Rusetsky Yu Yu, Meitel I Yu, Krasivicheva O V, Arutyunyan S K, Sotnikova L S
National Medical Research Center of Children's Health of the Ministry of Health of Russia, Moscow, Russia.
Vestn Otorinolaringol. 2020;85(6):116-118. doi: 10.17116/otorino202085061116.
Nowadays, endoscopic transcanal otosurgery with confident steps is becoming a practice. Obviously, any new method of intervention needs to be repeatedly tested by the surgeon before it is used on the patient. This is why dissection work is so important and popular. Working on biomaterial sets itself several tasks: training manual skills of working with an endoscope and an instrument in the middle ear cavities, stage-by-stage training for performing specific interventions, detailed analysis and repetition of anatomy and topography of structures. This article presents a step-by-step dissection algorithm with an analysis of the anatomical landmarks of each area, such as the prototype. The proposed training protocol allows practicing such interventions as endaural atticotomy, types of ossiculoplasty, stapedoplasty, decompression of the facial nerve to the geniculate ganglion area, infracochlear and transpromontorial approaches to the internal auditory canal. Keywords: endoscopic otosurgery, transcanal otosurgery, chronic otitis media, otitis media, otitis media in children, otodissection, endoscopic otodissection.
如今，内镜经耳道耳外科手术正稳步开展。显然，任何新的干预方法在应用于患者之前都需要外科医生反复试验。这就是解剖工作如此重要且受欢迎的原因。在生物材料上进行操作有几个任务：训练在内耳腔使用内窥镜和器械的手动技能，分阶段训练执行特定干预，详细分析和重复结构的解剖学和地形学。本文介绍了一种逐步解剖算法，并对每个区域的解剖标志进行了分析，如原型。所提出的训练方案允许练习诸如外耳道上鼓室切开术、听骨成形术类型、镫骨手术、面神经减压至膝状神经节区域、经耳蜗下和经岬途径至内耳道等干预措施。关键词：内镜耳外科手术、经耳道耳外科手术、慢性中耳炎、中耳炎、儿童中耳炎、耳解剖、内镜耳解剖
