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Table 1 Description of the performance metrics

From: The McGill simulator for endoscopic sinus surgery (MSESS): a validation study

Metric sphere

Definition

Metric

Units

Quality

Completeness of targeted tissue removal

Amount of anterior ethmoids removed

Percentage (amount removed/total amount of relevant tissue)

Amount of posterior ethmoids removed

Percentage

Amount of sphenoid face removed

Percentage

Efficiency

Task performance with the least amount of unnecessary maneuvers

Time to complete tasks

Seconds

Path length (endoscope)

Millimeters

Path length (microdebrider)

Millimeters

Fluctuation in distance between tips of endoscope & microdebrider (calculated by interquartile range)

Millimeters

Frequency of microdebrider pedal activation

Number

Amount of endonasal washes

Number

Safety

Amount of collateral damage

Amount of normal tissue removed, namely tissue over three critical ¿no-go¿ zones (lamina papyracea, skull base and optico-carotid recess)

Percentage

Maximal force applied on skull base and lamina papyracea

Newtons