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Updated: Apr 13, 2026

06:42
Extracting the Cochlea from a Human Temporal Bone: A Cadaveric Protocol
Published on: August 18, 2023
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Mixed reality temporal bone surgical dissector: mechanical design.
Jordan Brent Hochman1,2, Nariman Sepehri3, Vivek Rampersad4
1Neurotologic Surgery, Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, University of Manitoba, GB421, 820 Sherbrook Street, Winnipeg, Manitoba, Canada. jordanhochman@hotmail.com.
Summary
This study developed a novel mixed reality (MR) temporal bone simulator by combining haptic soft tissue simulation with 3D printed bone models. The system successfully integrates a surgical drill for realistic training, demonstrating proof of concept.
Area of Science:
- Medical Simulation
- Surgical Training Technologies
- Mixed Reality (MR) Applications
Background:
- Current haptic simulators struggle with realistic contact forces.
- 3D printed bone models lack soft tissue representation.
- A novel approach combines haptic and 3D printed simulations.
Purpose of the Study:
- To develop a novel mixed reality (MR) simulation for temporal bone surgery training.
- To address the mechanical integration of a haptic device with an otic drill.
- To enable realistic simulation of soft tissue interaction during drilling.
Main Methods:
- Developed custom software to reposition haptic interaction to the drill tip.
- Created a custom fitting for the otic drill with weight offset via haptic device.
- Tested system robustness and stability using a mixed reality model with virtual soft tissue forces.
Main Results:
- Effectiveness of gravity cancellation was demonstrated.
- The system showed excellent performance with random inputs and during transitions between real and virtual components.
- No registration issues were observed at model boundaries.
Conclusions:
- The developed system serves as a proof of concept for a novel mixed reality temporal bone simulator.
- This technology advances surgical simulation by integrating haptic feedback and realistic models.
- Further development stages are planned for this innovative training tool.

