A new 3D-printed temporal bone: 'the SAPIENS'-specific anatomical printed-3D-model in education and new surgical simulations.
3D-printed
Ear surgery
Temporal bone
Temporal bone dissection
Training
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
29 Apr 2024
29 Apr 2024
Historique:
received:
28
01
2024
accepted:
26
03
2024
medline:
29
4
2024
pubmed:
29
4
2024
entrez:
29
4
2024
Statut:
aheadofprint
Résumé
Otology and neuro-otology surgeries pose significant challenges due to the intricate and variable anatomy of the temporal bone (TB), requiring extensive training. In the last years 3D-printed temporal bone models for otological dissection are becoming increasingly popular. In this study, we presented a new 3D-printed temporal bone model named 'SAPIENS', tailored for educational and surgical simulation purposes. The 'SAPIENS' model was a collaborative effort involving a multidisciplinary team, including radiologists, software engineers, ENT specialists, and 3D-printing experts. The development process spanned from June 2022 to October 2023 at the Department of Sense Organs, Sapienza University of Rome. Acquisition of human temporal bone images; temporal bone rendering; 3D-printing; post-printing phase; 3D-printed temporal bone model dissection and validation. The 'SAPIENS' 3D-printed temporal bone model demonstrated a high level of anatomical accuracy, resembling the human temporal bone in both middle and inner ear anatomy. The questionnaire-based assessment by five experienced ENT surgeons yielded an average total score of 49.4 ± 1.8 out of 61, indicating a model highly similar to the human TB for both anatomy and dissection. Specific areas of excellence included external contour, sigmoid sinus contour, cortical mastoidectomy simulation, and its utility as a surgical practice simulator. We have designed and developed a 3D model of the temporal bone that closely resembles the human temporal bone. This model enables the surgical dissection of the middle ear and mastoid with an excellent degree of similarity to the dissection performed on cadaveric temporal bones.
Identifiants
pubmed: 38683361
doi: 10.1007/s00405-024-08645-6
pii: 10.1007/s00405-024-08645-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s).
Références
Barber SR, Chari DA, Quesnel AM (2021) teaching endoscopic ear surgery. Otolaryngol Clin N Am 54:65–74
doi: 10.1016/j.otc.2020.09.005
Ciofalo A, Zambetti G, Romeo M et al (2015) Taste and olfaction in middle ear surgery. Ann Otol Rhinol Laryngol 124:312–316
doi: 10.1177/0003489414555900
pubmed: 25358610
Kennedy EJ, Cleere EF, Crotty TJ, Keogh IJ (2023) Training in endoscopic ear surgery: a scoping review. Laryngoscope 133:3269–3278
doi: 10.1002/lary.30717
pubmed: 37098824
Barber SR, Jain S, Son YJ, Almefty K, Lawton MT, Stevens SM (2020) Integrating stereoscopic video with modular 3D anatomic models for lateral skull base training. J Neurol Surg B Skull Base. 82:e268–e270
pubmed: 34306948
pmcid: 8289495
Magliulo G, Turchetta R, Iannella G, Valperga di Masino R, de Vincentiis M (2015) Sophono Alpha System and subtotal petrosectomy with external auditory canal blind sac closure. Eur Arch Otorhinolaryngol 272:2183–2190
doi: 10.1007/s00405-014-3123-2
pubmed: 24908070
Stankovic M (2013) The learning curve in revision cholesteatoma surgery. Am J Otolaryngol 34:65–71
doi: 10.1016/j.amjoto.2012.09.004
pubmed: 23102887
Ferlito S, La Mantia I, Caruso S et al (2022) High definition three-dimensional exoscope (VITOM 3D) in E.N.T. surgery: a systematic review of current experience. J Clin Med 11:3639
doi: 10.3390/jcm11133639
pubmed: 35806924
pmcid: 9267132
Iannella G, De Vincentiis M, Greco A, Vicini C, De Vito A, Meccariello G, Cammaroto G, Pelucchi S, Magliulo G (2019) Endoscopic approach in second stage ossicular chain reconstruction. Am J Otolaryngol 40:735–742
doi: 10.1016/j.amjoto.2019.07.004
pubmed: 31296351
Hirshoren N, Zemer TL, Shauly-Aharonov M, Weinberger JM, Eliashar R (2023) Training and competence perception differences in otolaryngology and head and neck surgery training program—an anonymous electronic national survey. BMC Health Serv Res 23:1239
doi: 10.1186/s12913-023-10195-2
pubmed: 37951915
pmcid: 10638777
Lloyd SKW, Stapleton EJ, Green K, Nichani J, Wagh P, Freeman SR (2022) The utility of the exoscope compared to the operating microscope in simulated temporal bone surgery. Clin Otolaryngol 47:100–106
doi: 10.1111/coa.13881
pubmed: 34687146
Iannella G, Marcotullio D, Re M et al (2017) Endoscopic vs microscopic approach in stapes surgery: advantages in the middle ear structures visualization and trainee’s point of view. J Int Adv Otol 13:14–20
doi: 10.5152/iao.2017.3322
pubmed: 28555595
Aussedat C, Venail F, Marx M, Boullaud L, Bakhos D (2022) Training in temporal bone drilling. Eur Ann Otorhinolaryngol Head Neck Dis 139:140–145
doi: 10.1016/j.anorl.2021.02.007
pubmed: 33722469
Frithioff A, Frendø M, Pedersen DB, Sørensen MS, Wuyts Andersen SA (2021) 3D-printed models for temporal bone surgical training: a systematic review. Otolaryngol Head Neck Surg 165:617–625
doi: 10.1177/0194599821993384
pubmed: 33650897
Frithioff A, Frendø M, Weiss K, et al. Effect of 3D-Printed Models on Cadaveric Dissection in Temporal Bone Training. OTO Open. 2021;5:2473974X211065012.
