caa a22 4500 606186395 CHVBK 20210128100836.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00405-014-3052-0 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3052-0 Development of a new endoscope holder for head and neck surgery—from the technical design concept to implementation [Elektronische Daten] [Julia Kristin, Armin Kolmer, Peter Kraus, Robert Geiger, Thomas Klenzner] Endoscope holders are utilized by a variety of surgeons but are not commonplace in head and neck surgery. The SOLOASSIST active camera holder, which is currently used for abdominal surgery, will soon be adapted for head and neck surgery in collaboration with AKTORmed GmbH SOLO SURGERY (Barbing, Germany). In our pre-feasibility study, we analyzed the use of the existing endoscope holder on anatomical specimens during head and neck surgery. Based on these results, we are proceeding towards the development of a new endoscope holder for head and neck surgery. First, we drafted the technical concepts and discussed the advantages and disadvantages of the system. Then, we used anatomic specimens to measure the forces that occur intraoperatively during sinus surgery. Next, we designed a computer-aided design (CAD) model. Finally, we developed the first production prototype and used it for a frontal skull base procedure on an anatomical specimen. We present the three most promising concepts for a new holder. The resulting total force (F res=√(X 2+Y 2+Z 2)) was calculated to be 3.2N during sinus surgery. We could observe all necessary intraoperative landmarks with the endoscope and its holder in a sinus and frontal skull base surgery. We developed a production prototype of a new endoscope holder and demonstrate satisfactory results in the use of anatomic specimens for skull base surgery. Springer-Verlag Berlin Heidelberg, 2014 Endoscope holder nationallicence Mechatronic holder nationallicence Force data nationallicence SOLOASSIST nationallicence Robotic surgery nationallicence Kristin Julia University Hospital Duesseldorf Head and Neck Surgery, Moorenstrasse 5, 40225, Düsseldorf, Germany aut Kolmer Armin AktorMed GmbH, Borsigstrasse 13, 93092, Barbing, Germany aut Kraus Peter AktorMed GmbH, Borsigstrasse 13, 93092, Barbing, Germany aut Geiger Robert AktorMed GmbH, Borsigstrasse 13, 93092, Barbing, Germany aut Klenzner Thomas University Hospital Duesseldorf Head and Neck Surgery, Moorenstrasse 5, 40225, Düsseldorf, Germany aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/5(2015-05-01), 1239-1244 0937-4477 272:5<1239 2015 272 405 https://doi.org/10.1007/s00405-014-3052-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3052-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kristin Julia University Hospital Duesseldorf Head and Neck Surgery, Moorenstrasse 5, 40225, Düsseldorf, Germany aut NATIONALLICENCE 700 1- Kolmer Armin AktorMed GmbH, Borsigstrasse 13, 93092, Barbing, Germany aut NATIONALLICENCE 700 1- Kraus Peter AktorMed GmbH, Borsigstrasse 13, 93092, Barbing, Germany aut NATIONALLICENCE 700 1- Geiger Robert AktorMed GmbH, Borsigstrasse 13, 93092, Barbing, Germany aut NATIONALLICENCE 700 1- Klenzner Thomas University Hospital Duesseldorf Head and Neck Surgery, Moorenstrasse 5, 40225, Düsseldorf, Germany aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/5(2015-05-01), 1239-1244 0937-4477 272:5<1239 2015 272 405