Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (1): 31-38.doi: 10.6040/j.issn.1671-7554.0.2019.1139

Previous Articles    

Application of mixed reality technique in the resection of benign lateral skull base tumor

XU Ling1,2, SUN Yan2, CHEN Liang2, WANG Xiwen2   

  1. 1.Medical College of Qingdao University, Qingdao 266071, Shandong, China;
    2.Department of Otolaryngology, Head and Neck Surgery, Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai 264000, Shandong, China
  • Published:2022-09-27

PDF (PC)

11

Abstract: Objective To explore the application value of mixed reality technique in the resection of benign lateral skull base tumor. Methods The clinical data of 19 patients with benign lateral skull base tumor during Mar. 2017 and Oct. 2018 were retrospectively analyzed. The patients were divided into group A(n=8)and B(n=11). In group A, before operation, 3D image fusion technique was applied to reconstruct anatomical structure, mixed reality technique was used to formulate operation scheme, and surgeons communicated fully with patients and their families. During operation, mixed reality technique was used to guide the resection of tumors. In group B, no mixed reality technique was applied before or during operation. The time needed from skin incision to tumor exposure, tumor removal rate, postoperative hospital stay, incidence of complications and patients satisfaction rate were compared between the two groups. Results There were no significant differences in tumor removal rate, hospital stay and incidence of complications between the two groups(P>0.05). However, group A had shorter time from skin incision to tumor exposure(P=0.003)and higher patients satisfaction rate(P=0.005)than group B. Conclusion Pre- and intra-operative use of mixed reality technique in the resection of benign lateral skull base tumor can significantly shorten the time from the initial incision to tumor exposure, facilitate doctor-patient communication and improve patients satisfaction, which is worthy of clinical promotion.

Key words: Mixed reality technique, Benign lateral skull base tumor, Surgery, Clinical application

CLC Number: 

