Three-Dimensional Printed Skull Base Simulation for Transnasal Endoscopic Surgical Training

World Neurosurg. 2018 Mar:111:e773-e782. doi: 10.1016/j.wneu.2017.12.169. Epub 2018 Jan 5.

Abstract

Objective: Transnasal endoscopic skull base surgery (SBS) presents a major challenge for inexperienced neurosurgeons because of the complicated anatomic structures, 2-dimensional endoscopic view, limited operative field, and required skills. We designed a personalized multimaterial and multicolor three-dimensional (3D)-printed SBS simulation to reproduce the complex anatomy of the skull base. The fidelity and feasibility for anatomic education and surgical training were assessed.

Methods: Two-dimensional computer tomography and magnetic resonance images were collected from a 42-year-old healthy male volunteer. After 3D modeling and spatial alignment, personalized SBS simulations were produced using a multimaterial 3D printer. The fidelity of the models was assessed by 3 experienced neurosurgeons, and the effects for anatomic education and surgical training were evaluated by 10 resident trainees. Both evaluations were based on 5-point Likert questionnaires.

Results: The mean scores for fidelity of tissue structure ranged from 3.7 to 4.7, and scores for aid in anatomic education and surgical training ranged from 3.5 to 4.9.

Conclusion: The 3D-printed SBS simulation is a practical, economical, high-fidelity model. It has great potential for anatomic education and operative training in transnasal endoscopic surgery.

Keywords: Neurosurgery; Skull base surgery; Surgical training; Three-dimensional printed simulation; Transnasal endoscopic surgery.

MeSH terms

  • Adult
  • Endoscopy / education*
  • Healthy Volunteers
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Models, Anatomic*
  • Nasal Cavity / surgery*
  • Neurosurgery / education*
  • Neurosurgical Procedures / education*
  • Printing, Three-Dimensional*
  • Reproducibility of Results
  • Skull Base / anatomy & histology*
  • Skull Base / diagnostic imaging
  • Skull Base / surgery*
  • Tomography, X-Ray Computed