The temporal bone, a key area of focus for otologists, is among the most complex structures in the human body. To deliver optimal medical care for the temporal bone, we identified three critical pillars; (1) insights from microsurgical anatomy to facilitate complex and delicate surgeries, (2) expertise in advanced medical engineering to enhance surgical safety, and (3) knowledge from molecular biology and clinical statistics to evaluate malignancy, predict prognosis, and develop precise treatment strategies. Each of these elements is indispensable to ensure the highest standard of care.
Presently, our efforts have focused on establishing precise and safe temporal bone surgery. This was accomplished through a multifaceted research approach, with microsurgical anatomy serving as the foundation, complemented by molecular biological methodologies. The ability to perform precise and safe temporal bone surgery is the otologists’ core responsibility and greatest strengths.
Recently, opportunities for on-the-job training have decreased because of reduced otologic surgery cases and the implementation of work-style reforms. Conversely, the advent of digital transformation technologies, including virtual reality, and the incorporation of artificial intelligence have expanded opportunities for off-the-job training. These technological advancements have made it significantly easier to acquire a three-dimensional understanding of microsurgical anatomy.
We aspire to further advance the clinical and research foundations established and work toward the establishment of accurate and safe temporal bone surgery.
"},{"@language":"ja","@value":"耳科医が専門とする側頭骨は，人体で最も複雑な構造を持つ領域の一つである．この複雑な側頭骨を治療対象とし，最良の医療を提供するためには以下の三点が重要と考えている．（1）複雑かつ繊細な手術を遂行するための微小外科解剖から得られる知見，（2）手術の安全性を高める先端医療工学の知見，（3）腫瘍の悪性度や予後を評価し，適切な治療戦略を決定するための分子生物学および臨床統計学の知見．これらの要素は，どれ一つとして欠くことができない．
これまで，正確で安全な側頭骨外科手術の確立を目指し，微小外科解剖研究を基軸に分子生物学的アプローチを取り入れた多角的研究を行ってきた．側頭骨を安全かつ正確に扱うことは耳科医の使命であり，最大の強みの一つである．しかし，近年の耳科手術症例の減少や働き方改革により，実地訓練（on-the-job training）の機会は減少している．一方で，仮想現実（VR: virtual reality）や人工知能（AI: artificial intelligence）の導入に伴い，非実地訓練（off-the-job training）の機会は増加傾向にあり，三次元的に微小外科解剖を理解する機会が得やすい時代となっている．こうした時代背景を踏まえ，築いてきた臨床および研究基盤をさらに発展させ，正確で安全な側頭骨外科手術の確立に尽力していきたいと考えている．
"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410868848084618752","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"小宗 徳孝"},{"@language":"en","@value":"Komune Noritaka"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Otorhinolaryngology Head and Neck Surgery, Kyushu University Hospital"},{"@language":"ja","@value":"九州大学病院 耳鼻咽喉・頭頸部外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09172025"},{"@type":"EISSN","@value":"18841457"},{"@type":"NDL_BIB_ID","@value":"000000077315"},{"@type":"ISSN","@value":"09172025"},{"@type":"LISSN","@value":"09172025"},{"@type":"NCID","@value":"AN10358085"}],"prism:publicationName":[{"@language":"en","@value":"Otology Japan"},{"@language":"ja","@value":"Ｏｔｏｌｏｇｙ Ｊａｐａｎ"},{"@language":"en","@value":"Otol Jpn"},{"@language":"ja","@value":"Ｏｔｏｌ Ｊｐｎ"}],"dc:publisher":[{"@language":"en","@value":"Japan Otological Society"},{"@language":"ja","@value":"一般社団法人 日本耳科学会"}],"prism:publicationDate":"2025","prism:volume":"35","prism:number":"1","prism:startingPage":"15","prism:endingPage":"20"},"url":[{"@id":"http://id.ndl.go.jp/bib/034034144"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I034034144"},{"@id":"https://search.jamas.or.jp/link/ui/2025173856"}],"availableAt":"2025","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E5%81%B4%E9%A0%AD%E9%AA%A8","dc:title":"側頭骨"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%89%8B%E8%A1%93","dc:title":"手術"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%A4%96%E7%A7%91%E8%A7%A3%E5%89%96","dc:title":"外科解剖"},{"@id":"https://cir.nii.ac.jp/all?q=temporal%20bone","dc:title":"temporal bone"},{"@id":"https://cir.nii.ac.jp/all?q=surgery","dc:title":"surgery"},{"@id":"https://cir.nii.ac.jp/all?q=surgical%20anatomy","dc:title":"surgical anatomy"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2014623531"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I034034144"}]}