vtmedВиртуальные технологии в медицинеVirtual Technologies in Medicine2686-79582687-0037РОСОМЕД10.46594/2687-0037_2023_2_1634vtmed-1634Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESПрименение виртуального хирургического симулятора для отработки навыков отохирургии в курсе оториноларингологииThe use of a virtual surgical simulator for practicing otosurgery skills in the course of otorhinolaryngologyМареевО. В.MareevO. V.

Олег Вадимович Мареев

Саратов

Saratov

dr-mareev@mail.ruМареевГ. О.MareevG. O.

Глеб Олегович Мареев

Саратов

Saratov

БалкизовЗ. З.BalkizovZ. Z.

Залим Замирович Балкизов

Москва

Moscow

АфонинаО. И.AfoninaO. I.

Ольга Игоревна Афонина

Саратов

Saratov

СыркинТ. А.SyrkinT. A.

Тимофей Александрович Сыркин

Саратов

Saratov

Саратовский государственный медицинский университет им. В. И. РазумовскогоРоссияV. I. Razumovsky Saratov State Medical UniversityRussian FederationРоссийский национальный исследовательский медицинский университет им. Н. И. ПироговаРоссияN. I. Pirogov Russian National Research Medical UniversityRussian Federation20232106202302117124Copyright © Мареев О.В., Мареев Г.О., Балкизов З.З., Афонина О.И., Сыркин Т.А., 20232023Мареев О.В., Мареев Г.О., Балкизов З.З., Афонина О.И., Сыркин Т.А.Mareev O.V., Mareev G.O., Balkizov Z.Z., Afonina O.I., Syrkin T.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medsim.ru/jour/article/view/1634

   Хирургия уха является весьма специфической областью хирургии, практические навыки в которой значительно отличаются от других отраслей хирургии. В настоящее время во всем мире фактически не имеется стандарта обучения отохирургии. В исследовании приводятся данные по применению в обучении хирургии уха виртуального симулятора с тактильной обратной связью и сравниваются объективные результаты работы на симуляторе в группах ординаторов, поликлинических врачей, врачей ЛОР-стационаров и профессиональных отохирургов-экспертов. В ходе исследования установлено, что подобная подготовка повышает базовые знания обучающихся анатомии, их пространственное представление о структурах височной кости и ее топографии, о методиках и технологиях оперирования уха, что является важнейшим результатом для ординаторов и стационарных, оперирующих врачей. Для врачей-оториноларингологов поликлинического звена подобные знания чрезвычайно важны для понимания выполненных хирургических вмешательств у больных, переданных им под наблюдение из хирургических стационаров.

   Ear surgery is a very specific area in which the practical skills differ significantly from other branches of surgery. At present, there is no standard for training in otosurgery worldwide. The study provides data on the use of a virtual simulator with haptic feedback in teaching ear surgery and compares the objective results of working on the simulator in groups of residents, outpatient doctors, ENT doctors and professional otosurgeons-experts. The study found that such training increases the basic knowledge of students of the anatomy, their spatial understanding of the structures of the temporal bone and its topography, the methods and technologies of ear surgery, which is the most important result for residents and inpatient operating doctors. For polyclinic otorhinolaryngologists, such knowledge is extremely important for understanding the surgical interventions performed in patients transferred to them for supervision from surgical hospitals.

