Department of Otolaryngology-Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, U.S.A.
Case Western Reserve University School of Medicine, Cleveland, Ohio, U.S.A.
Laryngoscope. 2024 Jun;134(6):2495-2501. doi: 10.1002/lary.31196. Epub 2023 Nov 22.
To systematically review the literature regarding previously described peritonsillar abscess (PTA) drainage simulation.
PubMed, Scopus, Web of Science, Ovid, and Cochrane.
A search of the abovementioned databases was performed in August 2022 using the terms "peritonsillar abscess/quinsy," "incision/drainage/aspiration," and "simulation." No time restrictions were applied. We included studies that clearly described how their PTA models were built and underwent validation from experts and/or evaluation from trainees. Articles describing a model only without any evaluation and reports in languages other than English were excluded.
Our search initially yielded 80 articles after duplicate removal, 10 of which met our criteria and were included. Two studies trained participants on both needle aspiration and incision and drainage (I&D), four studies on I&D only, and four on needle aspiration only. 87.5% to 100% of junior residents reported minimal exposure to PTA prior to simulation. Five studies provided some form of validation to their models. The value of the simulators to train participants on skills received better appreciation than their anatomical fidelity. The perceived confidence level of trainees in managing PTA, which was assessed in 7 studies, substantially improved after training.
PTA simulation improves the confidence of trainees to perform PTA drainage. There is, however, a lack of standardization and evidence regarding transfer validity among PTA simulators. The development of a standardized PTA simulator could allow for more widespread use and increase resident comfort with this procedure in a pre-clinical setting.
NA Laryngoscope, 134:2495-2501, 2024.
系统回顾既往描述的扁桃体周脓肿（PTA）引流模拟相关文献。
PubMed、Scopus、Web of Science、Ovid 和 Cochrane。
2022 年 8 月，使用“扁桃体周脓肿/Quinsy、切开/引流/抽吸”和“模拟”等术语对上述数据库进行检索。未设置时间限制。我们纳入了明确描述其 PTA 模型构建方式并经过专家验证和/或学员评估的研究。仅描述模型而未进行任何评估且报告语言非英语的文章被排除在外。
初筛去除重复项后，我们的检索共得到 80 篇文章，其中 10 篇符合纳入标准。2 项研究对学员进行了针吸和切开引流（I&D）培训，4 项研究仅进行 I&D 培训，4 项研究仅进行针吸培训。87.5%至 100%的初级住院医师在模拟前接受 PTA 的培训很少。有 5 项研究对其模型进行了某种形式的验证。模拟训练参与者技能的价值比其解剖保真度更受认可。7 项研究评估了学员对管理 PTA 的信心水平，培训后学员的信心水平显著提高。
PTA 模拟可提高学员进行 PTA 引流的信心。然而，PTA 模拟器在技能转移有效性方面缺乏标准化和证据。开发标准化的 PTA 模拟器可以允许更广泛地使用，并提高住院医师在临床前环境中对该手术的舒适度。
无。Laryngoscope, 134:2495-2501, 2024.
