“…The Georgetown low-cost sinus trainer costs $5 and allows the trainee to practise basic endoscopy and sinus surgery skills including recess probing, targeted injections, removal of a suture, removal of a foreign body and antrostomy creation using an egg [19,20] University of Toronto developed a low-cost, low-idelity, easily constructed simulator for $20 with ive diferent training modules and demonstrated that training on the model had a positive impact on ESS skills [21,22]. More recently, the University of Texas [23] have produced a silicone injection moulded ESS simulation model at low cost and testing revealed high ratings for both face and construct validity. Storz have crafted a lifelike training model based on real computed tomography images.…”