виртуальный симуляторсимуляционное обучениеотиатрияотоскопияоториноларингологияотохирургияvirtual simulatorsimulation trainingotiatryotoscopyotorhinolaryngologyotosurgeryReferencesGeorge A. P., De R. Review of temporal bone dissection teaching: how it was, is and will be // The Journal of Laryngology & Otology. 2010 Feb. No. 124 (2).P. 119–125.George AP, De R. Review of temporal bone dissection teaching: how it was, is and will be. The Journal of Laryngology & Otology. 2010 Feb;124(2):119-25.Suzuki M., Hagiwara A., Kawaguchi S., Ono H. Application of a rapid-prototyped temporal bone model for surgical planning // Acta Otolaryngol. 2005. No. 125. P. 29–32.Suzuki M, Hagiwara A, Kawaguchi S, Ono H. Application of a rapid-prototyped temporal bone model for surgical planning. Acta Otolaryngol 2005;125:29–32Suzuki M., Ogawa Y., Hagiwara A., Yamaguchi H., Ono H. Rapidly prototyped temporal bone model for otological education // ORL J Otorhinolaryngol Relat Spec. 2004. No. 66. P. 62–64.Suzuki M, Ogawa Y, Hagiwara A, Yamaguchi H, Ono H. Rapidly prototyped temporal bone model for otological education. ORL J Otorhinolaryngol Relat Spec 2004;66: 62–4Owa A. O., Gbejuade H. O., Giddings C. A middle-ear simulator for practicing prosthesis placement for otosclerosis surgery using ward-based materials // J Laryngol Otol. 2003. No. 117. P. 490–492.Owa AO, Gbejuade HO, Giddings C. A middle-ear simulator for practicing prosthesis placement for otosclerosis surgery using ward-based materials. J Laryngol Otol 2003;117:490–2Mowry Sarah E, Jammal Hachem , Myer Charles, Solares Clementino Arturo, Weinberger Paul. A Novel Temporal Bone Simulation Model Using 3D Printing Techniques // Otology & Neurotology. 2015. No. 36. P. 1562–1565. doi: 10.1097/MAO.0000000000000848.Mowry, Sarah & Jammal, Hachem & Myer, Charles & Solares, Clementino & Weinberger, Paul. (2015). A Novel Temporal Bone Simulation Model Using 3D Printing Techniques. Otology & Neurotology. 36. 1562-1565. DOI: 10.1097/MAO.0000000000000848.Vankoevering K. K., Malloy K. M. Emerging role of three-dimensional printing in simulation in otolaryngology // Otolaryngol Clin North Am. 2017. No. 50 (5).P. 947–958.Vankoevering, KK, Malloy, KM. Emerging role of three-dimensional printing in simulation in otolaryngology. Otolaryngol Clin North Am. 2017;50(5):947-958.Gadaleta D. J., Huang D., Rankin N., et al. 3D printed temporal bone as a tool for otologic surgery simulation // Am J Otolaryngol. 2020. No. 41 (3). P. 102–273.Gadaleta, DJ, Huang, D, Rankin, N, et al. 3D printed temporal bone as a tool for otologic surgery simulation. Am J Otolaryngol. 2020;41(3):102273.Haffner M., Quinn A., Hsieh T.-Y., Strong E. B., Steele T. Optimization of 3D print material for the recreation of patient-specific temporal bone models // Ann Otol Rhinol Laryngol. 2018. No. 127 (5). P. 338–343.Haffner, M, Quinn, A, Hsieh, T-Y, Strong, EB, Steele, T. Optimization of 3D print material for the recreation of patient-specific temporal bone models. Ann Otol Rhinol Laryngol. 2018;127(5):338-343.Mooney M. A., Cavallo C., Zhou J. J., et al. Three-dimensional printed models for lateral skull base surgical training: anatomy and simulation of the transtemporal approaches // Oper Neurosurg. 2019. No. 18 (2). P. 193–201.Mooney, MA, Cavallo, C, Zhou, JJ, et al. Three-dimensional printed models for lateral skull base surgical training: anatomy and simulation of the transtemporal approaches. Oper Neurosurg. 2019;18(2):193-201.Chauvelot J., Laurent C., Le Coz, G., et al. Morphological validation of a novel bi-material 3D-printed model of temporal bone for middle ear surgery education // Ann Transl Med. 2020. No. 8 (6). P. 304.Chauvelot, J, Laurent, C, Le Coz, G, et al. Morphological validation of a novel bi-material 3D-printed model of temporal bone for middle ear surgery education. Ann Transl Med. 2020;8(6):304.Arora A., Lau L. Y. M., Awad Z., Darzi A., Singh A., Tolley N. Virtual reality simulation training in otolaryngology // Int J Surg. 2014. No. 12. P. 87–94.Arora, A, Lau, LYM, Awad, Z, Darzi, A, Singh, A, Tolley, N. Virtual reality simulation training in otolaryngology. Int J Surg. 2014;12:87-94.Мареев Г. О., Мареев О. В., Данилова Т. В., Алайцев И. К. Обзор систем виртуальной реальности для обучения хирургическим навыкам в области лица и шеи // Мир науки, культуры, образования. 