Bradel Susanne, Doniga-Crivat Laura, Besdo Silke, Lexow Franziska, Fehr Michael, Lenarz Thomas, Prenzler Nils, Brandes Gudrun
Department of Otolaryngology, Hannover Medical School, Hannover, Germany.
Clinic for Exotic Pets, Reptiles, Pet, and Feral Birds, University of Veterinary Medicine Hannover, Hannover, Germany.
Int J Otolaryngol. 2017;2017:6753604. doi: 10.1155/2017/6753604. Epub 2017 May 3.
. The development of a histological 3D model of the tympanic cavity visualizes the exact microanatomy of the sound conduction organ and is therefore essential for finite elements simulations and surgical training. . So far, no accurate histological 3D model of the sound conduction system existed in literature. For 3D reconstruction of the very fine structures inside and outside the auditory ossicles, a method based on histological slices allows a more differential analysis of both hard and soft tissues and could thus be superior to CT. . A complete temporal bone was embedded in epoxy resin and microground in distances of about 34 m. After photodocumentation of every plane, a 3D reconstruction was performed by using the Computer Aided Design (CAD) program Rhinoceros 5®. For comparison, a CT of the same specimen resulted in a 3D model of the calcified structures in the middle ear. . The histological 3D model gives an excellent overview to all anatomical soft and bony tissues of the human auditory ossicles. Specifically the fine blood vessel system and the exact dimension of cartilage areas inside the ossicles can be illustrated much more precisely than with CT data. The present technique also allows the evaluation of the fine connecting ligaments inside the tympanic cavity.
鼓室组织学三维模型的建立使声音传导器官的精确微观解剖结构可视化,因此对于有限元模拟和外科手术训练至关重要。到目前为止,文献中尚无准确的声音传导系统组织学三维模型。对于听小骨内外非常精细结构的三维重建,基于组织切片的方法能够对硬组织和软组织进行更具差异性的分析,因此可能优于CT。将完整的颞骨嵌入环氧树脂中,并以约34μm的间距进行微磨。在对每个平面进行拍照记录后,使用计算机辅助设计(CAD)软件Rhinoceros 5®进行三维重建。作为对比,对同一标本进行CT扫描,得到中耳钙化结构的三维模型。该组织学三维模型能很好地展示人类听小骨所有的解剖软组织结构和骨组织。特别是精细的血管系统以及听小骨内软骨区域的确切尺寸,与CT数据相比能更精确地呈现。目前的技术还能够评估鼓室内精细的连接韧带。