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除了尖叫声什么都有:猪活体模型在头颈部外科手术培训中的应用指南。

Everything but the squeal: a guide for head and neck surgery training on the live porcine model.

机构信息

Alfonso X El Sabio University (UAX), Madrid, Spain.

Otolaryngology Department, University Hospital General de Villalba, Madrid, Spain.

出版信息

Eur Arch Otorhinolaryngol. 2023 Jun;280(6):2927-2936. doi: 10.1007/s00405-023-07882-5. Epub 2023 Feb 24.

DOI:10.1007/s00405-023-07882-5
PMID:36826522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10175473/
Abstract

PURPOSE

The porcine model has been demonstrated to be cost-effective for head and neck surgery training. There is no literature describing the porcine head and neck anatomy. The purpose of this study is to provide a porcine surgical guide for training head and neck residents.

METHODS

Five head and neck dissections were performed under general anesthesia on the Large White pig model in the animal facilities of the University Hospital Fundación Jiménez. Sessions were photographed, and reference anatomical measurements were taken.

RESULTS

The sternum-chin distance (x = 15.80 cm, σ = 0.44), chin-chin distance (x = 11.10 cm, σ = 2.30), prelaryngeal musculature length (x = 10.30 cm, σ = 1.92) and supraomohyoid triangle area (x = 7.07 cm, σ = 3.91) were among the measurements obtained. The porcine head and neck anatomy was detailed.

CONCLUSIONS

Head and neck porcine anatomy was thoroughly described, with emphasis on the similarities with human anatomy. The porcine model is capable of simulating human anatomy for surgery training.

摘要

目的

猪模型已被证明在头颈部手术培训方面具有成本效益。目前尚无文献描述猪的头颈部解剖结构。本研究的目的是为培训头颈部住院医师提供猪的头颈部手术指南。

方法

在大学附属医院 Fundación Jiménez 的动物设施中,对大白猪模型进行了 5 次头颈部解剖,在全身麻醉下进行。对手术过程进行拍照,并进行参考解剖测量。

结果

胸骨-颏距离(x=15.80cm,σ=0.44)、颏-颏距离(x=11.10cm,σ=2.30)、预喉部肌肉长度(x=10.30cm,σ=1.92)和 supraomohyoid 三角区面积(x=7.07cm,σ=3.91)是获得的测量值之一。详细描述了猪的头颈部解剖结构。

结论

对头颈部猪的解剖结构进行了彻底描述,重点是与人体解剖结构的相似性。猪模型能够模拟人体解剖结构进行手术培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7a/10175473/910d3309005d/405_2023_7882_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7a/10175473/cdd1c3f8a8ea/405_2023_7882_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7a/10175473/1f51d582130c/405_2023_7882_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7a/10175473/c54b4457bf02/405_2023_7882_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7a/10175473/58940862882f/405_2023_7882_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7a/10175473/910d3309005d/405_2023_7882_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7a/10175473/cdd1c3f8a8ea/405_2023_7882_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7a/10175473/1f51d582130c/405_2023_7882_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7a/10175473/c54b4457bf02/405_2023_7882_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7a/10175473/58940862882f/405_2023_7882_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a7a/10175473/910d3309005d/405_2023_7882_Fig5_HTML.jpg

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Int J Environ Res Public Health. 2022 Mar 19;19(6):3657. doi: 10.3390/ijerph19063657.
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Open laryngeal surgery training on ex-vivo ovine model: Development and dissection experience.在羊尸体模型上进行开放性喉手术训练:开发与解剖经验。
Auris Nasus Larynx. 2021 Dec;48(6):1150-1156. doi: 10.1016/j.anl.2021.04.001. Epub 2021 Apr 23.
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J Laparoendosc Adv Surg Tech A. 2021 May;31(5):566-569. doi: 10.1089/lap.2021.0096. Epub 2021 Apr 22.
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Comparative study of the digastric and the stylohyoid muscles between wild boars () and domestic swine (): revisiting the gross anatomy.野猪( )和家猪的二腹肌与茎突舌骨肌的比较研究:重新审视大体解剖结构
Anat Cell Biol. 2021 Jun 30;54(2):202-211. doi: 10.5115/acb.20.301.
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