Training model for salvage procedures in endoscopic stapes surgery.

Animals Humans Incus Ossicular Prosthesis Otosclerosis / surgery Sheep Stapes Stapes Surgery
Advanced procedures in stapes surgery Animal model Complications in stapes surgery Endoscopic ear surgery Stapes surgery Surgical training

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:
Apr 2021
Historique:
received: 11 03 2020
accepted: 20 06 2020
pubmed: 28 6 2020
medline: 29 4 2021
entrez: 28 6 2020
Statut: ppublish

Résumé

The learning curve in endoscopic stapes surgery, is flat and long. There is limited space during training for advanced and salvage procedures, which could be necessary in unexpected intraoperative scenarios. The aim of the present study is to develop an ex-vivo animal model for training in salvage and advanced procedures in endoscopic stapes surgery METHODS: After defining the difficult intraoperative scenarios requiring a salvage procedure during stapes surgery, we used the ovine model to create those intraoperative situations. After assessing the suitability of the model for that purpose, it was validated by subjective feedback rating (scale from 1 to 10) and by comparing the relevant anatomical structures for stapes surgery with the human. Finally, an optimal sequence of surgical steps was defined. 8 Fresh frozen lamb heads (16 ears) were studied. The selected intraoperative scenarios were: floating footplate, footplate fracture, luxation of the incus or necrosis of the long process, overhanging facial nerve, obliterative otosclerosis. The simulation resulted feasible and close to real. The mean overall rating for surgical scenarios ranged from 7.5 to 8.8 for residents and was consistent with the rating of senior surgeons, ranging from 7.67 and 9.0. Anatomical measures of the oval window area resulted similar between the ovine and the human. The ex-vivo ovine model is a suitable model for training in salvage and advanced procedures in exclusively endoscopic stapes surgery. The model can be used both for the training and maintenance of the acquired advanced skills in endoscopic stapes surgery.

Identifiants

DOI: 10.1007/s00405-020-06166-6 PMID: 32592010
pubmed: 32592010
doi: 10.1007/s00405-020-06166-6
pii: 10.1007/s00405-020-06166-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

