Template-guided implantation of the Bonebridge: clinical experience

Nozomu Matsumoto, Yutaka Takumi, Byunghyun Cho, Kentaro Mori, Shin ichi Usami, Makoto Yamashita, Makoto Hashizume, Shizuo Komune

研究成果: Contribution to journalArticle査読

18 被引用数 (Scopus)


The surgical procedure for Bonebridge implantation cannot be done in some cases without exposing the dura mater or sigmoid sinus. Surgical simulation technology can help to identify such difficulties prior to surgery and be used to clarify the optimal location and orientation of the device to be implanted. However, there has not been a simple strategy to drill the temporal bone at exactly the same location as that simulated on the computer. Based on our previous development of the surface template-assisted marker positioning (STAMP) method for performing image-guided otologic surgery, we recently developed a noninvasive guiding method, the BB-STAMP method, for performing image-guided Bonebridge implantation. Three patients underwent Bonebridge implantation at our surgical center during the years of 2013–2014. The authors in the simulation center supported the surgery using the BB-STAMP method. The time and effort required to prepare for the surgery were evaluated. In addition, a postoperative analysis was performed to assess the accuracy of placing the device in the planned location. The BB-STAMP method enabled the surgeon to precisely replicate the computer simulation in the real patient with submillimetric accuracy without complexity. Thus, the use of experienced and elaborative simulation coupled with the creation of a tailor-made three-dimensional template (BB-STAMP) enables surgeons to perform quick, precise and safe surgical procedures at distant institutions.

ジャーナルEuropean Archives of Oto-Rhino-Laryngology
出版ステータス出版済み - 12 19 2014

All Science Journal Classification (ASJC) codes

  • 耳鼻咽喉科学


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