Mowry SE, Jabbour N, Rose AS et al (2021) Multi-institutional comparison of temporal bone models: a collaboration of the AAO-HNSF 3D-printed temporal bone working group. Otolaryngol Head Neck Surg 164:1077–1084
doi: 10.1177/0194599820960474
pubmed: 33019885
Mowry SE, Jammal H, Myer C 4th, Solares CA, Weinberger P (2015) A novel temporal bone simulation model using 3D printing techniques. Otol Neurotol 36:1562–1565
doi: 10.1097/MAO.0000000000000848
pubmed: 26375979
Rose AS, Kimbell JS, Webster CE, Harrysson OL, Formeister EJ, Buchman CA (2015) Multi-material 3D models for temporal bone surgical simulation. Ann Otol Rhinol Laryngol 124:528–536
doi: 10.1177/0003489415570937
pubmed: 25662026
Gadaleta DJ, Huang D, Rankin N et al (2020) 3D printed temporal bone as a tool for otologic surgery simulation. Am J Otolaryngol 41:102273
doi: 10.1016/j.amjoto.2019.08.004
pubmed: 32209234
Kashikar TS, Kerwin TF, Moberly AC, Wiet GJ (2019) A review of simulation applications in temporal bone surgery. Laryngosc Investig Otolaryngol 4:420–424
doi: 10.1002/lio2.277
Crafts TD, Ellsperman SE, Wannemuehler TJ, Bellicchi TD, Shipchandler TZ, Mantravadi AV (2017) Three-dimensional printing and its applications in otorhinolaryngology-head and neck surgery. Otolaryngol Head Neck Surg 156:999–1010
doi: 10.1177/0194599816678372
pubmed: 28421875
Frithioff A, Frendø M, Weiss K et al (2023) 3-D-printed models for temporal bone training: a validity study. Otol Neurotol 44:e497–e503
doi: 10.1097/MAO.0000000000003936
pubmed: 37442608
Micco AG (2023) Are simulated or 3D printed temporal bones as useful for training as cadaveric bones. Laryngoscope 133:1782–1783
doi: 10.1002/lary.30704
pubmed: 37435910
Frithioff A, Weiss K, Frendø M, Senn P, Mikkelsen PT, Sieber D, Sørensen MS, Pedersen DB, Andersen SAW (2023) 3D-printing a cost-effective model for mastoidectomy training. 3D Print Med 9:12
doi: 10.1186/s41205-023-00174-y
pubmed: 37062800
pmcid: 10108487
Stramiello JA, Wong SJ, Good R, Tor A, Ryan J, Carvalho D (2022) Validation of a three-dimensional printed pediatric middle ear model for endoscopic surgery training. Laryngosc Investig Otolaryngol 7:2133–2138
doi: 10.1002/lio2.945
Markodimitraki LM, Ten Harkel TC, Bleys RLAW, Stegeman I, Thomeer HGXM (2022) Cochlear implant positioning and fixation using 3D-printed patient specific surgical guides; a cadaveric study. PLoS ONE 17:e0270517
doi: 10.1371/journal.pone.0270517
pubmed: 35877605
pmcid: 9312396
Bakhos D, Velut S, Robier A, Al zahrani M, Lescanne E (2010) Three-dimensional modeling of the temporal bone for surgical training. Otol Neurotol 31:328–334
doi: 10.1097/MAO.0b013e3181c0e655
pubmed: 19887988
Mick PT, Arnoldner C, Mainprize JG, Symons SP, Chen JM (2013) Face validity study of an artificial temporal bone for simulation surgery. Otol Neurotol 34:1305–1310
doi: 10.1097/MAO.0b013e3182937af6
pubmed: 23921940
Saleh Y, Piper R, Richard M, Jeyaretna S, Cosker T (2022) Designing a 3D printed model of the skull-base: a collaboration between clinicians and industry. J Med Educ Curric Dev 9:2382
Razavi C, Galaiya D, Vafaee S, Yin R, Carey JP, Taylor RH, Creighton FX (2021) Three dimensional printing of a low-cost middle-ear training model for surgical management of otosclerosis. Laryngosc Investig Otolaryngol 1(6):1133–1136
doi: 10.1002/lio2.646
Chien WW, da Cruz MJ, Francis HW (2021) Validation of a 3D-printed human temporal bone model for otology surgical skill training. World J Otorhinolaryngol Head Neck Surg 7:88–93
doi: 10.1016/j.wjorl.2020.12.004
pubmed: 33997717
pmcid: 8103535