Endoscopic Endonasal Cranial Base Surgery Simulation Using an Artificial Cranial Base Model Created by Selective Laser Sintering

Oyama, Kenichi; Filho, Leo F. S. Ditzel; Muto, Jun; Souza, Daniel Gonçalves de; Zoli, M.; Naudy, Cristian; Van, Facundo; Kerr, Edward E.; Jamshidi, Ali O.; Otto, Bradley A.; Carrau, Ricardo L.; Prevedello, Daniel M.

doi:10.1055/s-0034-1370488

Cited by 1 publication

(5 citation statements)

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“…Fourteen studies of simulation with synthetic models were identified. 11 15 27 28 29 30 31 32 33 34 35 36 37 38 These training models were produced through different printing devices including selective laser sintering (SLS), MultiJet printer, Object500 Connex3 printer, Elegoo Mars 2 pro printer, Ultimaker 2+ printer, and J750 Digital Anatomy Printing printer, among other unspecified 3D printing methods. Studies by Maza et al and Muto et al explored the possibility of using SLS to educate trainees on the management of ICAI.…”

Section: Resultsmentioning

confidence: 99%

“…Zheng et al, Shah et al, Tai et al, Newall et al, Lee et al, and Oyama et al described the face and content validity of synthetic models in acquisition of anatomical knowledge and surgical expertise in EEN. 27 29 30 31 35 36 Oyama et al described one of the most complete synthetic simulation models, in which the anterior, middle, and posterior fossa could be accessed through both sagittal and coronal plane approaches. 31 Oyama et al, Okuda et al, Tai et al, Shah et al, Newall et al, Piazza et al, and Lee et al established the usefulness of 3D-printed models in transsphenoidal surgery training by simulating sellar bone drilling, 29 30 31 32 35 36 38 whereas Wen et al enhanced the training of sellar tumor resection by curetting the inner content of an egg.…”

Section: Resultsmentioning

confidence: 99%

“…27 29 30 31 35 36 Oyama et al described one of the most complete synthetic simulation models, in which the anterior, middle, and posterior fossa could be accessed through both sagittal and coronal plane approaches. 31 Oyama et al, Okuda et al, Tai et al, Shah et al, Newall et al, Piazza et al, and Lee et al established the usefulness of 3D-printed models in transsphenoidal surgery training by simulating sellar bone drilling, 29 30 31 32 35 36 38 whereas Wen et al enhanced the training of sellar tumor resection by curetting the inner content of an egg. 28 In addition, Shah et al aimed to produce a model that assisted in identifying patient-specific sphenoid sinus landmarks and tested the participant's acquired knowledge in the operating room.…”

Section: Resultsmentioning

confidence: 99%

“…30 Moreover, Lee et al and Oyama et al described using their training models for endoscopic transorbital surgery. 31 35 Nebor et al presented the only synthetic training model simulating CSF leak repair. 37 Based on imaging studies, Huang et al, Zheng et al, Shinomiya et al, and Lee et al were able to recreate specific lesions and integrate them into the model.…”

Section: Resultsmentioning

confidence: 99%

“…27 In addition, multi-material and multicolor models are being developed to improve texture and realism. 27 31 35 Through these models, it is possible to visualize and interact with specific pathologies as well as dissect, cut, and drill through the endonasal corridor. Hence, synthetic models may be particularly suitable for surgical planning and testing various surgical approaches.…”

Section: Discussionmentioning

confidence: 99%

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Training in Endoscopic Endonasal Neurosurgical Procedures: A Systematic Review of Available Models

Porto,

Rodas,

Sun

et al. 2024

J Neurol Surg B Skull Base

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Background Proficiency in endoscopic endonasal neurosurgery (EEN) requires a unique skill set and is associated with a steep learning curve. Endoscopic simulation models present an opportunity for trainees to enhance their surgical skills and anatomical knowledge in a risk-free environment. To date, four main categories of training modalities have been recorded: cadaveric, synthetic, animal, and virtual reality (VR) models. Objective To analyze the features, advantages, and disadvantages of each EEN training model, describe the stages of simulation training, and propose future directions and an algorithm for EEN training. Methods A comprehensive search was performed including studies published before August 2023. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were followed in the search and selection of studies included. Terms for searching title and abstract were (“simulation”)AND(“endoscopic endonasal”)AND(“neurosurgery”). Articles were screened for duplicates. Results We identified 176 references, and 43 studies met the inclusion criteria. Twelve articles described cadaveric models, with 7 of them studying internal carotid artery injury (ICAI) management and 3 of them CSF leak management; fourteen articles illustrated synthetic models, one article described animal models, and sixteen articles outlined virtual reality (VR) simulations. Conclusion Cadaveric models provide realistic hands-on surgical training with acceptable cost and remain the gold standard method for training. Synthetic models are most effective for preoperative surgical planning and animal models are best suited for testing of hemostatic techniques. VR simulations may become the primary training tool for novices to acquire basic anatomical knowledge as their role in advanced surgical planning is evolving.

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