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住院医师培训中镫骨切除术训练的替代模型:绵羊尸体耳。

An alternative model for stapedectomy training in residency program: sheep cadaver ear.

作者信息

Gocer Celil, Eryilmaz Adil, Genc Umut, Dagli Muharrem, Karabulut Hayriye, Iriz Ayse

机构信息

ENT Department, Ankara Numune Research and Education Hospital, YAYLA MAH. BAGCI CAD. NO: 122-13, Etlik, Ankara, 06020, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2007 Dec;264(12):1409-12. doi: 10.1007/s00405-007-0437-3. Epub 2007 Sep 6.

Abstract

To determine the usefulness of sheep cadaver ear as a complementary model for training of stapedectomy at residency programs, 2 of our 4 year residents were included in the study and each operated 20 sheep ears. All routine steps of stapedectomy operation were performed, and their success and complication scores were recorded. Performance of residents for stapedectomy and teflon piston placement in sheep ears were evaluated by the authors. Success of both residents improved progressively. Success and complications were impressively better in the second 10 ears than the initial 10 for each resident. Both residents had better outcomes in last 10 ears. Sheep cadaver ear is an excellent model for stapedectomy training in residency and helps to improve surgical skills. We offer sheep cadaver ear training model especially in the countries where obtaining human cadaver temporal bone is difficult.

摘要

为了确定绵羊尸体耳作为住院医师培训镫骨切除术补充模型的实用性,我们的4名住院医师中有2名被纳入该研究,每人对20只绵羊耳进行手术。镫骨切除术的所有常规步骤均已完成,并记录了手术的成功率和并发症评分。作者对住院医师在绵羊耳中进行镫骨切除术和放置聚四氟乙烯活塞的操作进行了评估。两名住院医师的手术成功率均逐步提高。每位住院医师在后10只耳朵手术中的成功率和并发症情况明显优于最初的10只耳朵。两名住院医师在最后10只耳朵手术中的效果都更好。绵羊尸体耳是住院医师镫骨切除术培训的优秀模型,有助于提高手术技能。我们特别在获取人类尸体颞骨困难的国家提供绵羊尸体耳培训模型。

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