An anatomically sound surgical simulation model for myringotomy and tympanostomy tube insertion

Hong, Paul; Webb, Amanda; Corsten, Gerard; Balderston, Janet; Haworth, Rebecca; Ritchie, Krista; Massoud, Emad

doi:10.1016/j.ijporl.2013.12.036

Cited by 25 publications

(27 citation statements)

References 26 publications

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“…Several recent studies have included medical students to validate clinical skills assessment tools for cricothyrotomy, pediatric airway endoscopy simulation, and epistaxis management . Medical students have also been included in studies validating skills models for endoscopic sinus surgery, temporal bone drilling, myringotomy with tympanostomy tube insertion, otoscopy, epistaxis management, nasolaryngoscopy, transoral robotic surgery, and lymph node palpation …”

Section: Resultsmentioning

confidence: 99%

“…Fifteen studies discussed skills assessment; however, most used medical students as novices in the evaluation of skill‐based simulation training or validation of assessment tools. Although many of these skills training and assessment tools may prove to be valuable for undergraduate education, these studies were primarily focused on validation.…”

Section: Discussionmentioning

confidence: 99%

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Qualitative synthesis and systematic review of otolaryngology in undergraduate medical education

et al. 2015

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Qualitative synthesis and systematic review of otolaryngology in undergraduate medical education

et al. 2015

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“…A middle ear phantom was 3D-printed using computerassisted design software Solid Edge ST7 (Siemens). The shapes and angles were modeled to resemble the normal middle ear anatomical configuration based on previously described anatomical measurements (51). These models were used as the design files for the 3D printing process.…”

Section: Methodsmentioning

confidence: 99%

Using the shortwave infrared to image middle ear pathologies

Carr

Valdez

Bruns

et al. 2016

Proc. Natl. Acad. Sci. U.S.A.

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Visualizing structures deep inside opaque biological tissues is one of the central challenges in biomedical imaging. Optical imaging with visible light provides high resolution and sensitivity; however, scattering and absorption of light by tissue limits the imaging depth to superficial features. Imaging with shortwave infrared light (SWIR, 1–2 μm) shares many advantages of visible imaging, but light scattering in tissue is reduced, providing sufficient optical penetration depth to noninvasively interrogate subsurface tissue features. However, the clinical potential of this approach has been largely unexplored because suitable detectors, until recently, have been either unavailable or cost prohibitive. Here, taking advantage of newly available detector technology, we demonstrate the potential of SWIR light to improve diagnostics through the development of a medical otoscope for determining middle ear pathologies. We show that SWIR otoscopy has the potential to provide valuable diagnostic information complementary to that provided by visible pneumotoscopy. We show that in healthy adult human ears, deeper tissue penetration of SWIR light allows better visualization of middle ear structures through the tympanic membrane, including the ossicular chain, promontory, round window niche, and chorda tympani. In addition, we investigate the potential for detection of middle ear fluid, which has significant implications for diagnosing otitis media, the overdiagnosis of which is a primary factor in increased antibiotic resistance. Middle ear fluid shows strong light absorption between 1,400 and 1,550 nm, enabling straightforward fluid detection in a model using the SWIR otoscope. Moreover, our device is easily translatable to the clinic, as the ergonomics, visual output, and operation are similar to a conventional otoscope.

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“…Myringotomy and grommet insertion is one of the commonest otolaryngology procedures and there are many physical simulators for it. Most models are inexpensive, easily made and reproducible [25][26][27][28]. Other physical otology models are also available including 3D models for mastoidectomy, stapedectomy and various other middle ear surgeries [29][30][31][32].…”

Section: Otology Simulatorsmentioning

confidence: 99%

Creating a Validated Simulation Training Curriculum in Otolaryngology

Bhalla

Tolley

Awad

2020

Curr Otorhinolaryngol Rep

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Purpose of Review Simulation-based training is an integral component of surgical training. It allows practice of technical skills within a safe environment without compromising patient safety. This article seeks to review current virtual and non-virtual reality simulation models within the literature and review their validation status. Recent Findings Many simulation models exist within otolaryngology and are currently being used for education. New models are also continuously being developed; however, validity should be proven for the models before incorporating their use for educational purposes. Validity should be determined by experts and trainees themselves. Summary A validated simulation curriculum should be incorporated within the otolaryngology training programme. A curriculum based on the current training programme at our institution serves as an exemplar for local adoption.

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An anatomically sound surgical simulation model for myringotomy and tympanostomy tube insertion

Cited by 25 publications

References 26 publications

Qualitative synthesis and systematic review of otolaryngology in undergraduate medical education

Qualitative synthesis and systematic review of otolaryngology in undergraduate medical education

Using the shortwave infrared to image middle ear pathologies

Creating a Validated Simulation Training Curriculum in Otolaryngology

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