High precision cochleostomy by use of a pulsed CO2 laser - an experimental approach.

Autor: Klenzner T, Knapp FB, Schipper J, Raczkowsky J, Woern H, Kahrs LA, Werner M, Hering P, Klenzner, Thomas, Knapp, Felix B, Schipper, Joerg, Raczkowsky, Joerg, Woern, Heinz, Kahrs, Lueder A, Werner, Martin, Hering, Peter
Zdroj: Cochlear Implants International: An Interdisciplinary Journal; 2009 Supplement, Vol. 10, p58-62, 5p
Abstrakt: A precise cochleostomy is a crucial step in cochlear implantation, particularly if residual hearing is to be preserved. A contactless ablation of the promontory bone by a pulsed CO(2) laser system seems to be a promising approach. The bone is removed by a scan head controlled laser beam in sequential scan cycles with a pulse rate of 50-100 mus. Digital picture analysis and pattern detection are used to identify the membranous lining of the cochlea. We achieved a bone ablation in a micrometer range per scan cycle with the laser. A perforation of the promontory bone could be detected by automatic pattern detection. The enhancement of automatic pattern detection can lead to a minimally invasive, function-preserving laser cochleostomy. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index