文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

在绵羊模型中对一种用于安全高效骨手术的新型高速磨头尖端的评估。

Evaluation of a novel high speed burr tip for safe and efficient bone surgery in a sheep model.

作者信息

Vartiainen Nuutti, Niemelä Mika, Pälvimäki Esa-Pekka

机构信息

Department of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.

Department of Neurosurgery, Helsinki University Hospital, Haartmaninkatu 4, Helsinki, 00029, Finland.

出版信息

Sci Rep. 2025 May 15;15(1):16864. doi: 10.1038/s41598-025-01769-7.


DOI:10.1038/s41598-025-01769-7
PMID:40374750
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12081626/
Abstract

The exposure of neural structures by removing the overlying bone using a high-speed drill can cause iatrogenic injury to the dura, neural tissue, and vessels. We investigated the safety and efficacy of a novel Surgify Safety Burr (SSB), attachable to existing high-speed drills. Three anesthetized living sheep underwent cranial burr hole drilling (n = 19) and hemilaminectomies (n = 14) with the SSB and standard burrs. Drilling time, dural injury, and subjective evaluation of heating and haptic feedback of each burr were assessed. Cranial burr hole drilling was done using diamond (n = 3), fluted (n = 6), and SSB (n = 10) burrs. Penetrating dura damage was observed in 33% of the diamond burr drilled holes, and in 33% of the fluted burr drilled holes, but not in the holes drilled with the SSB. Hemilaminectomies were performed with the SSB (n = 7) and diamond (n = 7) burrs without drilling-induced dura damage. Mean drilling time was not significantly different in cranial drilling (SSB, 121 ± 18s; fluted burr, 63 ± 22s; diamond burr, 165 ± 29s) nor in hemilaminectomy (SSB, 108 ± 13s; diamond burr, 95 ± 18s). Subjective evaluation of the SSB suggested efficient bone removal without heating or chattering. The SSB is a safe and effective surgical tool in cranial drilling and hemilaminectomy procedures. Safety, efficacy, and clinical benefits should be established in human studies.

摘要

使用高速钻头去除覆盖的骨头从而暴露神经结构可能会对硬脑膜、神经组织和血管造成医源性损伤。我们研究了一种可连接到现有高速钻头上的新型Surgify安全钻(SSB)的安全性和有效性。三只麻醉的活羊分别使用SSB和标准钻头进行颅骨钻孔(n = 19)和半椎板切除术(n = 14)。评估了每个钻头的钻孔时间、硬脑膜损伤以及对加热和触觉反馈的主观评价。颅骨钻孔使用了金刚石钻头(n = 3)、槽形钻头(n = 6)和SSB钻头(n = 10)。在33%的金刚石钻头钻孔和33%的槽形钻头钻孔中观察到穿透性硬脑膜损伤,但在使用SSB钻头钻孔的孔中未观察到。使用SSB钻头(n = 7)和金刚石钻头(n = 7)进行半椎板切除术时未出现钻孔引起的硬脑膜损伤。颅骨钻孔的平均钻孔时间(SSB,121±18秒;槽形钻头,63±22秒;金刚石钻头,165±29秒)和半椎板切除术的平均钻孔时间(SSB,108±13秒;金刚石钻头,95±18秒)无显著差异。对SSB的主观评价表明其能有效去除骨头且无加热或颤动现象。SSB在颅骨钻孔和半椎板切除术中是一种安全有效的手术工具。其安全性、有效性和临床益处应在人体研究中得到证实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc36/12081626/836671cd1159/41598_2025_1769_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc36/12081626/1bb1cc644260/41598_2025_1769_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc36/12081626/836671cd1159/41598_2025_1769_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc36/12081626/1bb1cc644260/41598_2025_1769_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc36/12081626/836671cd1159/41598_2025_1769_Fig2_HTML.jpg

相似文献

[1]
Evaluation of a novel high speed burr tip for safe and efficient bone surgery in a sheep model.

Sci Rep. 2025-5-15

[2]
Reuse of a Reversed "Bone Pad" to Perforate Incompletely Penetrated Burr Holes Created by Automatic-Releasing Cranial Perforators.

Oper Neurosurg (Hagerstown). 2017-6-1

[3]
Safety Analysis of a New Portable Electrical Drill With a Smart Autostop Mechanism for Bedside Cranial Procedures.

Oper Neurosurg (Hagerstown). 2023-10-1

[4]
Cardboard dural retractor for drilling of the sphenoid wing in the pterional approach.

Surg Neurol. 2009-9

[5]
Midline suboccipital burr hole for posterior fossa craniotomy.

Childs Nerv Syst. 2010-7

[6]
Study of the burr height at hole exit in bone drilling by twist drills.

Proc Inst Mech Eng H. 2022-11

[7]
Thermological study of drilling bone tissue with a high-speed drill.

Neurosurgery. 2000-5

[8]
Surgical Rescue Technique for Incomplete Burr Hole Using a Small Bone Piece and the Craniotome.

World Neurosurg. 2019-6-24

[9]
Penetrating injury of the brain by the burr of a high-speed air drill during craniotomy: case report.

J Clin Neurosci. 2001-5

[10]
Surface landmarks for the junction between the transverse and sigmoid sinuses: application of the "strategic" burr hole for suboccipital craniotomy.

Neurosurgery. 2009-12

本文引用的文献

[1]
The Safe and Appropriate Use of a High-Speed Drill.

Acta Neurochir Suppl. 2025

[2]
Dural Changes Induced by an Ultrasonic Bone Curette in an Excised Porcine Spinal Cord.

Vet Sci. 2022-10-28

[3]
Incidence of Dural Tears in Open versus Minimally Invasive Spine Surgery: A Single-Center Prospective Study.

Asian Spine J. 2022-8

[4]
Thermal and physical damage in skull base drilling using gas cooling modes: FEM simulation and experimental evaluation.

Comput Methods Programs Biomed. 2021-11

[5]
Primary lumbar decompression using ultrasonic bone curette compared to conventional technique.

Br J Neurosurg. 2021-12

[6]
The ARRIVE guidelines 2.0: Updated guidelines for reporting animal research.

PLoS Biol. 2020-7-14

[7]
Influence of incidental dural tears and their primary microendoscopic repairs on surgical outcomes in patients undergoing microendoscopic lumbar surgery.

Spine J. 2019-4-19

[8]
Incidental durotomy in degenerative lumbar spine surgery - a register study of 64,431 operations.

Spine J. 2018-8-30

[9]
Comparison of thermal spread with the use of an ultrasonic osteotomy device: Sonopet ultrasonic aspirator versus misonix bonescalpel in spinal surgery.

J Craniovertebr Junction Spine. 2018

[10]
Use of a Pediatric Craniotome Drill for Cervical and Thoracic Spine Decompression: Safety and Efficacy.

World Neurosurg. 2018-2-17

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索