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Minimally Invasive Head Holder to Improve the Performance of Frameless Stereotactic Surgery
Author(s) -
Bale Reto J.,
Vogele Michael,
Freysinger Wolfgang,
Gunkel Andreas R.,
Martin Arno,
Bumm Klaus,
Thumfart Walter F.
Publication year - 1997
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-199703000-00018
Subject(s) - medicine , head (geology) , invasive surgery , surgery , geology , geomorphology
Frameless stereotactic procedures crucially depend on the firmness of immobilization. Once registered, shifting of the patient leads to inaccuracy, and the patient registration has to be realigned. To overcome the drawbacks of conventional invasive fixation for neurosurgery and the widely accepted fixation with surgical tape in ENT, the Vogele‐Bale‐Hohner (VBH) head holder has been developed. It permits rigid, noninvasive fixation of the head by using an individualized dental cast attached to the upper jaw by vacuum. Oral intubation is uncomplicated. In addition, a special registration device providing well defined reference points can be mounted to the mouthpiece. We report the first promising clinical applications of this device.