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Construct and Validation of a Three-Dimensional Physical Model for Training in Transnasal Office Procedures.

作者信息

Bright Rakesh R, Varghese Lalee, Kurien Regi

机构信息

Department of Otorhinolaryngology, Christian Medical College, Vellore, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1638-1645. doi: 10.1007/s12070-021-02775-7. Epub 2021 Aug 2.


DOI:10.1007/s12070-021-02775-7
PMID:36452823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9702433/
Abstract

Most simulation models in rhinology are costly and are primarily meant to enhance endoscopic surgical skills. The present study aimed to construct a 3-dimensional model of the nose which is easily constructible with commonly available low cost plaster of Paris (POP) and assess its usefulness in training residents in basic transnasal procedures. A nose model was created using plaster of Paris and assessed for face and content validity by experts in rhinology while a construct validation was performed on five specified tasks by residents. All experts agreed with the resemblance of 10 of the 13 anatomical landmarks in the POP model and its utility in teaching basic transnasal procedures. There was a statistically significant difference in the time taken by I and III year residents in performing a diagnostic nasal endoscopy ( = 0.007), anterior nasal packing with polyvinyl alcohol tampon ( = 0.007), posterior nasal packing with Foley's catheter ( = 0) and nasopharyngeal swabbing ( = 0.025). This study demonstrates the construct of a low cost 3-dimensional POP model and validates its utility in training residents in routine transnasal rhinological procedures. Face and content validation showed a high degree of resemblance to human anatomy with good agreement that this model could increase resident competency. The significant difference in time taken by residents at various levels of experience in performing rhinological procedures also confirmed a reliable construct validity. The described model could be an affordable and easily constructible alternative tool to other simulation models in otorhinolaryngology residency programs especially in developing countries.

摘要

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引用本文的文献

[1]
Training models and simulators for endoscopic transsphenoidal surgery: a systematic review.

Neurosurg Rev. 2023-9-19

本文引用的文献

[1]
Creation and validation of three-dimensional printed models for basic nasal endoscopic training.

Int Forum Allergy Rhinol. 2019-2-12

[2]
Assessment of a Patient-Specific, 3-Dimensionally Printed Endoscopic Sinus and Skull Base Surgical Model.

JAMA Otolaryngol Head Neck Surg. 2018-7-1

[3]
The role of simulation in teaching sinus surgery in otolaryngology residency: A survey of rhinologists.

Allergy Rhinol (Providence). 2016-1-1

[4]
Development and validation of a 3D-printed model of the ostiomeatal complex and frontal sinus for endoscopic sinus surgery training.

Int Forum Allergy Rhinol. 2017-8

[5]
The McGill simulator for endoscopic sinus surgery (MSESS): a validation study.

J Otolaryngol Head Neck Surg. 2014-10-24

[6]
Validation of virtual-reality-based simulations for endoscopic sinus surgery.

Clin Otolaryngol. 2015-12

[7]
Endoscopic skull base training using 3D printed models with pre-existing pathology.

Eur Arch Otorhinolaryngol. 2015-3

[8]
Virtual reality simulation training in Otolaryngology.

Int J Surg. 2013-12-5

[9]
The validation of an endoscopic sinus surgery skills training model: a pilot study.

Am J Rhinol Allergy. 2012

[10]
The effect of low-fidelity endoscopic sinus surgery simulators on surgical skill.

Int Forum Allergy Rhinol. 2011-9-15

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