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The application of surgical simulation system in the middle ear surgery

Presenting Author: Jia Ke

Published online by Cambridge University Press:  03 June 2016

Jia Ke ,
Furong Ma ,
Shaoxing Zhang  and
Shilong Sun
Jia Ke
Affiliation:
Peking University Third Hospital
Furong Ma
Affiliation:
Department of Otorhinolarygology Head and Neck Surgery, Third Hospital, Peking University
Shaoxing Zhang
Affiliation:
Department of Otorhinolarygology Head and Neck Surgery, Third Hospital, Peking University
Shilong Sun
Affiliation:
Department of Otorhinolarygology Head and Neck Surgery, Third Hospital, Peking University
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Abstract

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Learning Objectives:

Objectives: To probe into the characteristics and applications of the Voxel-Man TempoSurg in middle ear surgical procedures.

Methods: 40 middle ear surgical procedures were selected with videos of the routine surgical procedures reserved. Then simulated procedures were done as the real procedures in the operation. Depending on the different viewing angles, the above cases were classified as three methods: A. Different types of middle ear surgery; B. Different types of mastoid pneumatolysis. C. Different surgical methods (canal wall up or canal wall down). The appearances of the important structures were recorded and compared both in the real procedures and the simulated procedures.

Results: 1. For different middle ear surgeries, the simulator can truly reflex the surgical situations in diseases mostly with bone structure lesions; 2 Recognitions of anatomic structures are easier in better pneumatic mastoids. 3. Recognitions of anatomic structures are almost the same in different procedures with different surgical methods.

Conclusion: Otologic simulator can be used in difficult middle ear surgeries mainly with bone lesions and it can be used in pre-operation and path planning to increase the safety of the surgery.