HapticV1, Main, Exploration, bibRecord, 000114

Positioning Accuracy in Otosurgery Measured with Optical Tracking

Identifieur interne : 000114 ( Main/Exploration ); précédent : 000113; suivant : 000115

Positioning Accuracy in Otosurgery Measured with Optical Tracking

Auteurs : Attila Vári [Allemagne] ; D Ra Neményi [Allemagne] ; Tino Just [Allemagne] ; Tobias Schuldt [Allemagne] ; Anne Buhr [Allemagne] ; Robert Mlynski [Allemagne] ; András Cs Kay [Hongrie] ; Hans-Wilhelm Pau [Allemagne] ; István Valálik [Hongrie]

Source :

PLoS ONE [ 1932-6203 ] ; 2016.

RBID : PMC:4814076

Abstract

Objectives

To assess positioning accuracy in otosurgery and to test the impact of the two-handed instrument holding technique and the instrument support technique on surgical precision. To test an otologic training model with optical tracking.

Study Design

In total, 14 ENT surgeons in the same department with different levels of surgical experience performed static and dynamic tasks with otologic microinstruments under simulated otosurgical conditions.

Methods

Tip motion of the microinstrument was registered in three dimensions by optical tracking during 10 different tasks simulating surgical steps such as prosthesis crimping and dissection of the middle ear using formalin-fixed temporal bone. Instrument marker trajectories were compared within groups of experienced and less experienced surgeons performing uncompensated or compensated exercises.

Results

Experienced surgeons have significantly better positioning accuracy than novice ear surgeons in terms of mean displacement values of marker trajectories. The instrument support and the two-handed instrument holding techniques significantly reduce surgeons’ tremor. The laboratory set-up presented in this study provides precise feedback for otosurgeons about their surgical skills and proved to be a useful device for otosurgical training.

Conclusions

Simple tremor compensation techniques may offer trainees the potential to improve their positioning accuracy to the level of more experienced surgeons. Training in an experimental otologic environment with optical tracking may aid acquisition of technical skills in middle ear surgery and potentially shorten the learning curve. Thus, simulated exercises of surgical steps should be integrated into the training of otosurgeons.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4814076

DOI: 10.1371/journal.pone.0152623
PubMed: 27027500
PubMed Central: 4814076

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Objectives</title>
<p>To assess positioning accuracy in otosurgery and to test the impact of the two-handed instrument holding technique and the instrument support technique on surgical precision. To test an otologic training model with optical tracking.</p>
</sec>
<sec id="sec002"><title>Study Design</title>
<p>In total, 14 ENT surgeons in the same department with different levels of surgical experience performed static and dynamic tasks with otologic microinstruments under simulated otosurgical conditions.</p>
</sec>
<sec id="sec003"><title>Methods</title>
<p>Tip motion of the microinstrument was registered in three dimensions by optical tracking during 10 different tasks simulating surgical steps such as prosthesis crimping and dissection of the middle ear using formalin-fixed temporal bone. Instrument marker trajectories were compared within groups of experienced and less experienced surgeons performing uncompensated or compensated exercises.</p>
</sec>
<sec id="sec004"><title>Results</title>
<p>Experienced surgeons have significantly better positioning accuracy than novice ear surgeons in terms of mean displacement values of marker trajectories. The instrument support and the two-handed instrument holding techniques significantly reduce surgeons’ tremor. The laboratory set-up presented in this study provides precise feedback for otosurgeons about their surgical skills and proved to be a useful device for otosurgical training.</p>
</sec>
<sec id="sec005"><title>Conclusions</title>
<p>Simple tremor compensation techniques may offer trainees the potential to improve their positioning accuracy to the level of more experienced surgeons. Training in an experimental otologic environment with optical tracking may aid acquisition of technical skills in middle ear surgery and potentially shorten the learning curve. Thus, simulated exercises of surgical steps should be integrated into the training of otosurgeons.</p>
</sec>
</div>
</front>
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Serveur d'exploration sur les dispositifs haptiques

Positioning Accuracy in Otosurgery Measured with Optical Tracking

Positioning Accuracy in Otosurgery Measured with Optical Tracking

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