Physics-Based Head and Neck Surgical Simulation of Soft Tissue Manipulation

描述（由申请人提供）：SimQuest LLC建议开发一种基于物理学的头颈部模拟器，以加强牙科、牙髓、口腔、颌面、整形、创伤、耳鼻喉科和其他受训人员和外科教育工作者的培训。第一阶段的工作将通过建立模拟器的基础来推进外科教育的科学状态，该模拟器将大大增强外科培训，可用于美国口腔颌面外科医生学会（AAOMS）的课程，并将为其他领域的类似工作铺平道路。外科教育的这一大步将提高患者的治疗效果，特别是那些患有先天性面部缺陷、口腔癌或需要重建的创伤性面部损伤的患者。第一阶段提案的具体目标旨在解决必须掌握的关键技术领域，以提供有效的模拟用于教学神经修复，这是项目重点的第一个领域。三个具体目标是：（1）精确模拟面部区域的异质组织;（2）证明精确、交互式、基于物理的显微外科修复模拟的可行性;以及（3）开发一个与AAOMS结合使用的原型课程结构，以说明类似于SimQuest以前为美国外科医生学会（ACS）所做的工作的方法。外科项目主任协会（APDS）的外科课程可以工作。SimQuest的头颈部手术模拟器将特别适合于培训外科医生进行面部重建手术所需的复杂手术，而面部重建手术主要是通过显微手术完成的。SimQuest以前的工作，这表明物理上准确的实时工具组织互动的一些手术活动，将被用作拟议的工作的基础。完成后，这种基于模拟的头颈外科手术培训系统将成为未来头颈外科医生课程的一个组成部分，并将为新技术和技术促进的进步更有效地应用于现有实践铺平道路。 公共卫生相关性：基于物理学的头颈部模拟器将作为本项目的结果投入市场，这将满足头颈部手术更有效培训的需求。外科教育的这一进步将通过标准化课程、使用客观标准自动跟踪和评估表现以及允许受训者在对实际患者进行手术之前熟练练习来加强培训。经过更好培训的外科医生带来的更高的安全性和更好的结果将导致大量的成本节约以及患者生活质量的改善。

DESCRIPTION (provided by applicant): SimQuest LLC proposes to develop a physics-based head and neck simulator to enhance training of dental, endodontic, oral, maxillofacial, plastic, trauma, ENT, and other trainees and surgical educators. This Phase I work will advance the state of the science in surgical education by establishing the foundation for a simulator that will greatly enhance surgical training, be usable in the curriculum of the American Academy of Oral and Maxillofacial Surgeons (AAOMS), and will pave the way for similar work in other areas. This large step forward in surgical education will enhance outcomes for patients, especially those with congenital facial defects, oral cancers, or traumatic facial injuries requiring reconstruction. The Specific Aims of this Phase I proposal are designed to address the critical technical areas that must be mastered to provide an effective simulation for use in teaching nerve repair, the first area of project focus. The three Specific Aims are (1) simulate accurate heterogeneous tissue of the facial region; (2) demonstrate the feasibility of an accurate, interactive, physics-based simulation of microsurgical repair; and (3) develop a prototype curricular structure for use in conjunction with the AAOMS to illustrate how an approach similar to what has SimQuest has done previously for the American College of Surgeons (ACS)/Association of Program Directors in Surgery (APDS) surgical curriculum can work. SimQuest's head and neck surgery simulator will be uniquely suited to training surgeons in the complex procedures needed for facial reconstruction surgery, which is largely accomplished via microsurgery. SimQuest's previous work, which demonstrates physically accurate real-time tool-tissue interaction for a number of surgical activities, will be used as the foundation for the proposed work. When complete, this simulation-based head and neck surgery training system will be an integral part of the curriculum of future head and neck surgeons, and will pave the way for a more effective means for new technology and techniques-facilitated advancements to be adopted into existing practice. PUBLIC HEALTH RELEVANCE: The physics-based head and neck simulator that will be made commercially available as a result of this project will fill a stated need for more effective training in head and neck surgery. This advance in surgical education will enhance training by standardizing curricula, automatically tracking and assessing performance using objective criteria, and allowing trainees to practice to proficiency prior to operating on actual patients. Increased safety and better outcomes resulting from better trained surgeons will result in substantial cost savings as well as improved patient quality of life.