Aussedat C, Venail F, Marx M, Boullaud L, Bakhos D
Service ORL et chirurgie cervicofaciale, CHU de Tours, 2, boulevard Tonnellé, 37044 Tours, France.
Service ORL et chirurgie cervicofaciale, CHU de Montpellier, avenue du Doyen-Gaston-Giraud, 34295 Montpellier, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2022 May;139(3):140-145. doi: 10.1016/j.anorl.2021.02.007. Epub 2021 Mar 12.
Acquiring surgical experience in the operating room is increasingly difficult. Simulation of temporal bone drilling is therefore essential, and more and more widely used. The aim of this review is to clarify the limitations of classical surgical training, and to describe the different types of simulation available for temporal bone drilling. Systematic Medline search used the terms: "temporal bone" and training and surgery; "temporal bone" and training and drilling. Seventy-one of the 467 articles identified were relevant for this review. Various temporal bone simulators have been created to get around the limitations (ethical, financial, cultural, working time) of temporal bone drilling. They can be classified as cadaver, animal, physical or virtual models. The main advantages of physical and virtual prototyping are their ease of access, the possibility of repeating gestures on a standardised model, and the absence of ethical issues. Validation is essential before these simulators can be included in the curriculum, to ensure efficacy and thus improve patient safety in the operating room.
在手术室获取手术经验日益困难。因此，颞骨钻孔模拟至关重要且应用越来越广泛。本综述的目的是阐明传统外科培训的局限性，并描述可用于颞骨钻孔的不同类型模拟。通过系统检索医学文献数据库（Medline），使用了以下检索词：“颞骨”以及培训与手术；“颞骨”以及培训与钻孔。在检索出的467篇文章中，有71篇与本综述相关。为克服颞骨钻孔的局限性（伦理、经济、文化、工作时间），已创建了各种颞骨模拟器。它们可分为尸体模型、动物模型、物理模型或虚拟模型。物理模型和虚拟模型的主要优点是易于获取、能够在标准化模型上重复操作以及不存在伦理问题。在将这些模拟器纳入课程之前，验证至关重要，以确保其有效性，从而提高手术室中的患者安全性。
