveric experiments in terms of its ability to enable intraoperative CT/MR images during TORS, functionality including surgical exposure and working volume, usability, compatibility with da Vinci surgical systems, feasibility for disinfection or sterilization, and robustness over an extended period of time. The polymer retractor system enabled the acquisition of high-resolution and artifact-free intraoperative CT/MR images during TORS. With an inter-incisive distance of 42.55 mm and a working volume of 200.09 cm

Identifiants

pubmed: 38796669
doi: 10.1007/s10439-024-03536-7
pii: 10.1007/s10439-024-03536-7
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : NCI NIH HHS
ID : 1R21CA246158
Pays : United States
Organisme : NIBIB NIH HHS
ID : R03EB034053
Pays : United States

Informations de copyright

© 2024. The Author(s) under exclusive licence to Biomedical Engineering Society.

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Auteurs

Yuan Shi (Y)

Thayer School of Engineering, Dartmouth College, Hanover, NH, USA. yuan.shi.th@dartmouth.edu.

Xiaotian Wu (X)

Thayer School of Engineering, Dartmouth College, Hanover, NH, USA.

Joseph A Paydarfar (JA)

Thayer School of Engineering, Dartmouth College, Hanover, NH, USA.
Section of Otolaryngology, Audiology, and Maxillofacial Surgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Geisel School of Medicine, Dartmouth College, Hanover, NH, USA.

Ryan J Halter (RJ)

Thayer School of Engineering, Dartmouth College, Hanover, NH, USA.
Geisel School of Medicine, Dartmouth College, Hanover, NH, USA.

Classifications MeSH