A review of simulation platforms in surgery of the temporal bone

Bhutta, Mahmood F.

doi:10.1111/coa.12560

Cited by 40 publications

(52 citation statements)

References 48 publications

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“…Both open and minimally invasive procedures were taught on cadavers, in more than eight different surgical specialties including trauma, general surgery, neurosurgery and GI surgery [7][8][9][10][11]. Basic (e.g.…”

Section: Participants and Interventionmentioning

confidence: 99%

“…Nevertheless, if the systematic review is assessing simulation for a specific procedure that cannot be adequately replicated with other forms of simulation (e.g. temporal bone surgery), the authors are found to be more enthusiastic about cadaveric simulation [8,9].…”

Section: Participants and Interventionmentioning

confidence: 99%

“…This yielded 4-5 groups (animal models-live or not), bench top models, human cadavers and robotic simulators [7,8,11]. The authors explore the advantages and disadvantages of each type of simulator, although studies directly comparing different types of simulators are a rare occurrence.…”

Section: Comparatorsmentioning

confidence: 99%

“…Yet, when cadavers were compared to other pedagogic tools, they were found to have the same impact as bench models and virtual reality simulators [7] but had a higher impact than textbook studying [7,11]. However, these results should be interpreted with caution as the studies have methodological limitations such as lack of power calculation, small sample sizes and use of inappropriate outcome measures [7][8][9].…”

Section: Comparatorsmentioning

confidence: 99%

“…Studies assessing the didactic value of the latter did not explore the transferability of skills to the real operating theatre [7]. Bhutta et al note that, according to expert opinion, cadavers are the optimal training medium [8]; they are however evaluating various training methods for temporal bone surgery, which involves complex anatomy, which is difficult to reproduce using synthetic models and virtual reality simulators. Further, significant anatomical differences exist between animals and humans in the temporal region, making human cadavers the only option.…”

Section: Comparatorsmentioning

confidence: 99%

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Cadaveric simulation: a review of reviews

et al. 2017

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Background Traditional surgical training, largely based on the Halstedian model Bsee one, do one, teach one^is not as effective in the era of working time restrictions and elaborate shiftpatterns. As a result, contemporary surgeons turned to educational methods outside the operating theatre such as simulation. Cadavers are high fidelity models but their use has ethical and cost implications and their availability may be limited. In this review, we explore the role of cadaveric simulation in modern surgical education. Methods All the Evidence-Based Medicine databases were searched for relevant reviews. The resulting studies were assessed for inclusion to this review, according to predetermined criteria. Data extraction was performed using a custom-made spreadsheet, and the quality of included reviews was assessed using a validated scoring system (AMSTAR). Results The literature review yielded 33 systematic reviews; five of which matched the inclusion criteria and were included in this review of reviews. Cadaveric simulation was found to have good face (subjective assessment of usefulness) and content validity (whether a specific element adds or retracts to the educational value) while trainees improved their surgical skills after practicing on cadavers. However, concerns have been raised about ethical issues, high cost and availability. Conclusion Cadavers are an effective medium for surgical teaching, and it may be appropriate for them to be used whenever surrounding conditions such cost and availability allow. Further research is required to provide evidence on whether there is equivalence between cadavers and other educational media which may not bear the same shortcomings.

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Section: Participants and Interventionmentioning

confidence: 99%

Section: Participants and Interventionmentioning

confidence: 99%

Section: Comparatorsmentioning

confidence: 99%

Section: Comparatorsmentioning

confidence: 99%

Section: Comparatorsmentioning

confidence: 99%

See 3 more Smart Citations

Cadaveric simulation: a review of reviews

et al. 2017

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Human dissection for anesthesiology resident training augments anatomical knowledge and clinical skills

Maffucci,

Park,

Shirur

et al. 2023

Anatomical Sciences Ed

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Anatomy is an essential component of clinical anesthesiology. The use of simulated patients and alternative materials, including embalmed human bodies, have become increasingly common during resident physician training due to the deemphasis on anatomical education during undergraduate medical training. In this report, the need for a more extensive review of relevant anatomy for the practice of anesthesiology was addressed by the design, evaluation, and dissemination of a human dissection course for procedural training of anesthesiology residents. The course utilized “freedom art” embalmed human bodies that allowed trainees to perform ultrasound‐based regional and neuraxial techniques followed by detailed dissections of critical anatomy. One hundred and four residents participated in workshops and small group discussions and were evaluated using pre‐ and post‐course assessments. A variety of clinical techniques were performed on the bodies, including regional blocks and neuraxial catheter placement. Insertion of peripheral/neuraxial catheters was successful, with dissections demonstrating the expected placement. Assessment scores improved following the course (pre‐course mean 52.7%, standard deviation (σ) 13.1%; post‐course mean 72.2%, σ 11.6%; t‐test p < 0.0001) and feedback highlighted the usefulness and clinical relevance of course content. The ability to correlate ultrasound imaging with subsequent dissections of the “blocked” area and visualization of dye staining was extremely relevant for spatial understanding of the anatomy relevant for the clinical practice of these techniques. This manuscript demonstrates successful implementation of a comprehensive course for anesthesiology resident physicians to address gaps in undergraduate anatomical education and suggests that broader adoption of dissection courses may be beneficial for training anesthesiologists.

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Critical appraisal of Genelyn soft embalming for cadaveric surgical skill training: A systematic review

Rajasekhar,

Kaliyamoorthy,

Dinesh Kumar

et al. 2024

Clinical Anatomy

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Genelyn is a proprietary embalming solution used for preserving cadavers for surgical skill training (SST) and undergraduate teaching. The aim of this review is to examine the Genelyn embalming method critically by analyzing scientific publications that have employed this method for SST and undergraduate education. The systematic review process involved searching for all relevant articles in PubMed, Google Scholar, and Embase using the keywords “Genelyn,” Genelyn embalming,” “Genelyn embalmed cadaver,” and “surgical skill training. All studies on Genelyn embalming published up to August 14, 2024, in the English language were eligible for inclusion. The literature review yielded 92 studies, 43 of which met the inclusion criteria. The Anatomical Quality Assurance (AQUA) tool from the International Evidence‐Based Anatomy (iEBA) working group was used to assess and analyze the risk of bias in all the selected full‐text articles. The selected studies reported that Genelyn embalming provided life‐like joint range of motion, tissue pliability, and color. Cadaveric studies assessing embalming solutions typically had smaller sample sizes, and few of them compared Genelyn embalmed cadavers (GECs) with the other soft embalming solutions. Unlike Theil's embalming, Genelyn embalming is cost‐effective, with easy steps for the preparation and storage of the solution and convenient handling of cadavers. Therefore, GECs serve as an efficient tool for SSTs.

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A review of simulation platforms in surgery of the temporal bone

Cited by 40 publications

References 48 publications

Cadaveric simulation: a review of reviews

Cadaveric simulation: a review of reviews

Human dissection for anesthesiology resident training augments anatomical knowledge and clinical skills

Critical appraisal of Genelyn soft embalming for cadaveric surgical skill training: A systematic review

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