Simulation of Pediatric Anterior Skull Base Anatomy Using a 3D Printed Model.
Simulation of Pediatric Anterior Skull Base Anatomy Using a 3D Printed Model.
复制标题
使用3D打印模型模拟儿童前颅底解剖结构。
DOI：
10.1016/j.wneu.2020.12.077
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发表时间：
2021-03
影响因子：
2
通讯作者：
Walz PC
中科院分区：
文献类型：
--
作者：
London NR Jr;Rangel GG;VanKoevering K;Zhang A;Powell AR;Prevedello DM;Carrau RL;Walz PC
小儿颅底可能会给颅底外科医生带来解剖学上的挑战，包括有限的蝶骨气化和狭窄的鼻道。儿科颅底病理学的罕见性质使得很难获得应对这些解剖学挑战的经验。本研究的目的是创建儿科颅底的 3D 打印模型并评估其作为训练工具的潜力。我们的研究包括 28 名处于不同培训和实践阶段的参与者。他们完成了解剖前和解剖后调查问卷，评估使用 3D 打印模型对颈动脉和蝶鞍进行内镜鼻内骨骼化的挑战。大多数参与者已完成颅底手术奖学金 (60.7%)，实践时间<5 年 (60.7%)，并且拥有 <10 例儿科颅底手术经验 (82.1%)。预期的挑战包括器械的可操作性限制（71.4%）、鼻腔狭窄和非充气骨（57.1%）。按照 0 到 10 的评分标准，10 表示非常困难，参与者对可视化的平均预期难度为 6.89，对仪器的预期难度为 7.3。在解剖后评估中，分别出现了非统计显着性变化，为 6.93 和 7.5。参与者认可的评分范围为 0 到 10，10 表示非常真实，整体模型真实度为 7.0，触觉真实度为 7.1。儿科颅底 3D 打印模型可以提供逼真的模型，帮助参与者获得有关儿科前颅底解剖限制特征的经验。
The pediatric skull base may present anatomic challenges to the skull base surgeon including limited sphenoid pneumatization and a narrow nasal corridor. The rare nature of pediatric skull base pathology makes it difficult to gain experience with these anatomic challenges. The objective of this study was to create a 3D printed model of the pediatric skull base and assess its potential as a training tool. 28 participants at various stages of training and practice were included in our study. They completed a pre- and post-dissection questionnaire assessing challenges with endoscopic endonasal skeletonization of the carotid arteries and sella face using the 3D printed model. The majority of participants had completed a skull base surgery fellowship (60.7%), were <5 years into practice (60.7%), and had < 10 cases of pediatric skull base experience (82.1%). Anticipated challenges included limitation of maneuverability of instruments (71.4%), narrow nasal corridor and non-pneumatized bone (57.1%). On a scale of 0 to 10, 10 being very difficult, the average participant expected level of difficulty with visualization was 6.89 and expected level of difficulty with instrumentation was 7.3. On post-dissection assessment, there was a non-statistically significant change to 6.93 and 7.5, respectively. Participants endorsed on a scale of 0 to 10, 10 being very realistic an overall model realism of 7.0 and haptic realism of 7.1. A 3D printed model of the pediatric skull base may provide a realistic model to help participants gain experience with anatomic limitations characteristic of the pediatric anterior skull base.
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DOI：
10.1097/moo.0b013e3283401fdc
发表时间：
2010-12-01
影响因子：
1.6
作者：
Munson, Patrick D.;Moore, Eric J.
通讯作者：
Moore, Eric J.
影响因子：
6.4
作者：
Won, Tae-Bin;Hwang, Peter;Blevins, Nikolas H.
通讯作者：
Blevins, Nikolas H.
影响因子：
2.3
作者：
Shen, Jasper;Hur, Kevin;Zada, Gabriel
通讯作者：
Zada, Gabriel
影响因子：
3.4
作者：
Barber, Samuel R.;Jain, Saurabh;Chang, Eugene H.
通讯作者：
Chang, Eugene H.
DOI：
10.1093/ons/opx035
发表时间：
2017-12-01
期刊：
Operative neurosurgery (Hagerstown, Md.)
影响因子：
--
作者：
Pacca, Paolo;Jhawar, Sukhdeep S;Fernandez-Miranda, Juan C
通讯作者：
Fernandez-Miranda, Juan C