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| Minimally invasive anatomy research of suboccipito-retrosigmoidal approach for drilling internal auditory canal utilizing virtual reality skill |
| TANG Ke, ZHOU Jingan, ZHAO Yaqun, ZHOU Qing, and LIU Ce |
| Department of Neurosurgery, The 309th Hospital of Chinese People’s Liberation Army, Beijing 100091, China |
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Abstract Objective To discuss microanatomy features of internal auditory canal through suboccipito-retrosigmoidal minimally invasive approach based on virtual reality image model.Methods CT and MRI scans were performed on fifteen adult cadaver heads, and then, image data were input into Vitrea virtual reality system to establish three-dimensional anatomy model of internal auditory canal and surrounding structures. Different minimally invasive road of suboccipito-retrosigmoidal approaches for drilling of surgical targets in internal auditory canal were simulated by selecting osseous landmark points on the calvaria and skull base. Changes of anatomy exposures were observed, measured and compared following alternation of surgical roads.Results Spacial sequence of nerves and vessels in the route simulating suboccipito-retrosigmoidal approach for drilling internal auditory canal was displayed distinctly. Measurement and comparative analysis showed that volumes of osseous structure and labyrinth involved in route a were the most, and then, volumes involved in route b were more than those in route c. Cerebellar involved in route b was the most, and then, volume of cerebellar involved in route c was more than that in route a. Facial-acoustic nerve complex involved in route b was the most, and then, volume of facial-acoustic nerve complex involved in route a was more than that in route c. The differences of above items reached statistically significant diffecence.Conclusions Assisted by computed virtual reality skill, quantitative evaluation of invasion and target exposure in simulative routes of suboccipito-retrosigmoidal approach drilling petrous bone and reaching terminal of internal auditory canal can be performed to guide minimally invasive surgical practice.
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Received: 01 February 2016
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| [1] |
闫亚平,刘有凤,张淑香,等.听神经瘤误诊误治1例[J].武警医学,2014,25(5):512-513.
|
| [2] |
Ambekar S, Amene C, Sonig A, et al. Quantitative comparison of retrosigmoid intradural suprameatal approach and retrosigmoid transtentorial approach: implications for tumors in the petroclival region [J]. J Neurol Surg B Skull Base, 2013, 74(5): 300-304.
|
| [3] |
翟卫东,钟建卫,袁 越,等.二次显微血管减压术治疗面肌痉挛5例[J].武警医学,2011,22(2):165-166.
|
| [4] |
汤 可,李 阳,周敬安,等.经颞下入路磨除岩骨虚拟现实模拟研究[J].中国现代神经疾病杂志,2012,12(6):736-740.
|
| [5] |
汤 可,周敬安,周 青,等.枕下乙状窦后入路微创显露面听神经复合体的虚拟现实解剖学研究[J].中国现代神经疾病杂志,2014,14(6):502-506.
|
| [6] |
Cinibulak Z, Krauss J K, Nakamura M. Navigated minimally invasive presigmoidal suprabulbar infralabyrinthine approach to the jugular foramen without rerouting of the facial nerve [J]. Neurosurgery, 2013, 73(1 Suppl Operative): ons3-15.
|
| [7] |
Sarikaya-Seiwert S, Klenzner T, Schipper J, et al. Giant dumbbell-shaped intra- and extracranial nerve schwannoma in a child presenting with glossopharyngeal neuralgia syncope syndrome: a case report and review of the literature [J]. J Neurol Surg A Cent Eur Neurosurg, 2013, 74(1):54-58.
|
| [8] |
汤 可,周敬安,周 青,等.枕下乙状窦后入路显露颈静脉孔区的虚拟现实模拟研究[J].第三军医大学学报,2013,35(21):2359-2362.
|
| [9] |
汤 可,袁小东,周敬安,等.枕下乙状窦后入路显露颈静脉孔区微创策略的虚拟现实研究 [J].神经疾病与精神卫生,2014,14(2):137-139.
|
| [10] |
汤 可,周敬安,周 青,等.联合入路中经额与经眶颧方向显露海绵窦手术的虚拟现实量化比较 [J].第三军医大学学报,2013,35(2):145-148.
|
| [11] |
田忠祥,赵永峰.颌面部复杂骨折51例螺旋CT三维重建的应用价值[J].武警医学,2010,21(8):692-694.
|
| [12] |
汤 可,周敬安,赵亚群,等.枕下乙状窦后入路微创显露颈静脉孔区的虚拟现实解剖研究 [J].第三军医大学学报,2014,36(14):1496-1499.
|
| [13] |
Sheth S S, Fader A N, Tergas A I, et al. Virtual reality robotic surgical simulation: an analysis of gynecology trainees [J]. J Surg Educ, 2014, 71(1): 125-132.
|
| [14] |
李钟铭,杜长生,宋 薇,等.眼眶-中颅窝沟通性脑膜瘤手术颅底重建[J].武警医学,2014,25(5):503-506.
|
| [15] |
王 伟,左进步,梁宏伟,等.Y形解剖锁定钢板固定治疗肱骨远端骨折[J].武警医学,2013,24(12):1061-1062.
|
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2016, Vol. 27 
