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BY 4.0 license Open Access Published by De Gruyter November 26, 2020

Simulation system for intraoperative neuromonitoring

  • Robert Thiel EMAIL logo , Peter Haupt and Jens Jäkel


This paper presents a simulation system (“patient model”) for intraoperative neuromonitoring (IONM) applied to mastoidectomy. IONM is an electrophysiological method for monitoring the integrity and localization of nerve tracts, which helps the surgeon to avoid injuries and damage to neural risk structures (e.g. facial nerve) during surgery. To use the IONM successfully, the surgeon needs appropriate training and experience. The presented simulation system provides training possibilities in a realistic, cost-efficient and reproducible way. In the simulation system, the position of the probe during training is determined by a magnetic tracking method. Depending on the distance to the virtual nerve, a synthetic electromyogram (EMG) signal is sent to a real neuromonitor. The trainee learns to interpret the output of the neuromonitor. The trainer can choose different training scenarios, such as localization of the nerve, milling or coagulating, using a web application.

Published Online: 2020-11-26
Published in Print: 2020-09-01

© 2020 by Walter de Gruyter Berlin/Boston

This work is licensed under the Creative Commons Attribution 4.0 International License.

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