Rak Kristen, Kaulitz Stefan, Voelker Johannes, Müller-Graff Tassilo, Engert Jonas, Spahn Björn, Hackenberg Stephan, Grasso Peter, Hagen Rudolf
Klinik und Poliklinik für Hals‑, Nasen- und Ohrenkrankheiten, plastische und ästhetische Operationen, Universitätsklinikum Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Deutschland.
MED-EL Elektromedizinische Geräte Gesellschaft m.b.H., Innsbruck, Österreich.
HNO. 2024 May;72(5):317-324. doi: 10.1007/s00106-024-01451-w. Epub 2024 Mar 26.
Education in microsurgery of the ear includes staged training to allow for mastering of the complex microsurgical procedures, particularly in the context of middle ear reconstruction and cochlear implantation. Traditional surgical training includes temporal bone preparations by cadaver dissection and supervised operating room practice. As these on-site trainings are limited, there is a need to broaden education facilities in an on-line format. Therefore, a first basic on-line training for otosurgery was developed.
The system consists of an artificial temporal bone model together with a set of basic surgical instruments and implant dummies. As an essential part of the training kit, a high-resolution camera set is included that allows for connection to a video streaming platform and enables remote supervision of the trainees' surgical steps by experienced otological surgeons. In addition, a pre-learning platform covering temporal bone anatomy and instrumentation and pre-recorded lectures and instructional videos has been developed to allow trainees to review and reinforce their understanding before hands-on practice.
Over the three courses held to date, 28 participants with varying levels of prior surgical experience took part in this otological surgical training program. The immediate feedback of the participants was evaluated by means of a questionnaire. On this basis, the high value of the program became apparent and specific areas could by identified where further refinements could lead to an even more robust training experience.
The presented program of an otosurgical online training allows for basal education in practical exercises on a remote system. In this way, trainees who have no direct access to on-site instruction facilities in ear surgery now have the chance to start their otosurgical training in an educational setting adapted to modern technologies.
耳显微外科教育包括分阶段培训，以便掌握复杂的显微外科手术，特别是在中耳重建和人工耳蜗植入的背景下。传统的外科培训包括通过尸体解剖进行颞骨制备以及在手术室进行带教实践。由于这些现场培训有限，因此需要以在线形式拓宽教育设施。因此，开发了首个耳外科基础在线培训。
该系统由一个人工颞骨模型以及一套基本手术器械和植入物模型组成。作为培训套件的重要组成部分，还包括一套高分辨率摄像头，可连接到视频流平台，并使经验丰富的耳科外科医生能够远程监督学员的手术步骤。此外，还开发了一个涵盖颞骨解剖学和器械知识以及预录制讲座和教学视频的预学习平台，以便学员在实践操作前进行复习并强化理解。
在迄今为止举办的三期课程中，28名具有不同手术经验水平的参与者参加了该耳科手术培训项目。通过问卷调查对参与者的即时反馈进行了评估。在此基础上，该项目的高价值变得明显，并且可以确定一些特定领域，进一步改进这些领域可带来更完善的培训体验。
所展示的耳外科在线培训项目允许在远程系统上进行实践操作的基础培训。通过这种方式，那些无法直接获得耳外科现场教学设施的学员现在有机会在适应现代技术的教育环境中开始他们的耳外科培训。