2015. № 6 (55). С. 92–96.Mareev G.O., Mareev O.V., Danilova T.V., Alajcev I.K. Obzor sistem virtual'noj real'nosti dlya obucheniya hirurgicheskim navykam v oblasti lica i shei Mir nauki, kul'tury, obrazovaniya. 2015. № 6 (55). S. 92-96.Nash R., Sykes R., Majithia A., Arora A., Singh A., Khemani S. Objective assessment of learning curves for the Voxel-Man TempoSurg temporal bone surgery computer simulator // J Laryngol Otol. 2012. No. 126. P. 663–669.Nash, R, Sykes, R, Majithia, A, Arora, A, Singh, A, Khemani, S. Objective assessment of learning curves for the Voxel-Man TempoSurg temporal bone surgery computer simulator. J Laryngol Otol. 2012;126:663-669.Chan S., Li P., Locketz G., Salisbury K., Blevins N. H. High-fidelity haptic and visual rendering for patient-specific simulation of temporal bone surgery // Comput Assist Surg. 2016. No. 21. P. 85–101.Chan, S, Li, P, Locketz, G, Salisbury, K, Blevins, NH. High-fidelity haptic and visual rendering for patient-specific simulation of temporal bone surgery. Comput Assist Surg. 2016;21:85-101.Wang T.-Y., Wang P.-C., Liu C.-H., Su M.-C., Yeh S. C. Evaluation of a haptics-based virtual reality temporal bone simulator for anatomy and surgery training //Comput Methods Programs Biomed. 2014. No. 113. P. 674–681.Wang, T-Y, Wang, P-C, Liu, C-H, Su, M-C, Yeh, S-C. Evaluation of a haptics-based virtual reality temporal bone simulator for anatomy and surgery training. Comput Methods Programs Biomed. 2014;113:674-681.Wiet G. J., Stredney D., Kerwin T., et al. Virtual temporal bone dissection system: development and testing // Laryngoscope. 2012. No. 122. S1–S12.Wiet, GJ, Stredney, D, Kerwin, T, et al. Virtual temporal bone dissection system: development and testing. Laryngoscope. 2012;122:S1-S12.Wong D., Unger B., Kraut J., Pisa J., Rhodes C., Hochman J. B. Comparison of cadaveric and isomorphic virtual haptic simulation in temporal bone training // J Otolaryngol Head Neck Surg. 2014. No. 43. P. 31.Wong, D, Unger, B, Kraut, J, Pisa, J, Rhodes, C, Hochman, JB. Comparison of cadaveric and isomorphic virtual haptic simulation in temporal bone training. J Otolaryngol Head Neck Surg. 2014;43:31.Мареев О. В., Мареев Г. О., Князев А. Б. Валидация виртуального отохирургического симулятора Журнал научных статей // Здоровье и образование в XXI веке. 2018. Т. 20, № 1. С. 103–107.Mareev O.V., Mareev G.O., Knyazev A.B. Validaciya virtual'nogo otohirurgicheskogo simulyatora ZHurnal nauchnyh statej Zdorov'e i obrazovanie v XXI veke. 2018. T. 20. № 1. S. 103-107.Frendø M., Thingaard E., Konge L., Sølvsten M., Steven S. Decentralized virtual reality mastoidectomy simulation training: a prospective, mixed-methods study // Eur Arch Otorhinolaryngol. 2019. No. 276 (10). P. 2783–2789.Frendø, M, Thingaard, E, Konge, L, Sølvsten, M, Steven, S. Decentralized virtual reality mastoidectomy simulation training: a prospective, mixed-methods study. Eur Arch Otorhinolaryngol. 2019;276(10):2783-2789.Compton E. C., Agrawal S. K., Ladak H. M., et al. Assessment of a virtual reality temporal bone surgical simulator: a national face and content validity study // J of Otolaryngol — Head & Neck Surg. 2020. No. 49 (17). doi: 10.1186/s40463-020-00411-yCompton, E.C., Agrawal, S.K., Ladak, H.M. et al. Assessment of a virtual reality temporal bone surgical simulator: a national face and content validity study. J of Otolaryngol - Head & Neck Surg 49, 17 (2020). https://doi.org/10.1186/s40463-020-00411-yZhao Y. C., Kennedy G., Yukawa K., Pyman B., O’Leary S. Can virtual reality simulator be used as a training aid to improve cadaver temporal bone dissection? Results of a randomized blinded control trial // Laryngoscope. 2011. No. 121. P. 831–837.Zhao, YC, Kennedy, G, Yukawa, K, Pyman, B, O’Leary, S. Can virtual reality simulator be used as a training aid to improve cadaver temporal bone dissection? Results of a randomized blinded control trial. Laryngoscope. 2011;121:831-837.Locketz G. D., Lui J. T., Chan S., et al. Anatomy-Specific Virtual Reality Simulation in Temporal Bone Dissection: Perceived Utility and Impact on Surgeon Confidence // Otolaryngology — Head and Neck Surgery. 2017. No. 156 (6). P. 1142–1149. doi: 10.1177/01945998176914741. Locketz GD, Lui JT, Chan S, et al. Anatomy-Specific Virtual Reality Simulation in Temporal Bone Dissection: Perceived Utility and Impact on Surgeon Confidence. Otolaryngology–Head and Neck Surgery. 2017;156(6):1142-1149. doi:10.1177/0194599817691474

The authors declare that there are no conflicts of interest present.