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The use of a virtual surgical simulator for practicing otosurgery skills in the course of otorhinolaryngology

https://doi.org/10.46594/2687-0037_2023_2_1634

Abstract

   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.

About the Authors

O. V. Mareev
V. I. Razumovsky Saratov State Medical University
Russian Federation

Saratov



G. O. Mareev
V. I. Razumovsky Saratov State Medical University
Russian Federation

Saratov



Z. Z. Balkizov
N. I. Pirogov Russian National Research Medical University
Russian Federation

Moscow



O. I. Afonina
V. I. Razumovsky Saratov State Medical University
Russian Federation

Saratov



T. A. Syrkin
V. I. Razumovsky Saratov State Medical University
Russian Federation

Saratov



References

1. 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.

2. Suzuki M, Hagiwara A, Kawaguchi S, Ono H. Application of a rapid-prototyped temporal bone model for surgical planning. Acta Otolaryngol 2005;125:29–32

3. 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: 62–4

4. 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;117:490–2

5. 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.

6. Vankoevering, KK, Malloy, KM. Emerging role of three-dimensional printing in simulation in otolaryngology. Otolaryngol Clin North Am. 2017;50(5):947-958.

7. 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.

8. 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.

9. 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.

10. 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.

11. 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.

12. 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.

13. 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.

14. 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.

15. 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.

16. Wiet, GJ, Stredney, D, Kerwin, T, et al. Virtual temporal bone dissection system: development and testing. Laryngoscope. 2012;122:S1-S12.

17. 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.

18. 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.

19. 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.

20. 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 49, 17 (2020). https://doi.org/10.1186/s40463-020-00411-y

21. 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.

22. 1. 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


Review

For citations:


Mareev O.V., Mareev G.O., Balkizov Z.Z., Afonina O.I., Syrkin T.A. The use of a virtual surgical simulator for practicing otosurgery skills in the course of otorhinolaryngology. Virtual Technologies in Medicine. 2023;(2):117-124. (In Russ.) https://doi.org/10.46594/2687-0037_2023_2_1634

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ISSN 2686-7958 (Print)
ISSN 2687-0037 (Online)