Novel Image-Guided Simulator for Transcervical Intralaryngeal Injection Training.

IF 2.2 3区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Laryngoscope Pub Date : 2024-10-10 DOI:10.1002/lary.31835

Zane Kaiser, Abdullah Zeatoun, Rupali Shah, Robert Buckmire

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引用次数: 0

Abstract

Objective(s): To assess the impact of a novel 3D-printed simulation model with Brainlab Image Guidance on enhancing otolaryngology residents' skills and confidence in performing transcervical intralaryngeal injection (TII) compared with conventional training methods.

Methods: Utilizing a 3D-printed larynx model derived from computed tomography (CT) scans, this study involved 16 otolaryngology residents divided into two groups for TII training: one with Brainlab Image Guidance (LMIG) and the other without (LM). Pre- and post-training evaluations measured participants' confidence while the Brainlab system measured the accuracy of their needle placements.

Results: After training, participants exhibited a significant increase in confidence with an average rise from 1.56 to 2.75 on a 5-point scale. The LMIG group outperformed the LM group in accuracy achieving statistically significant reductions in target distances after training (3.5 mm right, 3.6 mm left). The LMIG also demonstrated a significantly greater increase in procedural confidence over the LM group after training.

Conclusion: The TII laryngeal model with Brainlab Image Guidance significantly improves procedural confidence and accuracy among otolaryngology residents, signifying potential advantage over a more conventional training approach. The model's realistic tactile and live instrument positioning feedback augments the process of surgical skill refinement in a controlled, risk-free, simulation environment.

Level of evidence: NA Laryngoscope, 2024.

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用于经颈椎咽内注射培训的新型图像引导模拟器。

目的与传统培训方法相比，评估带有 Brainlab 图像引导功能的新型 3D 打印模拟模型对提高耳鼻喉科住院医师经颈椎咽内注射（TII）技能和信心的影响：本研究利用从计算机断层扫描（CT）中提取的 3D 打印喉部模型，将 16 名耳鼻喉科住院医师分成两组进行 TII 培训：一组有脑实验室图像引导（LMIG），另一组无脑实验室图像引导（LM）。培训前和培训后的评估衡量了参与者的信心，而 Brainlab 系统则衡量了他们置针的准确性：结果：培训后，参与者的自信心明显增强，5 分制的平均分从 1.56 提高到 2.75。LMIG 组在准确性方面优于 LM 组，训练后目标距离有明显的统计学减少（右侧 3.5 毫米，左侧 3.6 毫米）。训练后，LMIG 组的手术信心明显高于 LM 组：结论：带有 Brainlab 图像引导功能的 TII 喉部模型可显著提高耳鼻喉科住院医生的手术信心和准确性，与传统的培训方法相比具有潜在优势。该模型逼真的触觉和实时器械定位反馈可在可控、无风险的模拟环境中提高手术技能：NA 《喉镜》，2024 年。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Laryngoscope 医学-耳鼻喉科学

CiteScore

6.50

自引率

7.70%

发文量

500

审稿时长

2-4 weeks

期刊介绍： The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope. • Broncho-esophagology • Communicative disorders • Head and neck surgery • Plastic and reconstructive facial surgery • Oncology • Speech and hearing defects