Sensing and three-dimensional OCT imaging of the cochlea and temporal bone: image-guided cochlear implantation

2013 ◽  
Author(s):  
Mingtao Zhao ◽  
Wade W. Chien ◽  
Iulian Iordachita ◽  
Yong Huang ◽  
Russ Taylor ◽  
...  
Author(s):  
Beomcho Jun ◽  
Sunwha Song

Abstract Objective This paper describes the construction of portals for electrode placement during cochlear implantation and emphasises the utility of pre-operative temporal bone three-dimensional computed tomography. Methods Temporal bone three-dimensional computed tomography was used to plan portal creation for electrode insertion. Results Pre-operative temporal bone three-dimensional computed tomography can be used to determine the orientation of temporal bone structures, which is important for mastoidectomy, posterior tympanotomy and cochleostomy, and when using the round window approach. Conclusion It is essential to create appropriate portals (from the mastoid cortex to the cochlea) in a step-by-step manner, to ensure the safe insertion of electrodes into the scala tympani. Pre-operative three-dimensional temporal bone computed tomography is invaluable in this respect.


ORL ◽  
1996 ◽  
Vol 58 (6) ◽  
pp. 298-300 ◽  
Author(s):  
Tetsuo Himi ◽  
Akikatsu Kataura ◽  
Motomichi Sakata ◽  
Yoshihiro Odawara ◽  
Jun-ichi Satoh ◽  
...  

2020 ◽  
Author(s):  
Mallory J. Raymond ◽  
Roberto M. Soriano ◽  
Ryan Belcher ◽  
C. Arturo Solares

Methods ◽  
2001 ◽  
Vol 25 (2) ◽  
pp. 186-200 ◽  
Author(s):  
Richard D. Bucholz ◽  
Kurt R. Smith ◽  
Keith A. Laycock ◽  
Leslie L. McDurmont

Author(s):  
M Stavrakas ◽  
G Menexes ◽  
S Triaridis ◽  
P Bamidis ◽  
J Constantinidis ◽  
...  

Abstract Objective This study developed an assessment tool that was based on the objective structured assessment for technical skills principles, to be used for evaluation of surgical skills in cortical mastoidectomy. The objective structured assessment of technical skill is a well-established tool for evaluation of surgical ability. This study also aimed to identify the best material and printing method to make a three-dimensional printed temporal bone model. Methods Twenty-four otolaryngologists in training were asked to perform a cortical mastoidectomy on a three-dimensional printed temporal bone (selective laser sintering resin). They were scored according to the objective structured assessment of technical skill in temporal bone dissection tool developed in this study and an already validated global rating scale. Results Two external assessors scored the candidates, and it was concluded that the objective structured assessment of technical skill in temporal bone dissection tool demonstrated some main aspects of validity and reliability that can be used in training and performance evaluation of technical skills in mastoid surgery. Conclusion Apart from validating the new tool for temporal bone dissection training, the study showed that evolving three-dimensional printing technologies is of high value in simulation training with several advantages over traditional teaching methods.


2015 ◽  
Vol 125 (10) ◽  
pp. 2353-2357 ◽  
Author(s):  
Jordan B. Hochman ◽  
Charlotte Rhodes ◽  
Dana Wong ◽  
Jay Kraut ◽  
Justyn Pisa ◽  
...  

2014 ◽  
Vol 128 (5) ◽  
pp. 416-420 ◽  
Author(s):  
N Ahmad ◽  
A Wright

AbstractObjective:To produce a high-resolution, three-dimensional temporal bone model from serial sections, using a personal computer.Method:Digital images were acquired from histological sections of the temporal bone. Image registration, segmentation and three-dimensional volumetric reconstruction were performed using a personal computer. The model was assessed for anatomical accuracy and interactivity by otologists.Results:An accurate, high-resolution, three-dimensional model of the temporal bone was produced, containing structures relevant to otological surgery. The facial nerve, labyrinth, internal carotid artery, jugular bulb and all of the ossicles were seen (including the stapes footplate), together with the internal and external auditory meati. Some projections also showed the chorda tympani nerve.Conclusion:A high-resolution, three-dimensional computer model of the complete temporal bone was produced using a personal computer. Because of the increasing difficulty in procuring cadaveric bones, this model could be a useful adjunct for training.


1989 ◽  
Vol 101 (5) ◽  
pp. 522-526 ◽  
Author(s):  
Charles Lutz ◽  
Akira Takagi ◽  
Ivo P. Janecka ◽  
Isamu Sando

The complexities of the temporal bone and the critical inter-relationships among its key structures can be simplified with three-dimensional computer-assisted reconstruction. Knowledge of the topography of these structures and their mutual relationships in essential in any surgical approach to the temporal bone. Sixty sagittal histologic sections of a normal left temporal bone were examined. Each section, 30 μm in thickness, was optically enlarged. Segments representing the facial nerve, internal carotid artery, and inner ear structures from individual slides were traced and data were entered into a computer. A personal computer was used for data processing and analysis. Graphic software developed in our laboratory generated images with x-y-z coordinates that could be rotated In any plane. The high resolution of the computer graphics system, combined with the precision of histologic sections, permitted study of the critical three-dimensional anatomic relationships among essential intratemporal bone structures. The capability of reproducing individual and joint images of the intratemporal bone structures and viewing them from all surgical angles gives skull base and otologic surgeons Important topographic guidance. Accurate spatial measurements of temporal bone anatomy are now possible with the application of computer graphic technology.


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