987-995

Références

Hughes GB (1991) The learning curve in stapes surgery. Laryngoscope 101(12):1280–1284. https://doi.org/10.1002/lary.5541011205
doi: 10.1002/lary.5541011205 pubmed: 1766297
Yung MW, Oates J, Vowler SL (2006) The Learning Curve in Stapes Surgery and Its Implication to Training. Laryngoscope 116(1):67–71. https://doi.org/10.1097/01.mlg.0000184509.01049.06
doi: 10.1097/01.mlg.0000184509.01049.06 pubmed: 16481812
Sergi B, Paludetti G (2016) Can the learning curve in stapes surgery predict future functional outcome? Acta Otorhinolaryngol Ital 2:135–138. https://doi.org/10.14639/0392-100X-599
doi: 10.14639/0392-100X-599
Watson GJ, Byth K, da Cruz M (2015) Outcomes in stapedotomy surgery: the learning curve redefined. Otol Neurotol 36(10):1601–1603
doi: 10.1097/MAO.0000000000000887
Isaacson B, Hunter JB, Rivas A (2018) Endoscopic stapes surgery. Otolaryngol Clin North Am 51(2):415–428. https://doi.org/10.1016/j.otc.2017.11.011
doi: 10.1016/j.otc.2017.11.011 pubmed: 29395112
Nassiri AM, Yawn RJ, Dedmon MM et al (2018) Primary endoscopic stapes surgery: audiologic and surgical outcomes. Otol Neurotol 39(9):1095–1101. https://doi.org/10.1097/MAO.0000000000001958
doi: 10.1097/MAO.0000000000001958 pubmed: 30124621
Fernandez IJ, Villari D, Botti C, Presutti L (2019) Endoscopic revision stapes surgery: surgical findings and outcomes. Eur Arch Otorhinolaryngol 276(3):703–710. https://doi.org/10.1007/s00405-019-05280-4
doi: 10.1007/s00405-019-05280-4 pubmed: 30635709
Fernandez IJ, Bonali M, Fermi M, Ghirelli M, Villari D, Presutti L (2019) The role of endoscopic stapes surgery in difficult oval window niche anatomy. Eur Arch Otorhinolaryngol 276(7):1897–1905. https://doi.org/10.1007/s00405-019-05401-z
doi: 10.1007/s00405-019-05401-z pubmed: 30919060
Gallagher AG, Satava RM, Shorten GD (2013) Measuring surgical skill: a rapidly evolving scientific methodology. Surg Endosc 27(5):1451–1455. https://doi.org/10.1007/s00464-013-2786-x
doi: 10.1007/s00464-013-2786-x pubmed: 23371021
Atesok K, Satava R, Marsh J, Hurwitz S (2017) Measuring surgical skills in simulation-based training. J Am Acad Orthop Surg 25(10):665–672. https://doi.org/10.5435/JAAOS-D-16-00253
doi: 10.5435/JAAOS-D-16-00253 pubmed: 28953081
Scott DJ (2006) Patient safety, competency, and the future of surgical simulation. Simul Healthc 1(3):164–170. https://doi.org/10.1097/01.sih.0000244453.20671.f2
doi: 10.1097/01.sih.0000244453.20671.f2 pubmed: 19088586
Anschuetz L, Bonali M, Ghirelli M et al (2017) An ovine model for exclusive endoscopic ear surgery. JAMA Otolaryngol Head Neck Surg 143(3):247. https://doi.org/10.1001/jamaoto.2016.3315
doi: 10.1001/jamaoto.2016.3315 pubmed: 27918787
Ianacone DC, Gnadt BJ, Isaacson G (2016) Ex vivo ovine model for head and neck surgical simulation. Am J Otolaryngol 37(3):272–278. https://doi.org/10.1016/j.amjoto.2016.01.015
doi: 10.1016/j.amjoto.2016.01.015 pubmed: 27178523
Rask-Andersen H, Shart-Moren N, Stromback K, Linthicum F, Li H (2018) Special anatomic considerations in otosclerosis surgery. Otolaryngol Clin N Am 51(2):357–374
doi: 10.1016/j.otc.2017.11.013
Wendell T, Creighton FX (2013) Malleus and Incus: correlates of size. Ann Otol Rhinol Laringol 122(1):60–65
doi: 10.1177/000348941312200111
Hudson TJ, Gare B, Allen DG, Ladak HM, Agrawal SK (2020) Intrinsic measures and shape analysis of the intratemporal facial nerve. Otol Neutotol 41:e378–e386
doi: 10.1097/MAO.0000000000002552
Kaftan H, Bohme A, Martin H (2014) Is the prosthesis length in malleostapedotomy for otosclerosis revision surgery predictable? Otol Neurotol 35:1150–1155
doi: 10.1097/MAO.0000000000000448
Lancer H, Manickavasagam J, Zaman A, Lancer J (2016) Stapes surgery: a national survey of british otologists. Eur Arch Otorhinolaryngol 273(2):371–379. https://doi.org/10.1007/s00405-015-3560-6
doi: 10.1007/s00405-015-3560-6 pubmed: 25711736
Nguyen Y, Mamelle E, De Seta D, Sterkers O, Bernardeschi D, Torres R (2017) Modifications to a 3D-printed temporal bone model for augmented stapes fixation surgery teaching. Eur Arch Otorhinolaryngol 274(7):2733–2739. https://doi.org/10.1007/s00405-017-4572-1
doi: 10.1007/s00405-017-4572-1 pubmed: 28439694
Pothier DD (2013) Introducing endoscopic ear surgery into practice. Otolaryngol Clin North Am 46(2):245–255. https://doi.org/10.1016/j.otc.2012.10.009
doi: 10.1016/j.otc.2012.10.009 pubmed: 23566910
Cordero A, del mar Medina M, Alonso A, Labatut T (2011) Stapedectomy in sheep: an animal model for surgical training. Otol Neurotol 32(5):742–747. https://doi.org/10.1097/MAO.0b013e31821ddbc2
doi: 10.1097/MAO.0b013e31821ddbc2 pubmed: 21646932
Palter V, Grantcharov T, Harvey A, MacRae H (2011) Ex vivo technical skills training transfers to the operating room and enhances cognitive learning: a randomized controlled trial. Ann Surg 253(5):886–889. https://doi.org/10.1097/SLA.0b013e31821263ec
doi: 10.1097/SLA.0b013e31821263ec pubmed: 21394017
Gocer C, Eryilmaz A, Genc U, Dagli M, Karabulut H, Iriz A (2007) An alternative model for stapedectomy training in residency program: sheep cadaver ear. Eur Arch Otorhinolaryngol 264(12):1409–1412. https://doi.org/10.1007/s00405-007-0437-3
doi: 10.1007/s00405-007-0437-3 pubmed: 17805555
Prasad KC, Karunasagar A, Anjali PK (2018) Stapes surgery teaching tool: a simple and stable technique. Indian J Otolaryngol Head Neck Surg 70(3):450–451. https://doi.org/10.1007/s12070-018-1336-1
doi: 10.1007/s12070-018-1336-1 pubmed: 30211106 pmcid: 6127048
Cordero A, Benítez S, Reyes P et al (2015) Ovine ear model for fully endoscopic stapedectomy training. Eur Arch Otorhinolaryngol 272(9):2167–2174. https://doi.org/10.1007/s00405-014-3114-3
doi: 10.1007/s00405-014-3114-3 pubmed: 24902803

