Augmented Reality, Surgical Navigation, and 3D Printing for Transcanal Endoscopic Approach to the Petrous Apex

Authors

Samuel R. Barber, Department of Otolaryngology-Head and Neck Surgery, University of Arizona College of Medicine, Tucson, Arizona, USA.Follow
Kevin Wong, Eaton Peabody Laboratories, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Vivek Kanumuri, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Ruwan Kiringoda, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Judith Kempfle, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Aaron K. Remenschneider, Eaton Peabody Laboratories, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Elliott D. Kozin, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Daniel J. Lee, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.

Document Type

Article

Abstract

Otolaryngologists increasingly use patient-specific 3-dimensional (3D)-printed anatomic physical models for preoperative planning. However, few reports describe concomitant use with virtual models. Herein, we aim to (1) use a 3D-printed patient-specific physical model with lateral skull base navigation for preoperative planning, (2) review anatomy virtually via augmented reality (AR), and (3) compare physical and virtual models to intraoperative findings in a challenging case of a symptomatic petrous apex cyst. Computed tomography (CT) imaging was manually segmented to generate 3D models. AR facilitated virtual surgical planning. Navigation was then coupled to 3D-printed anatomy to simulate surgery using an endoscopic approach. Intraoperative findings were comparable to simulation. Virtual and physical models adequately addressed details of endoscopic surgery, including avoidance of critical structures. Complex lateral skull base cases may be optimized by surgical planning via 3D-printed simulation with navigation. Future studies will address whether simulation can improve patient outcomes.

Publication Date

1-1-2018

Publication Title

OTO open

E-ISSN

2473-974X

Volume

2

Issue

4

First Page

2473974X18804492

PubMed ID

30719506

Digital Object Identifier (DOI)

10.1177/2473974X18804492

Recommended Citation

Barber, Samuel R.; Wong, Kevin; Kanumuri, Vivek; Kiringoda, Ruwan; Kempfle, Judith; Remenschneider, Aaron K.; Kozin, Elliott D.; and Lee, Daniel J., "Augmented Reality, Surgical Navigation, and 3D Printing for Transcanal Endoscopic Approach to the Petrous Apex" (2018). ENT and Skull Base Surgery. 56.
https://scholar.barrowneuro.org/ent-and-skull-base-surgery/56