Development and Validation of a Low-Cost and Simple Simulator for Microlaryngeal Surgery
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives. The simulation of microlaryngeal skills is rarely seen in surgical training, but it is particularly important in phonomicrosurgery. This study described and validated the laryngeal surgical simulator through surgical training. Methods. A simple and low-cost simulator was developed for the fixation of the suspension laryngoscope and porcine larynges. Twenty participants with work skills and experience did preparation before training, and performed suture and carbon dioxide (CO2) laser cordectomy for simulator evaluation. The results were proposed by the aspects of time taken for each procedure, the global rating scale, a procedure-specific assessment, and a post-simulation questionnaire. Results. All participants completed the preparation within 9 minutes and reached the conclusion that the microlaryngeal surgical simulator was helpful in improving their surgical skills. The performance of experts was superior to that of novices in both suture and CO2 laser cordectomy. Conclusion. This simulator could be easily assembled and was successfully validated by microlaryngeal surgical training both subjectively and objectively. It may be helpful to clinicians in microlaryngeal skills.
Abstract
Objectives. The simulation of microlaryngeal skills is rarely seen in surgical training, but it is particularly important in phonomicrosurgery. This study described and validated the laryngeal surgical simulator through surgical training. Methods. A simple and low-cost simulator was developed for the fixation of the suspension laryngoscope and porcine larynges. Twenty participants with work skills and experience did preparation before training, and performed suture and carbon dioxide (CO2) laser cordectomy for simulator evaluation. The results were proposed by the aspects of time taken for each procedure, the global rating scale, a procedure-specific assessment, and a post-simulation questionnaire. Results. All participants completed the preparation within 9 minutes and reached the conclusion that the microlaryngeal surgical simulator was helpful in improving their surgical skills. The performance of experts was superior to that of novices in both suture and CO2 laser cordectomy. Conclusion. This simulator could be easily assembled and was successfully validated by microlaryngeal surgical training both subjectively and objectively. It may be helpful to clinicians in microlaryngeal skills.
참고문헌 (20)
- Jackel MC, "Twenty-five years experience with laser surgery for head and neck tumors : report of an international symposium, Gottingen, Germany, 2005", Eur Arch Otorhinolaryngol, 264(6), pp.577~585 (2007)
- Steuer CE, "An update on larynx cancer", CA Cancer J Clin, 67(1), pp.31~50 (2017)
- Xidong C, "Management of difficult suspension laryngoscopy using a GlideScope(R)Video Laryngoscope", Acta Otolaryngol, 132(12), pp.1318~1323 (2012)
- Latuska RF, "Severe bradycardia associated with suspension laryngoscopy", Laryngoscope, 126(4), pp.949~950 (2016)
- Glassman SH, "Asystole following reintubation during suspension laryngoscopy", Case Rep Anesthesiol, 2012, pp.916306~ (2012)
- Dailey SH, "A laryngeal dissection station : educational paradigms in phonosurgery", Laryngoscope, 114(5), pp.878~882 (2004)
- Contag SP, "Validation of a laryngeal dissection module for phonomicrosurgical training", Laryngoscope, 119(1), pp.211~215 (2009)
- Fleming J, "Validation of an operating room immersive microlaryngoscopy simulator", Laryngoscope, 122(5), pp.1099~1103 (2012)
- Ainsworth TA, "Simulation model for transcervical laryngeal injection providing real-time feedback", Ann Otol Rhinol Laryngol, 123(12), pp.881~886 (2014)
- Martin JA, "Objective structured assessment of technical skill(OSATS)for surgical residents", Br J Surg, 84(2), pp.273~278 (1997)
- Moorthy K, "Objective assessment of technical skills in surgery", BMJ, 327(7422), pp.1032~1037 (2003)
- Tsuji DH, "T-shaped microsuture : a new suture technique for laryngeal microsurgery", J Voice, 23(6), pp.739~742 (2009)
- Remacle M, "Endoscopic cordectomy : a proposal for a classification by the Working Committee, European Laryngological Society", Eur Arch Otorhinolaryngol, 257(4), pp.227~231 (2000)
- Zambricki EA, "Phonomicrosurgery simulation : a low-cost teaching model using easily accessible materials", Laryngoscope, 126(11), pp.2528~2533 (2016)
- Dedmon MM, "Development and validation of a high-fidelity porcine laryngeal surgical simulator", Otolaryngol Head Neck Surg, 153(3), pp.420~426 (2015)
- Holliday MA, "Low-cost modular phonosurgery training station : development and validation", Laryngoscope, 125(6), pp.1409~1413 (2015)
- Nixon IJ, "An integrated simulator for endolaryngeal surgery", Laryngoscope, 122(1), pp.140~143 (2012)
- Jiang JJ, "Comparison of the phonation-related structures among pig, dog, white-tailed deer, and human larynges", Ann Otol Rhinol Laryngol, 110(12), pp.1120~1125 (2001)
- Alipour F, "Vocal fold elasticity in the pig, sheep, and cow larynges", J Voice, 25(2), pp.130~136 (2011)
- Isaacson G, "Ex vivo ovine model for suspension microlaryngoscopy training", J Laryngol Otol, 130(10), pp.939~942 (2016)