  • R762
[1] Frederick JW, Sweeny L, Carroll WR, et al. Outcomes in head and neck reconstruction by surgical site and donor site[J]. Laryngoscope, 2013, 123(7): 1612-1617.
[2] Shen Y, Ma C, Wang L, et al. Surgical management of giant cell tumors in temporomandibular joint region involving lateral skull base: a multidisciplinary approach[J]. J Oral Maxillofac Surg, 2016, 74(11): 2295-2311.
[3] Guo Y, Guo C. Maxillary-fronto-temporal approach for removal of recurrent malignant infratemporal fossa tumors: anatomical and clinical study[J]. J Craniomaxillofac Surg, 2014, 42(3): 206-212.
[4] Zuniga MG, Turner JH, Chandra RK. Updates in anterior skull base reconstruction[J]. Curr Opin Otolaryngol Head Neck Surg, 2016, 24(1): 75-82.
[5] Alotaibi FE, Alzhrani GA, Sabbagh AJ, et al. Neurosurgical assessment of metrics including judgment and dexterity using the virtual reality simulator neuro Touch(NAJD Metrics)[J]. Surg Innov, 2015, 22(6): 636-642.
[6] Ogawa H, Hasegawa S, Tsukada S, et al. A pilot study of augmented reality technology applied to the acetabular cup placement during total hip arthroplasty[J]. J Arthroplasty, 2018, 33(6): 1833-1837.
[7] Lee SC, Fuerst B, Tateno K, et al. Multi-modal imaging, model-based tracking, and mixed reality visualisation for orthopaedic surgery[J]. Healthc Technol Lett, 2017, 4(5): 168-173.
[8] He X, Karra S, Pakseresht P, et al. Effect of heated-air blanket on the dispersion of squames in an operating room[J]. Int J Numer Method Biomed Eng, 2018, 34(5): 2960. doi: 10.1002/cnm.2960.
[9] Moffat D, Jones S, Smith W. Petrous temporal bone cholesteatoma: a new classification and long-term surgical outcomes[J]. Skull Base, 2008, 18(2): 107-115.
[10] Van der Feliz-Cornelis CM, Van Oppen P, Van Marwijk. A patient-doctor relationship questionnaire(PDRQ-9)in primary care: development and psychometric evaluation[J]. Gen Hosp Psychiatry, 2004, 26(3): 115-120.
[11] 杨慧, 王洪奇. 医患关系量表PDRQ-15中文译本的信度和效度评价[J]. 中国医学伦理学, 2011, 24(3): 350-353. YANG Hui, WANG Hongqi. Assessment of the Reliability and Validity on the Chinese Edition of Doctor-Patient Relationship Scale PDRQ-15[J]. Chinese Medical Ethics, 2011, 24(3): 350-353.
[12] Liu H, Auvinet E, Giles J, et al. Augmented reality based navigation for computer assisted hip resurfacing: a proof of concept study[J]. Ann Biomed Eng, 2018, 46(10): 1595-1605.
[13] Cho HS, Park YK, Gupta S, et al. Augmented reality in bone tumour resection an experimental study[J]. Bone Joint Res, 2017, 6(3): 137-143.
[14] Ku J, Kim YJ, Cho S, et al. Three-dimensional augmented reality system for balance and mobility rehabilitation in the elderly: a randomized controlled Trial[J]. Cyberpsychol Behav Soc Netw, 2019, 22(2): 132-141.
[15] Yan R, Li X, Xiao J, et al. Exploration of the application of mixed reality technology in plastic surgery teaching[J]. Chin J Aesthetic Med, 2018, 27(2): 140-142.
[16] 余龙洋, 李亚楠, 岳志健, 等. 神经导航多影像融合在垂体腺瘤经蝶入路手术的临床应用[J]. 中国微侵袭神经外科杂志, 2015, 20(3): 120-121.
[17] Rosahl SK, Gharabaghi A, Hubbe U, et al. Virtual reality augmentation in skull base surgeries[J]. Skull Base, 2006, 16(2): 59-66.
[18] 李杰飞, 张玉琪, 何乐, 等. 多模态影像融合技术在脑肿瘤手术中的应用[J]. 中华神经外科杂志, 2016, 32(5): 458-462.
[19] Mashiko T, Otani K, Kawan R, et al. Development of three-dim ensional hollow elastic m odel for cerebral aneurysm clipping sim ulation enabling rapid and low cost prototyping[J]. World Neurosurg, 2015, 83(3): 351-361.
[20] Moro C, Stromberga Z, Raikos A, et al. The effectiveness of virtual and augmented reality in health sciences and medical anatomy[J]. Anat Sci Educ, 2017, 10(6): 549-599.
[21] Belmustakov S, Bailey C, Weiss CR. Augmented and virtual reality navigation for interventions in the musculoskeletal system[J]. Curr Radiol Rep, 2018, 6(9): 33.
[22] Jiang B, Ju H, Zhao Y, et al. Comparison of the efficacy and efficiency of the use of virtual reality simulation with high-fidelity mannequins for simulation-based training of fiberoptic broncho-scope manipulation[J]. Simul Healthc, 2018, 13(2): 83-87.
[23] Sauer IM, Queisner M, Tang P, et al. Mixed reality in visceral surgery: development of a suitable workflow and evaluation of intraoperative use-cases[J]. Ann Surg, 2017, 266(5): 706-712.
[24] Wu P, Yang X, Wang Y, et al. Clinical application of mixed reality technology combined with Da Vinci robot in partial nephrectomy for completely endogenous renal tumors[J]. J Mini Invas Urol, 2018, 7(4): 225-259.
