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This paper provides instructions for a virtual exploration and self-study of surgical approaches within the temporal bone. Linear drilling trajectories in the sense of "keyhole" accesses are compared with true-color rendering techniques using freeware to introduce and evaluate new otologic approaches. On the basis of public-domain cyro-histology image data from a temporal bone six different drill trajectories are presented. This virtual method has the potential to be a first step in investigation of new surgical approaches before moving to cadaver testing.

Virtual Exploration and Comparison of Linear Mastoid Drilling Trajectories with True-Color Volume Rendering and the Visible Ear Dataset