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AuthorWegener, Marc Thomasdc.contributor.author
Date of accession2016-03-15T10:43:08Zdc.date.accessioned
Available in OPARU since2016-03-15T10:43:08Zdc.date.available
Year of creation2015dc.date.created
AbstractThe detection and surgical removal of foreign bodies from the head and neck area of the human body is a demanding task even for experienced head and neck surgeons. Especially soldiers suffer from foreign body injuries in the head and neck area due to the more frequent use of IED (ImprovisedExplosiveDevices) by their enemies. A simple and efficient tool to help surgeons in removing these foreign bodies would be big advantage for the treatment in hospitals where the combat misson is at. In an experimental setting using 10 human head and neck preparations from body donors it could be shown that the use of computer assisted surgery for removing foreign bodies is very effective and helpful. The head and neck preparations had been loaded with 5 different foreign bodies typical for IEDs (wood, stone, metal, plastic and glass) at both hemi sides of the head. One hemi was treated conventionally using CT scan screen shots and palpation to detect and remove the foreign bodies. The other hemi was treated using a miniaturised and ultra portabel computer assisted surgery unit. The comparison of both procedures revealed that with the help of computer assisted surgery radiopaque foreign bodies could be detected faster (p<0,0001) and more efficient (p=0,0255). The removal was faster (p=0,0239) and less traumatic (p=0,0007). Furthermore, the soft tissue shift for the foreign bodies was recorded and in this experimental setting 80 % of the foreign bodies had a non-relevant soft tissue shift. In summary, this study identifies computer assisted surgery as a far superior procedure for the identification and removal of foreign objects compared to the CT scan method.dc.description.abstract
Languagededc.language.iso
PublisherUniversität Ulmdc.publisher
LicenseStandarddc.rights
Link to license texthttps://oparu.uni-ulm.de/xmlui/license_v3dc.rights.uri
KeywordImprovised explosive devicedc.subject
KeywordSoft tissue shiftdc.subject
KeywordSoldier,combat injurydc.subject
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
MeSHForeign bodiesdc.subject.mesh
MeSHHead; Surgerydc.subject.mesh
MeSHMouth; Surgerydc.subject.mesh
MeSHSurgery, computer-assisteddc.subject.mesh
MeSHWar-related injuriesdc.subject.mesh
TitleImplementierung eines miniaturisierten Navigationssystems in der Kopf- Halschirurgie zur Fremdkörperdetektion und Entfernungdc.title
Resource typeDissertationdc.type
DOIhttp://dx.doi.org/10.18725/OPARU-3816dc.identifier.doi
PPN1655520504dc.identifier.ppn
URNhttp://nbn-resolving.de/urn:nbn:de:bsz:289-vts-99802dc.identifier.urn
GNDFremdkörperdc.subject.gnd
GNDHals-Nasen-Ohren-Heilkundedc.subject.gnd
GNDMund-Kiefer-Gesichts-Chirurgiedc.subject.gnd
GNDNavigationdc.subject.gnd
FacultyMedizinische Fakultätuulm.affiliationGeneral
Date of activation2016-03-04T09:00:17Zuulm.freischaltungVTS
Peer reviewneinuulm.peerReview
Shelfmark print versionW: W-H 14.604uulm.shelfmark
DCMI TypeTextuulm.typeDCMI
VTS-ID9980uulm.vtsID
CategoryPublikationenuulm.category


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