[25] Namba K, Higaki A, Kaneko N, et al. Microcatheter shaping for intracranial aneurysm coiling using the 3-dimensional printing rapid prototyping technology: preliminary result in the first 10 consecutive cases[J]. World Neurosurg, 2015, 84(1): 178-186.
[26] Aoun RJ, Hamade YJ, Zammar SG, et al. Futuristic three-dimensional printing and personalized neurosurgery[J]. World Neurosurg, 2015, 84(4): 870-871.
[27] Gargiulo P, Risrnad T, Lafsson I, et al. New directions in 3D medical modeling: 3D-printing anatomy and functions in neuro-surgical planning[J]. J Health Care Eng, 2017(4): 1-8.
[28] Kondo K, Harada N, Masuda H, et al. A neurosurgical simulation of skull base tumors using a 3D printed rapid prototyping model containing mesh structures[J]. Acta Neurochirurgica, 2016, 158(6): 1-7.
[1] MA Xiang, ZHAO Feiyan. Status and progress of oocyte cryopreservation [J]. Journal of Shandong University (Health Sciences), 2022, 60(9): 19-23.
[2] FU Jia, WANG Lulu, HU Shuai, CHEN Zheping, LIU Dongyi, LI Qingsong, LU Guodong, ZHANG He, ZHAO Xin, FENG Chang. Effects of different approaches of quadrates lumborum block on postoperative recovery of patients undergoing radical gastrectomy [J]. Journal of Shandong University (Health Sciences), 2022, 60(8): 50-57.
[3] TIAN Chaoqun, LYU Yafeng, LI Xiaofei, SONG Yongdong, KONG Ligang, FAN Zhaomin, WANG Haibo, ZHANG Daogong. Comparison of the efficacy between semicircular canal plugging and labyrinthectomy for intractable Menieres disease [J]. Journal of Shandong University (Health Sciences), 2022, 60(8): 30-33.
[4] GAO Zhongxia, ZHANG Ming, FAN Mingde, TAN Chenyang, WANG Mengdi, WANG Chao, FAN Yuefei, DING Shouluan, WANG Chengwei. Efficacy and prognostic factors of gamma knife in treating 81 cases of brain metastases from lung cancer [J]. Journal of Shandong University (Health Sciences), 2022, 60(8): 44-49.
[5] Xinmei ZHANG,Ping XU. Surgical treatment strategies of adenomyosis [J]. Journal of Shandong University (Health Sciences), 2022, 60(7): 26-31.
[6] YAO Xue, LU Ranran, SUN Shuling, GAO Cuiping, XIAO Ru, WANG Shuhui. Establishment of a risk prediction scoring model for nosocomial infection in rheumatic heart disease patients after valve replacement surgery [J]. Journal of Shandong University (Health Sciences), 2022, 60(6): 90-96.
[7] LI Mingbo, HUANG Yanbo, REN Dongcheng, LIU Juncheng, TAN Chengshuang, XU Jixi, DING Jinyong. Afinite element analysis of three different fusion methods of lumbar internal fixation [J]. Journal of Shandong University (Health Sciences), 2022, 60(1): 55-64.
[8] Chuanxin WANG. Liquid biopsy of tumor [J]. Journal of Shandong University (Health Sciences), 2021, 59(9): 64-71.
[9] Mingwei ZHONG,Sanyuan HU. Exploration of surgical treatment of obesity by laparoscopic techniques in China [J]. Journal of Shandong University (Health Sciences), 2021, 59(9): 72-77, 96.
[10] Jun YANG. Medico-engineering cooperation: a strategic plateau of neurosurgery innovation and development in the era of precision medicine [J]. Journal of Shandong University (Health Sciences), 2021, 59(9): 83-88.
[11] WANG Zhe, LIU Yujie, MAO Qian, GUAN Peixia, BAO Qihan, LI Chengsheng, QIAO Xiaowei, PAN Qingzhong, WANG Suzhen. Evaluation of the efficacy of different regimens for early triple negative breast cancer based on the inverse probability of treatment weighting method [J]. Journal of Shandong University (Health Sciences), 2021, 59(8): 113-118.
[12] LIU Xueyan, WANG Guangpeng, YAO Xue, LU Ranran, WANG Shuhui. Analysis of economic burden and length of hospital stay of nosocomial infection in neurosurgery patients [J]. Journal of Shandong University (Health Sciences), 2021, 59(10): 87-93.
[13] WANG Liangliang, ZHANG Ming, SUN Zhenwei, DING Shouluan, FAN Yuefei, WANG Chengwei. Comparison of efficacy of gamma knife radiosurgery and microvascular decompression in the treatment of primary trigeminal neuralgia [J]. Journal of Shandong University (Health Sciences), 2021, 59(1): 28-33.
[14] Jizong ZHAO. Neurosurgery plays a key role in brain science research [J]. Journal of Shandong University (Health Sciences), 2020, 1(8): 1-4.
[15] GUO Zhihua, ZHAO Daqing, XING Yuan, WANG Wei, LIANG Leping, YANG Jing, ZHAO Qianqian. Single-stage end-to-end anastomosis in the management of severe cervical tracheal stenosis [J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 72-76.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd