Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/34044
Title: Development and evaluation of a new pediatric mixed-reality model for neurosurgical training
Authors: COELHO, GiselleFIGUEIREDO, Eberval GadelhaRABELO, Nicollas NunesTEIXEIRA, Manoel JacobsenZANON, Nelci
Citation: JOURNAL OF NEUROSURGERY-PEDIATRICS, v.24, n.4, p.423-432, 2019
Abstract: OBJECTIVE Craniosynostosis is a premature cranial suture junction and requires a craniectomy to decrease cranial compression and remodel the affected areas of the skull. However, mastering these neurosurgical procedures requires many years of supervised training. The use of surgical simulation can reduce the risk of intraoperative error. The authors propose a new instrument for neurosurgical education, which mixes reality with virtual and realistic simulation for repair of craniosynostosis (scaphocephaly type). METHODS This study tested reality simulators with a synthetic thermo-retractile/thermosensitive rubber joined with different polymers. To validate the model, 18 experienced surgeons participated in this study using 3D videos developed using 3DS Max software. Renier's ""H"" technique for craniosynostosis correction was applied during the simulation. All participants completed questionnaires to evaluate the simulator. RESULTS An expert surgical team approved the craniosynostosis reality and virtual simulators. More than 94% of participants found the simulator relevant, considering aspects such as weight, surgical positioning, dissection by planes, and cranial reconstruction. The consistency and material resistance were also approved on average by more than 60% of the surgeons. CONCLUSIONS The virtual simulator demands a high degree of effectiveness with 3D perception in anatomy and operative strategies in neurosurgical training. Physical and virtual simulation with mixed reality required psychomotor and cognitive abilities otherwise acquired only during practical surgical training with supervision.
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Artigos e Materiais de Revistas Científicas - FM/MNE
Departamento de Neurologia - FM/MNE

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - HC/InRad
Instituto de Radiologia - HC/InRad

Artigos e Materiais de Revistas Científicas - LIM/26
LIM/26 - Laboratório de Pesquisa em Cirurgia Experimental


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