Efficacy of Sinonasal Simulator in Teaching Endoscopic Nasal Skills

Abstract

Our NM accurately simulates human texture and anatomy and provides an opportunity for endoscopic training without concern of bloodborne pathogens and expense of cadavers. Further development of the NM is warranted to expand the training utility.

Systematic review of skills transfer after surgical simulation-based training

“…Thirteen studies 31 -43 investigated endoscopic procedures, including colonoscopy 36,40,43 , oesophogastroduodenoscopy 32,38,39,41 , cystourethroscopy 37 , flexible transnasal laryngoscopy 31,35 , endoscopic sinus surgery 33,42 and transurethral resection of prostate (TURP) 34 ( Table 2). Seven studies 44 -50 investigated other procedures, namely knee arthroscopy 46 , abdominal fascial closure 49 , cardiac catheterization 44 , superficial femoral artery angioplasty 47 and cataract surgery 45,48,50 (Table 3).…”

“…Participants included interns and trainees in general surgery, gynaecology, urology, ophthalmology, otolaryngology, orthopaedics, internal medicine and gastroenterology. Medical students were the novices for three studies involving camera navigation 28 and transnasal flexible endoscopy 31,35 . Six 20,31,33,34,36,38 of the 27 RCTs did not report the method of randomization, and only three 21,23,27 reported clearly how the randomization process, including sequence generation, allocation concealment and implementation, occurred.…”

Novel Otolaryngology Simulation for the Management of Emergent Oropharyngeal Hemorrhage

“…Time and time again, simulation-based training has shown its effectiveness in the medical field, and specifically in the field of otolaryngology [14][15][16]. A study in 2015 by Chin et al found that "an otolaryngology boot camp gives residents the chance to learn and practice emergency skills before encountering the emergencies in everyday practice.…”

Modelos reais e simuladores virtuais em otorrinolaringologia: revisão da literatura

“…1 The Lockheed Martin Corporation (Akron, Ohio, US) has recently developed a nasal and paranasal sinus endoscopic surgery virtual simulator -the ES3 -based on flight simulator concepts developed previously at this company for the North-American military forces. 1,10,[24][25][26] This simulator applied virtual reality and direct user interaction mechanisms, such as force feedback. Its use, however, remains restricted, even in the US, due to the high cost of equipment, which includes a powerful computer (Silicon Graphics Inc., Mountain View, Calif), force feedback controls (Phantom Omni), and a platform consisting of a replica of an endoscope, surgical tools, and a model plastic head (Fig.…”

“…These models -based on real patients -may provide opportunities for anticipating the procedures that will be done in those patients, helping minimize eventual risks and complications. 9,10,11 In the majority of Brazilian centers, training of medical residents in otorhinolaryngology includes theory classes, monitoring patients in an outpatient setting, video sessions of surgical procedures, dissection of recent cadavers, direct observation of surgical procedures, and carrying out procedures and surgery under supervision in training hospitals. 12 Usually long training periods are required for training able professionals; unfortunately, this process has its restrictions in certain locations because of lack of patients, procedures and anatomical specimens for dissection in our country.…”