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The effect of three-dimensional visualisation on performance in endoscopic sinus surgery: A clinical training study using surgical navigation for movement analysis in a randomised crossover design.
Clin Otolaryngol. 2020 Mar; 45(2):211-220.CO

Abstract

OBJECTIVES

Endoscopic imaging techniques and endoscopic endonasal surgery (EES) expertise have evolved rapidly. Only few studies have assessed the effect of three-dimensional (3D) endoscopy on endoscopic sinus surgery (ESS). The present study aimed to objectively and subjectively assess the additional value of 3D high-definition (HD) endoscopy in ESS.

DESIGN

A randomized crossover study of endoscopic surgery performance, using five ESS tasks of varying complexity, performed on Thiel embalmed human specimens.

SETTING

Simulated surgical environment.

PARTICIPANTS

Thirty participants, inexperienced in ESS.

MAIN OUTCOME MEASURES

Performance was assessed using video imaging, surgical navigation and questionnaires. Main outcome measures were as follows: efficiency (defined by time to task completion), distance covered inside the nose, average velocity towards target, accuracy (measured by error rate), and subjective assessment of endoscope characteristics.

RESULTS

During ESS tasks, both efficiency and accuracy did not differ significantly between 2D HD and 3D HD endoscopy. Subjectively, imaging characteristics of the 3D HD endoscope were rated significantly better.

CONCLUSIONS

ESS performance of inexperienced participants was not significantly improved by the use of 3D HD endoscopy during ESS tasks, although imaging characteristics of the 3D HD endoscope were rated significantly better. Surgical field characteristics and surgical techniques are likely to influence any additional value of 3D HD endoscopy.

Authors+Show Affiliations

Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. Institute for Drug Exploration, Graduate School of Medical Sciences, Groningen University, Groningen, The Netherlands.Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. Cancer Research Center Groningen, Graduate School of Medical Sciences, Groningen University, Groningen, The Netherlands.Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

31846558

Citation

Ten Dam, Ellen, et al. "The Effect of Three-dimensional Visualisation On Performance in Endoscopic Sinus surgery: a Clinical Training Study Using Surgical Navigation for Movement Analysis in a Randomised Crossover Design." Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, vol. 45, no. 2, 2020, pp. 211-220.
Ten Dam E, Helder HM, van der Laan BFAM, et al. The effect of three-dimensional visualisation on performance in endoscopic sinus surgery: A clinical training study using surgical navigation for movement analysis in a randomised crossover design. Clin Otolaryngol. 2020;45(2):211-220.
Ten Dam, E., Helder, H. M., van der Laan, B. F. A. M., Feijen, R. A., & Korsten-Meijer, A. G. W. (2020). The effect of three-dimensional visualisation on performance in endoscopic sinus surgery: A clinical training study using surgical navigation for movement analysis in a randomised crossover design. Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 45(2), 211-220. https://doi.org/10.1111/coa.13494
Ten Dam E, et al. The Effect of Three-dimensional Visualisation On Performance in Endoscopic Sinus surgery: a Clinical Training Study Using Surgical Navigation for Movement Analysis in a Randomised Crossover Design. Clin Otolaryngol. 2020;45(2):211-220. PubMed PMID: 31846558.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of three-dimensional visualisation on performance in endoscopic sinus surgery: A clinical training study using surgical navigation for movement analysis in a randomised crossover design. AU - Ten Dam,Ellen, AU - Helder,Herman M, AU - van der Laan,Bernard F A M, AU - Feijen,Robert A, AU - Korsten-Meijer,Astrid G W, Y1 - 2020/01/27/ PY - 2019/7/29/received PY - 2019/11/6/revised PY - 2019/12/12/accepted PY - 2019/12/18/pubmed PY - 2021/6/16/medline PY - 2019/12/18/entrez KW - anterior skull base KW - endoscopic sinus surgery KW - imaging KW - technology KW - undergraduate education SP - 211 EP - 220 JF - Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery JO - Clin Otolaryngol VL - 45 IS - 2 N2 - OBJECTIVES: Endoscopic imaging techniques and endoscopic endonasal surgery (EES) expertise have evolved rapidly. Only few studies have assessed the effect of three-dimensional (3D) endoscopy on endoscopic sinus surgery (ESS). The present study aimed to objectively and subjectively assess the additional value of 3D high-definition (HD) endoscopy in ESS. DESIGN: A randomized crossover study of endoscopic surgery performance, using five ESS tasks of varying complexity, performed on Thiel embalmed human specimens. SETTING: Simulated surgical environment. PARTICIPANTS: Thirty participants, inexperienced in ESS. MAIN OUTCOME MEASURES: Performance was assessed using video imaging, surgical navigation and questionnaires. Main outcome measures were as follows: efficiency (defined by time to task completion), distance covered inside the nose, average velocity towards target, accuracy (measured by error rate), and subjective assessment of endoscope characteristics. RESULTS: During ESS tasks, both efficiency and accuracy did not differ significantly between 2D HD and 3D HD endoscopy. Subjectively, imaging characteristics of the 3D HD endoscope were rated significantly better. CONCLUSIONS: ESS performance of inexperienced participants was not significantly improved by the use of 3D HD endoscopy during ESS tasks, although imaging characteristics of the 3D HD endoscope were rated significantly better. Surgical field characteristics and surgical techniques are likely to influence any additional value of 3D HD endoscopy. SN - 1749-4486 UR - https://www.unboundmedicine.com/medline/citation/31846558/The_effect_of_three_dimensional_visualisation_on_performance_in_endoscopic_sinus_surgery:_A_clinical_training_study_using_surgical_navigation_for_movement_analysis_in_a_randomised_crossover_design_ DB - PRIME DP - Unbound Medicine ER -