Yu Pengcheng, Luan Jia, Cui Xidong, Li Xumao, Hu Xinqi, Sun Guangbin
Department of Otorhinolaryngology-Head and Neck Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Outpatient Department, Huashan Worldwide Medical Center, Shanghai, China.
Clin Exp Otorhinolaryngol. 2020 Feb;13(1):58-63. doi: 10.21053/ceo.2019.00556. Epub 2019 Aug 3.
The simulation of microlaryngeal skills is rarely seen in surgical training, but it is particularly important in phonomicrosurgery. This study described and validated the laryngeal surgical simulator through surgical training.
A simple and low-cost simulator was developed for the fixation of the suspension laryngoscope and porcine larynges. Twenty participants with work skills and experience did preparation before training, and performed suture and carbon dioxide (CO2) laser cordectomy for simulator evaluation. The results were proposed by the aspects of time taken for each procedure, the global rating scale, a procedure-specific assessment, and a post-simulation questionnaire.
All participants completed the preparation within 9 minutes and reached the conclusion that the microlaryngeal surgical simulator was helpful in improving their surgical skills. The performance of experts was superior to that of novices in both suture and CO2 laser cordectomy.
This simulator could be easily assembled and was successfully validated by microlaryngeal surgical training both subjectively and objectively. It may be helpful to clinicians in microlaryngeal skills.
在外科手术培训中，很少见到对显微喉镜手术技能的模拟，但在嗓音显微外科手术中，这种模拟尤为重要。本研究通过手术培训对喉部手术模拟器进行了描述和验证。
开发了一种用于固定悬吊喉镜和猪喉的简单且低成本的模拟器。20名具有工作技能和经验的参与者在培训前进行准备，并进行缝合和二氧化碳（CO2）激光声带切除术以评估模拟器。结果从每个手术所花费的时间、整体评分量表、特定手术评估以及模拟后问卷等方面进行呈现。
所有参与者均在9分钟内完成准备，并得出结论认为显微喉镜手术模拟器有助于提高他们的手术技能。在缝合和CO2激光声带切除术中，专家的表现均优于新手。
该模拟器易于组装，并通过显微喉镜手术培训在主观和客观上均成功得到验证。它可能对临床医生的显微喉镜手术技能有所帮助。
