Literature Review on Endoscopic Robotic Systems in Ear and Sinus Surgery
Guillaume Michel (LS2N, ReV, CHU Nantes), Durgesh Haribhau Salunkhe, (LS2N, ReV), Philippe Bordure (CHU Nantes), Damien Chablat (ReV, LS2N)

TL;DR
This literature review analyzes current robotic systems used in ear and sinus surgeries, highlighting their functionalities and potential for future development in minimally invasive otolaryngologic procedures.
Contribution
It classifies existing robotic systems for otological and endonasal surgery and proposes specifications for designing new robotic solutions.
Findings
Robotic systems enhance visualization and precision in ear and sinus surgeries.
Current systems are limited in manipulation capabilities and surgeon interaction.
The review identifies key functionalities needed for future robotic surgical tools.
Abstract
In otolaryngologic surgery, endoscopy is increasingly used to provide a better view of hard-to-reach areas and to promote minimally invasive surgery. However, the need to manipulate the endoscope limits the surgeon's ability to operate with only one instrument at a time. Currently, several robotic systems are being developed, demonstrating the value of robotic assistance in microsurgery. The aim of this literature review is to present and classify current robotic systems that are used for otological and endonasal applications. For these solutions, an analysis of the functionalities in relation to the surgeon's needs will be carried out in order to produce a set of specifications for the creation of new robots.
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