Pascoto Gabriela Robaskewicz, Stamm Aldo Cassol, Lyra Marcos
Department of Otolaryngology, Avita Medicina, Florianópolis, Santa Catarina, Brazil.
Department of Otorhinolaryngology, Complexo Hospitalar Edmundo Vasconcelos, São Paulo, Brazil.
Int Arch Otorhinolaryngol. 2017 Jan;21(1):17-20. doi: 10.1055/s-0036-1586250. Epub 2016 Aug 16.
Several surgical training simulators have been created for residents and young surgeons to gain experience with surgical procedures. Laboratory training is fundamental for acquiring familiarity with the techniques of surgery and skill in handing instruments. The aim of this study is to present a novel simulator for training sialendoscopy. This realistic simulator was built with a synthetic thermo-retractile, thermo-sensible rubber which, when combined with different polymers, produces more than 30 different formulas. These formulas present textures, consistencies, and mechanical resistance are similar to many human tissues. The authors present a training model to practice sialendoscopy. All aspects of the procedure are simulated: month opening, dilatation of papillae, insert of the scope, visualization of stones, extraction of these stones with grasping or baskets, and finally, stone fragmentation with holmium laser. This anatomical model for sialendoscopy training should be considerably useful to abbreviate the learning curve during the qualification of young surgeons while minimizing the consequences of technical errors.
已经为住院医师和年轻外科医生创建了几种手术训练模拟器，以便他们获得手术操作经验。实验室训练对于熟悉手术技术和掌握器械操作技能至关重要。本研究的目的是介绍一种新型的唾液腺内镜训练模拟器。这种逼真的模拟器是用合成的热收缩、热敏橡胶制成的，当与不同的聚合物结合时，能产生30多种不同的配方。这些配方呈现出的质地、稠度和机械阻力与许多人体组织相似。作者提出了一种用于练习唾液腺内镜检查的训练模型。该操作的所有方面都进行了模拟：口腔张开、乳头扩张、插入内镜、结石可视化、用抓钳或网篮取出这些结石，最后用钬激光碎石。这种用于唾液腺内镜训练的解剖模型对于缩短年轻外科医生资格认证期间的学习曲线、同时将技术失误的后果降至最低应该会有很大帮助。
