Department of Otorhinolaryngology, Head and Neck Surgery, "Otto Körner", Rostock University Medical Center, Doberaner Strasse 137-139, 18057, Rostock, Germany.
ARRI Medical GmbH, Türkenstraße 89, 80799, Munich, Germany.
Eur Arch Otorhinolaryngol. 2021 Apr;278(4):1027-1033. doi: 10.1007/s00405-020-06171-9. Epub 2020 Jul 1.
Improvements of surgical visualization add value to the quality of clinical routine and offer the opportunity to improve surgical education of medical staff. The aim of this study was to determine whether otorhinolaryngology trainees gain additional comprehension of the anatomical structures and the surgical site when 3D visualization is used.
Data were collected from ENT trainees of microsurgical courses of the middle ear, inner ear and lateral skull base at four university ENT departments (Charité (Berlin), Martin Luther University Halle-Wittenberg (Halle/Saale), Ludwig Maximilian University (Munich) and Rostock University Medical Center). Participants were asked to complete a questionnaire assessing the subjective value of identical surgical field visualization in 3D for surgeon and observer.
A total of 112 participants completed the questionnaire. The majority of participants stated a high additional value of 3D visualization compared to 2D visualization, with 75% fully agreeing to the statement that 3D visualization of the surgical field is superior to perceive the anatomical topography and structures compared to 2D representation. Participants encouraged the storage of data in online learning platforms.
The results show that 3D visualization with identical imaging for surgeon and observer is a useful tool in teaching of microsurgery. It addresses perception of anatomical topography and structures as well as conception of the surgical workflow.
手术可视化的改进提高了临床常规的质量，并为医务人员的手术教育提供了机会。本研究旨在确定耳鼻喉科实习医生在使用 3D 可视化时是否能更好地理解解剖结构和手术部位。
数据来自四个大学耳鼻喉科系（柏林夏里特医学院、哈勒-维滕贝格马丁路德大学、慕尼黑路德维希-马克西米利安大学和罗斯托克大学医学中心）中耳、内耳和侧颅底显微手术课程的耳鼻喉科实习医生。参与者被要求完成一份问卷，评估 3D 对医生和观察者的相同手术视野显示的主观价值。
共有 112 名参与者完成了问卷。大多数参与者表示 3D 可视化比 2D 可视化具有更高的附加价值，75%的人完全同意以下说法：与 2D 表现相比，3D 可视化手术视野更有利于感知解剖拓扑和结构。参与者鼓励将数据存储在在线学习平台中。
结果表明，医生和观察者具有相同成像的 3D 可视化是显微手术教学的有用工具。它可以帮助理解解剖结构和手术流程。
