"Barbed snore surgery" simulator: a low-cost surgical model.


Journal

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937

Informations de publication

Date de publication:
Aug 2019
Historique:
received: 04 04 2019
accepted: 03 06 2019
pubmed: 14 6 2019
medline: 20 11 2019
entrez: 14 6 2019
Statut: ppublish

Résumé

"Barbed snore surgery" (BSS) represents one of the last innovation for obstructive sleep apnea syndrome (OSAS) surgical management. Although this technique represents an effective and minimally invasive surgery, it is not still widespread in many ENT centers. The aim of our study was to develop an inexpensive surgical simulator useful to expedite the surgical learning curve for BSS in untrained ENT surgeons. The simulator is a simple model composed of a manually shaped silicone palate (3 × 4 × 1 cm) fixed on a resin skeleton (21 × 16 × 12 cm) using a transparent silicon rubber. The mandible is fixed bilaterally with the aid of two screws allowing for modular inter-incisive distance. Barbed anterior pharyngoplasty (BAPh) was readily performed on the simulator to show the feasibility of this BSS model. All surgical steps were carried out determining a lift and a shortening of the palate as in real surgery. This is the first surgical model that provides a realistic, easily repeatable training in the performance of BSS. Our BSS surgical model is very inexpensive with a cost of approximately 19.25$ dollars and it is manufactured to facilitate a worldwide diffusion of this promising palatal surgery for OSAS.

Sections du résumé

BACKGROUND BACKGROUND
"Barbed snore surgery" (BSS) represents one of the last innovation for obstructive sleep apnea syndrome (OSAS) surgical management. Although this technique represents an effective and minimally invasive surgery, it is not still widespread in many ENT centers. The aim of our study was to develop an inexpensive surgical simulator useful to expedite the surgical learning curve for BSS in untrained ENT surgeons.
MODEL ASSEMBLY UNASSIGNED
The simulator is a simple model composed of a manually shaped silicone palate (3 × 4 × 1 cm) fixed on a resin skeleton (21 × 16 × 12 cm) using a transparent silicon rubber. The mandible is fixed bilaterally with the aid of two screws allowing for modular inter-incisive distance.
SIMULATION UNASSIGNED
Barbed anterior pharyngoplasty (BAPh) was readily performed on the simulator to show the feasibility of this BSS model. All surgical steps were carried out determining a lift and a shortening of the palate as in real surgery.
CONCLUSIONS CONCLUSIONS
This is the first surgical model that provides a realistic, easily repeatable training in the performance of BSS. Our BSS surgical model is very inexpensive with a cost of approximately 19.25$ dollars and it is manufactured to facilitate a worldwide diffusion of this promising palatal surgery for OSAS.

Identifiants

pubmed: 31190222
doi: 10.1007/s00405-019-05497-3
pii: 10.1007/s00405-019-05497-3
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2345-2348

Références

Acta Otorhinolaryngol Ital. 2012 Feb;32(1):48-53
pubmed: 22500068
Otolaryngol Head Neck Surg. 2012 Dec;147(6):999-1011
pubmed: 23014997
J Surg Educ. 2017 Mar - Apr;74(2):203-215
pubmed: 27839694
Int J Pediatr Otorhinolaryngol. 2018 Oct;113:292-297
pubmed: 30174004
J Craniomaxillofac Surg. 2017 Nov;45(11):1794-1800
pubmed: 28941735

Auteurs

Vittorio Rinaldi (V)

Department of Otolaryngology, Integrated Therapies in Otolaryngology, School of Medicine, Campus Bio-Medico University, Via Alvaro del Portillo 21, 00128, Rome, Italy.

Andrea Costantino (A)

Department of Otolaryngology, Integrated Therapies in Otolaryngology, School of Medicine, Campus Bio-Medico University, Via Alvaro del Portillo 21, 00128, Rome, Italy. andrea.costantino94@libero.it.

Antonio Moffa (A)

Department of Otolaryngology, University of Foggia, Foggia, Italy.

Peter Baptista (P)

Department of Otolaryngology, Clínica Universidad de Navarra, Pamplona, Spain.

Lorenzo Sabatino (L)

Department of Otolaryngology, Integrated Therapies in Otolaryngology, School of Medicine, Campus Bio-Medico University, Via Alvaro del Portillo 21, 00128, Rome, Italy.

Manuele Casale (M)

Department of Otolaryngology, Integrated Therapies in Otolaryngology, School of Medicine, Campus Bio-Medico University, Via Alvaro del Portillo 21, 00128, Rome, Italy.

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Classifications MeSH