{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T10:58:43Z","timestamp":1790247523806,"version":"4.1.0"},"reference-count":11,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2011,6,20]],"date-time":"2011-06-20T00:00:00Z","timestamp":1308528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The goal of this study was to examine the theoretical feasibility of a new manipulator system for endoscope guidance in functional endoscopic sinus surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>The accuracy of endoscope positioning and time of endoscope movement with an endoscope manipulator system were determined with an artificial sinus model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A laboratory trial was performed. The time for 60 repetitions of manual compared to manipulator\u2010assisted endoscope movements directed at 3 different target positions was evaluated. In addition, the alignment of the position vector for each endoscope movement was examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>A zero\u2010degree Hopkins II telescope with a camera was used to head for the target positions. First, the endoscope movements were done manually, and afterward the endoscope manipulator system was used for endoscope guidance. The alignment of the position vector of the endoscope was measured with a portable measuring arm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no statistical difference between the time for manual and manipulator\u2010assisted endoscope movements for all target positions. The alignment of the position vector of the endoscope was statistically different at 2 target positions: anterior ethmoid left side and ostium of maxillary sinus left side. There was no statistical difference at all other positions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The endoscope manipulator system has the potential to be integrated into the operating workflow without extending the time for endoscope guidance. The surgeon will be able to use both hands for the manipulation of the instruments. Less frequent endoscope movements and instrument changes may be expected after technical modification.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599811412726","type":"journal-article","created":{"date-parts":[[2011,6,20]],"date-time":"2011-06-20T23:53:14Z","timestamp":1308613994000},"page":"833-839","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A Technique with Manipulator\u2010Assisted Endoscope Guidance for Functional Endoscopic Sinus Surgery"],"prefix":"10.1002","volume":"145","author":[{"given":"Milo\u0161","family":"Fischer","sequence":"first","affiliation":[{"name":"Department of ORL\u2010HNS University Hospital Leipzig Leipzig Germany"},{"name":"BMBF\u2013Innovation Center Computer Assisted Surgery ICCAS University of Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Gr\u00f6bner","sequence":"additional","affiliation":[{"name":"Department of ORL\u2010HNS University Hospital Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Dietz","sequence":"additional","affiliation":[{"name":"Department of ORL\u2010HNS University Hospital Leipzig Leipzig Germany"},{"name":"BMBF\u2013Innovation Center Computer Assisted Surgery ICCAS University of Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximillian","family":"Krinninger","sequence":"additional","affiliation":[{"name":"Institute of Microtechnology and Medical Device Technology (MiMed) Technical University Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim C.","family":"L\u00fcth","sequence":"additional","affiliation":[{"name":"Institute of Microtechnology and Medical Device Technology (MiMed) Technical University Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gero","family":"Strau\u00df","sequence":"additional","affiliation":[{"name":"Department of ORL\u2010HNS University Hospital Leipzig Leipzig Germany"},{"name":"BMBF\u2013Innovation Center Computer Assisted Surgery ICCAS University of Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,6,20]]},"reference":[{"key":"e_1_2_9_2_2","first-page":"133","article-title":"Technics and possibilities of nasal endoscopy [in German]","volume":"20","author":"Messerklinger W","year":"1972","journal-title":"HNO"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1018382"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-006-1402-y"},{"key":"e_1_2_9_5_2","first-page":"528","article-title":"Workflow analysis to assess the efficiency of intraoperative technology using the example of functional endoscopic sinus surgery [in German]","volume":"54","author":"Strau\u00df G","year":"2006","journal-title":"HNO"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/194589240501900310"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6657(08)70200-2"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004640020067"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/014556130508400810"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-005-1242-1"},{"key":"e_1_2_9_11_2","first-page":"465","article-title":"Robotics: a new dimension in otorhinolaryngology? [in German]","volume":"49","author":"Federspil PA","year":"2001","journal-title":"HNO"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-966296"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811412726","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599811412726","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811412726","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:23:12Z","timestamp":1760970192000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599811412726"}},"subtitle":["Proof of Concept"],"short-title":[],"issued":{"date-parts":[[2011,6,20]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2011,11]]}},"alternative-id":["10.1177\/0194599811412726"],"URL":"https:\/\/doi.org\/10.1177\/0194599811412726","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,6,20]]},"assertion":[{"value":"2011-02-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-05-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-06-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}