The effect of three‐dimensional visualisation on performance in endoscopic sinus surgery: A clinical training study using surgical navigation for movement analysis in a randomised crossover design
| Autor: | Robert A. Feijen, Ellen Ten Dam, Astrid G. W. Korsten-Meijer, Bernard F. A. M. van der Laan, Herman M. Helder |
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| Přispěvatelé: | Man, Biomaterials and Microbes (MBM), Damage and Repair in Cancer Development and Cancer Treatment (DARE) |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty anterior skull base Endoscope Endoscopic endonasal surgery IMPACT NEUROENDOSCOPY Otolaryngology Young Adult 03 medical and health sciences Imaging Three-Dimensional 0302 clinical medicine LAPAROSCOPY Paranasal Sinuses Humans Medicine 030223 otorhinolaryngology Laparoscopy Nose Cross-Over Studies SKULL BASE SURGERY medicine.diagnostic_test undergraduate education business.industry imaging Endoscopy Original Articles HIGH-DEFINITION Crossover study ENDONASAL Visualization Endoscopic sinus surgery VISION medicine.anatomical_structure Surgery Computer-Assisted Otorhinolaryngology Education Medical Graduate 030220 oncology & carcinogenesis technology Physical therapy Original Article Female business endoscopic sinus surgery SYSTEM |
| Zdroj: | Clinical Otolaryngology Clinical Otolaryngology, 45(2), 211-220. Wiley |
| ISSN: | 1749-4486 1749-4478 0307-7772 |
| DOI: | 10.1111/coa.13494 |
| Popis: | Objectives: Endoscopic imaging techniques and endoscopic endonasal surgery (EES) expertise have evolved rapidly. Only few studies have assessed the effect of three-dimensional (3D) endoscopy on endoscopic sinus surgery (ESS). The present study aimed to objectively and subjectively assess the additional value of 3D high-definition (HD) endoscopy in ESS. Design: A randomized crossover study of endoscopic surgery performance, using five ESS tasks of varying complexity, performed on Thiel embalmed human specimens. Setting: Simulated surgical environment. Participants: Thirty participants, inexperienced in ESS. Main outcome measures: Performance was assessed using video imaging, surgical navigation and questionnaires. Main outcome measures were as follows: efficiency (defined by time to task completion), distance covered inside the nose, average velocity towards target, accuracy (measured by error rate), and subjective assessment of endoscope characteristics. Results: During ESS tasks, both efficiency and accuracy did not differ significantly between 2D HD and 3D HD endoscopy. Subjectively, imaging characteristics of the 3D HD endoscope were rated significantly better. Conclusions: ESS performance of inexperienced participants was not significantly improved by the use of 3D HD endoscopy during ESS tasks, although imaging characteristics of the 3D HD endoscope were rated significantly better. Surgical field characteristics and surgical techniques are likely to influence any additional value of 3D HD endoscopy. |
| Databáze: | OpenAIRE |
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