PMID- 34633475
OWN - NLM
STAT- MEDLINE
DCOM- 20220215
LR  - 20220224
IS  - 1433-0458 (Electronic)
IS  - 0017-6192 (Print)
IS  - 0017-6192 (Linking)
VI  - 70
IP  - Suppl 1
DP  - 2022 Feb
TI  - Endoscopic measurement of nasal septum perforations.
PG  - 1-7
LID - 10.1007/s00106-021-01102-4 [doi]
AB  - BACKGROUND: Nasal septum perforations (NSP) have many uncomfortable symptoms for 
      the patient and a highly negative impact on quality of life. NSPs are closed 
      using patient-specific implants or surgery. Implants are created either under 
      anesthesia using silicone impressions or using 3D models from CT data. 
      Disadvantages for patient safety are the increased risk of morbidity or radiation 
      exposure. MATERIALS AND METHODS: In the context of otorhinolaryngologic surgery, 
      we present a gentle approach to treating NSP with a new image-based, contactless, 
      and radiation-free measurement method using a 3D endoscope. The method relies on 
      image information only and makes use of real-time capable computer vision 
      algorithms to compute 3D information. This endoscopic method can be repeated as 
      often as desired in the clinical course and has already proven its accuracy and 
      robustness for robotic-assisted surgery (RAS) and surgical microscopy. We expand 
      our method for nasal surgery, as there are additional spatial and 
      stereoperspective challenges. RESULTS: After measuring 3 relevant parameters (NSP 
      extension: axial, coronal, and NSP circumference) of 6 patients and comparing the 
      results of 2 stereoendoscopes with CT data, it was shown that the image-based 
      measurements can achieve comparable accuracies to CT data. One patient could be 
      only partially evaluated because the NSP was larger than the endoscopic field of 
      view. CONCLUSION: Based on the very good measurements, we outline a therapeutic 
      procedure which should enable the production of patient-specific NSP implants 
      based on endoscopic data only.
CI  - (c) 2021. The Author(s).
FAU - Rosenthal, Jean-Claude
AU  - Rosenthal JC
AD  - Vision and Imaging Technologies, Fraunhofer Heinrich-Hertz-Institut HHI, 
      Einsteinufer 37, 10587, Berlin, Germany. jean-claude.rosenthal@hhi.fraunhofer.de.
AD  - , Berlin, Germany. jean-claude.rosenthal@hhi.fraunhofer.de.
FAU - Wisotzky, Eric L
AU  - Wisotzky EL
AD  - Vision and Imaging Technologies, Fraunhofer Heinrich-Hertz-Institut HHI, 
      Einsteinufer 37, 10587, Berlin, Germany.
AD  - Visual Computing, Humboldt Universitat zu Berlin, Berlin, Germany.
FAU - Matuschek, Carsten
AU  - Matuschek C
AD  - MKG-Klinik, Charite - Universitatsmedizin Berlin, Berlin, Germany.
FAU - Hobl, Melanie
AU  - Hobl M
AD  - HNO-Klinik, Charite - Universitatsmedizin Berlin, Berlin, Germany.
FAU - Hilsmann, Anna
AU  - Hilsmann A
AD  - Vision and Imaging Technologies, Fraunhofer Heinrich-Hertz-Institut HHI, 
      Einsteinufer 37, 10587, Berlin, Germany.
FAU - Eisert, Peter
AU  - Eisert P
AD  - Vision and Imaging Technologies, Fraunhofer Heinrich-Hertz-Institut HHI, 
      Einsteinufer 37, 10587, Berlin, Germany.
AD  - Visual Computing, Humboldt Universitat zu Berlin, Berlin, Germany.
FAU - Uecker, Florian C
AU  - Uecker FC
AD  - HNO-Klinik, Charite - Universitatsmedizin Berlin, Berlin, Germany.
LA  - eng
PT  - Journal Article
TT  - Endoskopische Vermessung von Nasenscheidewandperforationen.
DEP - 20211011
PL  - Germany
TA  - HNO
JT  - HNO
JID - 2985099R
SB  - IM
MH  - Endoscopy
MH  - Humans
MH  - *Nasal Septal Perforation/diagnostic imaging/surgery
MH  - Nasal Septum/diagnostic imaging/surgery
MH  - Quality of Life
MH  - *Robotic Surgical Procedures
PMC - PMC8837565
OTO - NOTNLM
OT  - 3D reconstruction
OT  - Endoscopy
OT  - Image-guided therapy
OT  - Nose diseases
OT  - Reconstructive surgical procedures
COIS- J.‑C. Rosenthal declares the following conflict of interest: Research funding by 
      the Federal Ministry of Education and Research, Scholly Fiberoptic GmbH: 
      Provision of a 3D endoscope. E.L. Wisotzky declares the following conflict of 
      interest: Research funding by the Federal Ministry of Education and Research, 
      ImFusion GmbH: Provision of the software "ImFusion Suite". M. Hobl, A. Hilsmann, 
      P. Eisert and F.C. Uecker declare the following conflict of interest: Research 
      funding by the Federal Ministry of Education and Research. C. Matuschek states 
      that there is no conflict of interest.
EDAT- 2021/10/12 06:00
MHDA- 2022/02/16 06:00
PMCR- 2021/10/11
CRDT- 2021/10/11 12:26
PHST- 2021/07/23 00:00 [accepted]
PHST- 2021/10/12 06:00 [pubmed]
PHST- 2022/02/16 06:00 [medline]
PHST- 2021/10/11 12:26 [entrez]
PHST- 2021/10/11 00:00 [pmc-release]
AID - 10.1007/s00106-021-01102-4 [pii]
AID - 1102 [pii]
AID - 10.1007/s00106-021-01102-4 [doi]
PST - ppublish
SO  - HNO. 2022 Feb;70(Suppl 1):1-7. doi: 10.1007/s00106-021-01102-4. Epub 2021 Oct 11.