3D 4K Exo-Endoscopic Temporal Bone Dissection: A Novel Approach for Sharing the Anatomy.

IF 1.2 4区医学 Q3 SURGERY Surgical Innovation Pub Date : 2024-10-01 Epub Date: 2024-08-03 DOI:10.1177/15533506241273451

Matteo Di Bari, Raul Nucci, Daniele Bernardeschi, Davide Lepera, Lauranne Alciato, Fabio Ferreli, Giovanni Colombo

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Abstract

Background: Temporal bone dissection is overwide recognized as an ideal training method for otologic surgeons. The knowledge of temporal bone anatomy and especially of the course of infratemporal facial nerve is pivotal in practice. The 3D exoscope is an innovative and promising tool, that was recently introduced in ear surgery.

Methods: A high-definition 3D exoscope (3D VITOM®) mounted on the VERSACRANE^TM holding system (Karl Storz) was used to perform two temporal bone dissection, with the aim to study the anatomy of infratemporal facial nerve. The 3D endoscope (TIPCAM®1 S 3D ORL, Karl Storz) was used in combination to provide a close-up high-quality view and to provide a different angle of view on fine anatomical relationships.

Results: The high-definition 3D exoscope allowed to conduct the dissection with high quality visualization and to share the same surgical field with trainees. Moreover, it showed a high interchangeability with the 3D endoscope.

Conclusions: 3D 4 K Exo-endoscopic temporal bone dissection seems to have benefits in terms of educational purpose, especially concerning anatomy understanding. The superiority in teaching value of this tool should be further investigated in cohort studies.

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3D 4K 外内窥镜颞骨解剖：分享解剖的新方法。

背景：颞骨解剖被公认为耳科外科医生的理想培训方法。颞骨解剖知识，尤其是颞下面神经走向的知识在实践中至关重要。三维外窥镜是一种创新且前景广阔的工具，最近被引入耳科手术中：方法：使用安装在 VERSACRANETM 固定系统（卡尔-斯托尔兹公司）上的高清三维外窥镜（3D VITOM®）进行两次颞骨解剖，目的是研究颞下面神经的解剖结构。三维内窥镜（TIPCAM®1 S 3D ORL，卡尔-施托尔兹公司）被结合使用，以提供高质量的近距离观察，并从不同角度观察精细的解剖关系：结果：高清晰度的三维外窥镜可以进行高质量的可视化解剖，并与受训者共享同一手术区域。此外，它与三维内窥镜的互换性也很高：结论：三维 4 K 外内镜颞骨解剖在教学目的方面似乎有其优势，特别是在解剖理解方面。应在队列研究中进一步调查该工具在教学价值方面的优越性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Innovation 医学-外科

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).