机构:[1]Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing研究所北京市神经外科研究所首都医科大学附属天坛医院[2]Department of Neurosurgery Center, Aviation General Hospital of China Medical University, Beijing[3]Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Beijing Institute for Brain Disorders Brain Tumor Center, China National Clinical Research Center for Neurological Diseases, Key Laboratory of Central Nervous System Injury Research, Capital Medical University, Beijing, China重点科室诊疗科室研究所神经病学中心神经病学中心北京市神经外科研究所首都医科大学附属天坛医院
OBJECTIVE: Transnasal endoscopic skull base surgery (SBS) presents a major challenge for inexperienced neurosurgeons because of the complicated anatomic structures, 2-dimensional endoscopic view, limited operative field, and required skills. We designed a personalized multimaterial and multicolor three-dimensional (3D)printed SBS simulation to reproduce the complex anatomy of the skull base. The fidelity and feasibility for anatomic education and surgical training were assessed. METHODS: Two-dimensional computer tomography and magnetic resonance images were collected from a 42-year-old healthy male volunteer. After 3D modeling and spatial alignment, personalized SBS simulations were produced using a multimaterial 3D printer. The fidelity of the models was assessed by 3 experienced neurosurgeons, and the effects for anatomic education and surgical training were evaluated by 10 resident trainees. Both evaluations were based on 5-point Likert questionnaires. RESULTS: The mean scores for fidelity of tissue structure ranged from 3.7 to 4.7, and scores for aid in anatomic education and surgical training ranged from 3.5 to 4.9. CONCLUSION: The 3D-printed SBS simulation is a practical, economical, high-fidelity model. It has great potential for anatomic education and operative training in transnasal endoscopic surgery.
基金:
National High Technology Research and Development Program of China (863 Program)National High Technology Research and Development Program of China [2015AA020504]
第一作者机构:[1]Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing
通讯作者:
通讯机构:[3]Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Beijing Institute for Brain Disorders Brain Tumor Center, China National Clinical Research Center for Neurological Diseases, Key Laboratory of Central Nervous System Injury Research, Capital Medical University, Beijing, China
推荐引用方式(GB/T 7714):
Jia-Ping Zheng,Chu-Zhong Li,Guo-Qiang Chen,et al.Three-Dimensional Printed Skull Base Simulation for Transnasal Endoscopic Surgical Training[J].WORLD NEUROSURGERY.2018,111:E773-E782.doi:10.1016/j.wneu.2017.12.169.
APA:
Jia-Ping Zheng,Chu-Zhong Li,Guo-Qiang Chen,Gui-Dong Song&Ya-Zhuo Zhang.(2018).Three-Dimensional Printed Skull Base Simulation for Transnasal Endoscopic Surgical Training.WORLD NEUROSURGERY,111,
MLA:
Jia-Ping Zheng,et al."Three-Dimensional Printed Skull Base Simulation for Transnasal Endoscopic Surgical Training".WORLD NEUROSURGERY 111.(2018):E773-E782