Our methods of surgical training for young ear surgeons: how to teach comprehensive knowledge in radiological image and surgical anatomy of the temporal bone

For the purpose of effective instruction of ear surgery, we made an educational progrum for young ear surgeons. This program is aimed to establish the knowledge of temporal bone anatomy with reference to radiological images, especilally computed tomography (CT). Dicom data of temporal bone CT taken...

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Published inOtology Japan Vol. 22; no. 3; pp. 209 - 213
Main Authors Ito, Taku, Kitamura, Ken, Tsunoda, Atsunobu, Kishimoto, Seiji
Format Journal Article
LanguageJapanese
Published Japan Otological Society 2012
一般社団法人 日本耳科学会
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ISSN0917-2025
1884-1457
DOI10.11289/otoljpn.22.209

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Abstract For the purpose of effective instruction of ear surgery, we made an educational progrum for young ear surgeons. This program is aimed to establish the knowledge of temporal bone anatomy with reference to radiological images, especilally computed tomography (CT). Dicom data of temporal bone CT taken from healthy adult subject on 0.167 mm slice thickness are supplied to trainees. Trainees can observe each slices on their personal computer. Then, each structures in the temporal bone, such as the eustacian tube, ossicles, vessels, facial nerves, labyrinth, etc., are observed on cosecutive images. Through this progrum, trainees can study three-dimensional anatomy of the temporal bone elsewhere. Trainees also experience a cadaver dissection and study an appropriate use of the microscope and drill. After these experience, trainee can perform ear surgery. Their manupilation are recorded on video and trainee must review and edit briefly. This video recording and editing are also instructive for trainees. The program also containes partcipation to the lateral skull base surgery which is useful in recognition of through temporal bone anatomy. We believe, our progrum is complehensive and wothry for education in ear specialists.
AbstractList For the purpose of effective instruction of ear surgery, we made an educational progrum for young ear surgeons. This program is aimed to establish the knowledge of temporal bone anatomy with reference to radiological images, especilally computed tomography (CT). Dicom data of temporal bone CT taken from healthy adult subject on 0.167 mm slice thickness are supplied to trainees. Trainees can observe each slices on their personal computer. Then, each structures in the temporal bone, such as the eustacian tube, ossicles, vessels, facial nerves, labyrinth, etc., are observed on cosecutive images. Through this progrum, trainees can study three-dimensional anatomy of the temporal bone elsewhere. Trainees also experience a cadaver dissection and study an appropriate use of the microscope and drill. After these experience, trainee can perform ear surgery. Their manupilation are recorded on video and trainee must review and edit briefly. This video recording and editing are also instructive for trainees. The program also containes partcipation to the lateral skull base surgery which is useful in recognition of through temporal bone anatomy. We believe, our progrum is complehensive and wothry for education in ear specialists. 耳科手術医養成のために我々が行っている若手医師のためのプログラムについて紹介する。この教育プログラムの目的は側頭骨解剖の実践的な理解であり、解剖所見と画像所見の有機的な統合を目指すが、特にCT所見の徹底的な理解と解剖構築との結びつきを特長としている。薄いスライスのCTデータを研修者自身が操作し、画像上で伝音連鎖、耳管、半規管など機能解剖学的なつながりで追うことで空間的な理解が可能となる。同一のデータから作成された模型を用いた削開も可能であり、これらは研修者がいつでも自習可能である。乳突削開指導は前述の三次元模型のほか、実際の解剖体でも行うが、解剖の知識だけではなく、顕微鏡下の両眼視、吸引、ドリルの操作など両手操作の指導にも配慮している。また、頭蓋底手術では通常の耳科手術では得られない視野や操作を学ぶことが可能であり、耳科手術の理解がより深めることが出来る貴重な学習機会である。
For the purpose of effective instruction of ear surgery, we made an educational progrum for young ear surgeons. This program is aimed to establish the knowledge of temporal bone anatomy with reference to radiological images, especilally computed tomography (CT). Dicom data of temporal bone CT taken from healthy adult subject on 0.167 mm slice thickness are supplied to trainees. Trainees can observe each slices on their personal computer. Then, each structures in the temporal bone, such as the eustacian tube, ossicles, vessels, facial nerves, labyrinth, etc., are observed on cosecutive images. Through this progrum, trainees can study three-dimensional anatomy of the temporal bone elsewhere. Trainees also experience a cadaver dissection and study an appropriate use of the microscope and drill. After these experience, trainee can perform ear surgery. Their manupilation are recorded on video and trainee must review and edit briefly. This video recording and editing are also instructive for trainees. The program also containes partcipation to the lateral skull base surgery which is useful in recognition of through temporal bone anatomy. We believe, our progrum is complehensive and wothry for education in ear specialists.
Author Ito, Taku
Kishimoto, Seiji
Tsunoda, Atsunobu
Kitamura, Ken
Author_FL 喜多村 健
伊藤 卓
角田 篤信
岸本 誠司
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  fullname: Ito, Taku
  organization: Department of Otolaryngology, Tokyo Medical and Dental University
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  fullname: Kitamura, Ken
  organization: Department of Otolaryngology, Tokyo Medical and Dental University
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  fullname: Tsunoda, Atsunobu
  organization: Department of Otolaryngology, Tokyo Medical and Dental University
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  fullname: Kishimoto, Seiji
  organization: Department of Head and Neck Surgery, Tokyo Medical and Dental University
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一般社団法人 日本耳科学会
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Snippet For the purpose of effective instruction of ear surgery, we made an educational progrum for young ear surgeons. This program is aimed to establish the...
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SubjectTerms CT
DICOM
temporal bone anatomy
temporal bone imaging
three-dimensional model
三次元模型
側頭骨画像
側頭骨解剖
Title Our methods of surgical training for young ear surgeons: how to teach comprehensive knowledge in radiological image and surgical anatomy of the temporal bone
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