Hostname: page-component-669899f699-b58lm Total loading time: 0 Render date: 2025-04-25T14:48:21.715Z Has data issue: false hasContentIssue false
  • English
  • Français

Simultaneous, laser-sintered, three-dimensional modelling of bony structures and soft tissue for surgical navigation of extended cholesteatoma

Published online by Cambridge University Press:  19 November 2009

M Suzuki ,
Y Ogawa ,
T Hasegawa ,
S Kawaguchi ,
K Yukawa ,
N Nishiyama  and
S Shimizu
M Suzuki*
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
Y Ogawa
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
T Hasegawa
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
S Kawaguchi
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
K Yukawa
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
N Nishiyama
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
S Shimizu
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
*
Address for correspondence: Dr Mamoru Suzuki, Department of Otolaryngology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, Japan160-0023. Fax: +81 3 3346 9275 E-mail: otosuzu@tokyo-med.ac.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

Aim:

To examine the usefulness of a three-dimensional model for surgical navigation of cholesteatoma.

Materials and method:

A three-dimensional model was prototyped using selective laser sintering. Based on detailed computed tomography data, powder layers were laser-fused and accumulated to create a three-dimensional structure. The computed tomography threshold was adjusted to simultaneously replicate bony structures and soft tissues.

Results:

The cholesteatoma, major vessels and bony structures were well replicated. This laser-sintered model was used to aid surgery for recurrent cholesteatoma. The cholesteatoma, which extended from the hypotympanum through the styloid process sheath and the internal carotid artery sheath, was removed safely via a minimal skin incision.

Conclusion:

The laser-sintered model was useful for surgical planning and navigation in a cholesteatoma case involving complex bony structures and soft tissue.

Keywords

Temporal BoneComputer SimulationOtologic Surgical ProceduresCholesteatoma
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 5 , May 2010 , pp. 564 - 568
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

1Suzuki, M, Ogawa, Y, Kawano, A, Hagiwara, A, Yamaguchi, H, Ono, H. Rapid prototyping of temporal bone for surgical training and medical education. Acta Otolaryngol 2004;124:400–2CrossRefGoogle ScholarPubMed
2Suzuki, M, Ogawa, Y, Hagiwara, A, Yamaguchi, H, Ono, H. Rapid-prototyped temporal bone model for otological education. ORL J Otorhinolaryngol Relat Spec 2004;66:62–4CrossRefGoogle Scholar
3Suzuki, M, Hagiwara, A, Kawaguchi, S, Ono, H. Application of a rapid-prototyped temporal bone model for surgical planning. Acta Otolaryngol 2005;125:29–32CrossRefGoogle ScholarPubMed
4Lightman, A, Cohen, A. Alternate approaches to RP & M: rapid prototype manufacturing. In: Jacobs, PF, ed. Fundamentals of Stereolithography. New York: SME, 1993;397–424Google Scholar
5Morra, A, Tirelli, G, Rimondini, A, Cioffi, V, Russolo, M, Giacomarra, V et al. Usefulness of virtual endoscopic three-dimensional reconstructions of the middle ear. Acta Otolaryngol 2002;122:382–5CrossRefGoogle ScholarPubMed
6Begall, K, Vorwerk, U. Artificial petrous bone produced by stereolithography for microsurgical dissecting exercises. ORL J Otorhinolaryngol Relat Spec 1998;60:241–5CrossRefGoogle ScholarPubMed
7Selesnick, SH, Kacker, A. Image-guided surgical navigation in otology and neurotology. Am J Otol 1999;20:688–93Google ScholarPubMed