Auteurs

Ignacio Javier Fernandez (IJ)

Otolaryngology Head and Neck Surgery Department, Modena University, University Hospital of Modena (Policlinico Di Modena, Azienda Ospedaliero-Universitaria Di Modena, Università Di Modena E Reggio Emilia), Via del Pozzo 71, 41124, Modena, Italy. ignaciojavier.fernandez@unimore.it.
ORCID: 0000-0002-9120-6586

Marco Bonali (M)

Otolaryngology Head and Neck Surgery Department, Modena University, University Hospital of Modena (Policlinico Di Modena, Azienda Ospedaliero-Universitaria Di Modena, Università Di Modena E Reggio Emilia), Via del Pozzo 71, 41124, Modena, Italy.

Abraam Yacoub (A)

Department of Otorhinolaryngology-Head and Neck Surgery, Inselspital, University Hospital and University of Bern, Bern, Switzerland.
Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Michael Ghirelli (M)

Otolaryngology Head and Neck Surgery Department, Modena University, University Hospital of Modena (Policlinico Di Modena, Azienda Ospedaliero-Universitaria Di Modena, Università Di Modena E Reggio Emilia), Via del Pozzo 71, 41124, Modena, Italy.

Matteo Fermi (M)

Otolaryngology Head and Neck Surgery Department, Modena University, University Hospital of Modena (Policlinico Di Modena, Azienda Ospedaliero-Universitaria Di Modena, Università Di Modena E Reggio Emilia), Via del Pozzo 71, 41124, Modena, Italy.

Livio Presutti (L)

Otolaryngology Head and Neck Surgery Department, Modena University, University Hospital of Modena (Policlinico Di Modena, Azienda Ospedaliero-Universitaria Di Modena, Università Di Modena E Reggio Emilia), Via del Pozzo 71, 41124, Modena, Italy.

Marco Caversaccio (M)

Department of Otorhinolaryngology-Head and Neck Surgery, Inselspital, University Hospital and University of Bern, Bern, Switzerland.

Lukas Anschuetz (L)

Department of Otorhinolaryngology-Head and Neck Surgery, Inselspital, University Hospital and University of Bern, Bern, Switzerland.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Training model for salvage procedures in...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Training model for salvage procedures in...
questionsmedicales.fr › Organes des sens › Oreille › Oreille moyenne › Osselets de l'audition › Incus › Training model for salvage procedures in...
questionsmedicales.fr › Équipement et fournitures › Prothèses et implants › Prothèse ossiculaire › Training model for salvage procedures in...
questionsmedicales.fr › Maladies oto-rhino-laryngologiques › Maladies des oreilles › Otosclérose › Training model for salvage procedures in...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Artiodactyla › Ruminants › Ovis › Training model for salvage procedures in...
questionsmedicales.fr › Organes des sens › Oreille › Oreille moyenne › Osselets de l'audition › Stapès › Training model for salvage procedures in...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie oto-rhino-laryngologique › Procédures de chirurgie otologique › Chirurgie de l'étrier › Training model for salvage procedures in...