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我是这样做的:一种用于在2019冠状病毒病大流行期间培养耳显微手术技能的耳部模拟器。

How I do it: a simulator of the ear for developing otomicroscopy skills during the coronavirus disease 2019 pandemic.

作者信息

Shenton C, Aucott W

机构信息

Otolaryngology Department, Blackpool Victoria Hospital, UK.

出版信息

J Laryngol Otol. 2020 Oct 21:1-4. doi: 10.1017/S0022215120002261.

DOI:10.1017/S0022215120002261
PMID:33081871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7642954/
Abstract

OBJECTIVE

To develop a simulator of the external auditory canal and tympanic membrane that enables surgical trainees to practise their otomicroscopy skills, which is particularly valuable at a time where there is limited patient contact because of the coronavirus disease 2019 lockdown.

METHODS

A simulator of the external auditory canal and tympanic membrane was made using a cardboard bowl, a 2 ml syringe and a latex glove. The simulator was used to practise otomicroscopy skills, including microsuction, foreign body removal, myringotomy and grommet insertion. Five doctors in the ENT department participated, ranging from core surgical training year two doctor to specialty doctor.

RESULTS

The simulator provides an effective tool on which surgical trainees can practise, develop and maintain a variety of otomicroscopy skills.

CONCLUSION

This inexpensive, easy and quick-to-make simulator enables trainees to practise their otomicroscopy skills on an approximately accurate model during a time when there is minimal clinical opportunity to develop these skills, particularly because of the coronavirus disease 2019 pandemic.

摘要

目的

开发一种外耳道和鼓膜模拟器,使外科实习生能够练习耳显微镜检查技能,在因2019年冠状病毒病封锁导致患者接触受限的时期,这一模拟器具有特别重要的价值。

方法

使用一个硬纸板碗、一个2毫升注射器和一副乳胶手套制作了一个外耳道和鼓膜模拟器。该模拟器用于练习耳显微镜检查技能,包括微吸、异物取出、鼓膜切开术和鼓膜置管术。耳鼻喉科的五名医生参与其中,从核心外科培训第二年的医生到专科医生。

结果

该模拟器为外科实习生提供了一个有效的工具,他们可以在此练习、培养和维持各种耳显微镜检查技能。

结论

这种制作成本低廉、简便快捷的模拟器,能让实习生在临床实践机会极少、尤其是因2019年冠状病毒病大流行而导致技能培养机会有限的时期,在一个大致精确的模型上练习耳显微镜检查技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/758693577e03/S0022215120002261_fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/b30b5939d021/S0022215120002261_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/96e5b61f382b/S0022215120002261_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/93f3deaa9ba7/S0022215120002261_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/4c521fa101b5/S0022215120002261_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/2a328890ed26/S0022215120002261_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/52378ff9caba/S0022215120002261_fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/df68cedda9c5/S0022215120002261_fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/76512aff3e40/S0022215120002261_fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/758693577e03/S0022215120002261_fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/b30b5939d021/S0022215120002261_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/96e5b61f382b/S0022215120002261_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/93f3deaa9ba7/S0022215120002261_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/4c521fa101b5/S0022215120002261_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/2a328890ed26/S0022215120002261_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/52378ff9caba/S0022215120002261_fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/df68cedda9c5/S0022215120002261_fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/76512aff3e40/S0022215120002261_fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/296d/7642954/758693577e03/S0022215120002261_fig9.jpg

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Laryngoscope. 2012 Aug;122(8):1844-51. doi: 10.1002/lary.23361. Epub 2012 May 7.
4
A simple method for teaching myringotomy and ventilation tube insertion.一种教授鼓膜切开术和置管术的简单方法。
Ear Nose Throat J. 2011 Mar;90(3):94-6. doi: 10.1177/014556131109000302.
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Construct validity of a simulator for myringotomy with ventilation tube insertion.鼓膜切开置管模拟器的结构效度。
Otolaryngol Head Neck Surg. 2009 Nov;141(5):603-608.e1. doi: 10.1016/j.otohns.2009.07.015. Epub 2009 Oct 1.
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Interactive computer-based simulator for training in blade navigation and targeting in myringotomy.用于鼓膜切开术刀片导航和靶向训练的交互式基于计算机的模拟器。
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How we do it: the Bradford grommet trainer: a model for training in myringotomy and grommet insertion.我们的做法:布拉德福德鼓膜通气管训练器:鼓膜切开术和鼓膜通气管插入术训练模型。
Clin Otolaryngol. 2005 Aug;30(4):371-3. doi: 10.1111/j.1365-2273.2005.00978.x.