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A review of simulation platforms in surgery of the temporal bone.

Identifieur interne : 000223 ( PubMed/Corpus ); précédent : 000222; suivant : 000224

A review of simulation platforms in surgery of the temporal bone.

Auteurs : Mahmood F. Bhutta

Source :

RBID : pubmed:26453455

Abstract

Surgery of the temporal bone is a high-risk activity in an anatomically complex area. Simulation enables rehearsal of such surgery. The traditional simulation platform is the cadaveric temporal bone, but in recent years other simulation platforms have been created, including plastic and virtual reality platforms.

DOI: 10.1111/coa.12560
PubMed: 26453455

Links to Exploration step

pubmed:26453455

Le document en format XML

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<nlm:affiliation>Clinical Lecturer & Specialist Registrar UCL Ear Institute, London 330-332 Grays Inn Road London WC1X 8EE UK.</nlm:affiliation>
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<title level="j">Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery</title>
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<div type="abstract" xml:lang="en">Surgery of the temporal bone is a high-risk activity in an anatomically complex area. Simulation enables rehearsal of such surgery. The traditional simulation platform is the cadaveric temporal bone, but in recent years other simulation platforms have been created, including plastic and virtual reality platforms.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Surgery of the temporal bone is a high-risk activity in an anatomically complex area. Simulation enables rehearsal of such surgery. The traditional simulation platform is the cadaveric temporal bone, but in recent years other simulation platforms have been created, including plastic and virtual reality platforms.</AbstractText>
<AbstractText Label="OBJECTIVE OF REVIEW" NlmCategory="OBJECTIVE">To undertake a review of simulation platforms for temporal bone surgery, specifically assessing their educational value in terms of validity and in enabling transition to surgery.</AbstractText>
<AbstractText Label="TYPE OF REVIEW" NlmCategory="METHODS">Systematic qualitative review.</AbstractText>
<AbstractText Label="SEARCH STRATEGY" NlmCategory="METHODS">Search of the Pubmed, CINAHL, BEI and ERIC databases.</AbstractText>
<AbstractText Label="EVALUATION METHOD" NlmCategory="METHODS">Assessment of reported outcomes in terms of educational value.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">49 articles were included, covering cadaveric, animal, plastic, and virtual simulation platforms. Cadaveric simulation is highly rated as an educational tool, but there may be a ceiling effect on educational outcomes after drilling 8-10 temporal bones. Animal models show significant anatomical variation from man. Plastic temporal bone models offer much potential, but at present lack sufficient anatomical or haptic validity. Similarly, virtual reality platforms lack sufficient anatomical or haptic validity, but with technological improvements they are advancing rapidly.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">At present cadaveric simulation remains the best platform for training in temporal bone surgery. Technological advances enabling improved materials or modelling mean that in the future plastic or virtual platforms may become comparable to cadaveric platforms, and also offer additional functionality including patient-specific simulation from CT data. This article is protected by copyright. All rights reserved.</AbstractText>
<CopyrightInformation>This article is protected by copyright. All rights reserved.</CopyrightInformation>
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