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Three-Dimensional Printed Skull Base Simulation for Transnasal Endoscopic Surgical Training.
World Neurosurg 2018; 111:e773-e782WN

Abstract

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.

Authors+Show Affiliations

Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.Department of Neurosurgery Center, Aviation General Hospital of China Medical University, Beijing, China.Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.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. Electronic address: zyz2004520@yeah.net.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29309974

Citation

Zheng, Jia-Ping, et al. "Three-Dimensional Printed Skull Base Simulation for Transnasal Endoscopic Surgical Training." World Neurosurgery, vol. 111, 2018, pp. e773-e782.
Zheng JP, Li CZ, Chen GQ, et al. Three-Dimensional Printed Skull Base Simulation for Transnasal Endoscopic Surgical Training. World Neurosurg. 2018;111:e773-e782.
Zheng, J. P., Li, C. Z., Chen, G. Q., Song, G. D., & Zhang, Y. Z. (2018). Three-Dimensional Printed Skull Base Simulation for Transnasal Endoscopic Surgical Training. World Neurosurgery, 111, pp. e773-e782. doi:10.1016/j.wneu.2017.12.169.
Zheng JP, et al. Three-Dimensional Printed Skull Base Simulation for Transnasal Endoscopic Surgical Training. World Neurosurg. 2018;111:e773-e782. PubMed PMID: 29309974.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Three-Dimensional Printed Skull Base Simulation for Transnasal Endoscopic Surgical Training. AU - Zheng,Jia-Ping, AU - Li,Chu-Zhong, AU - Chen,Guo-Qiang, AU - Song,Gui-Dong, AU - Zhang,Ya-Zhuo, Y1 - 2018/01/05/ PY - 2017/11/03/received PY - 2017/12/23/revised PY - 2017/12/27/accepted PY - 2018/1/9/pubmed PY - 2018/5/16/medline PY - 2018/1/9/entrez KW - Neurosurgery KW - Skull base surgery KW - Surgical training KW - Three-dimensional printed simulation KW - Transnasal endoscopic surgery SP - e773 EP - e782 JF - World neurosurgery JO - World Neurosurg VL - 111 N2 - 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. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/29309974/Three_Dimensional_Printed_Skull_Base_Simulation_for_Transnasal_Endoscopic_Surgical_Training_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(18)30024-X DB - PRIME DP - Unbound Medicine ER -