Abstract

IntroductionEndonasal surgeries are among the most common procedures performed in otolaryngology. Due to difficulty in cadaver acquisition and the intrinsic risks of training residents during operations on real patients, nasosinusal endoscopic dissection courses utilizing real simulators, such as the Sinus Model Otorhino Neuro Trainer are being developed as a new technique to facilitate the acquisition of better anatomical knowledge and surgical skill. ObjectiveTo evaluate the efficacy of nasosinusal endoscopic dissection courses with the Sinus Model Otorhino Neuro Trainer simulator in the training of otolaryngology surgeons. MethodsA prospective, longitudinal cohort study was conducted with 111 otolaryngologists who participated in a theoretical and practical course of endoscopic surgery dissection using the Sinus Model Otorhino Neuro Trainer simulator, with application of questionnaires during and after the course. ResultsFrom the ten procedures performed utilizing the simulator, the evaluation revealed mean scores from 3.1 to 4.1 (maximum of 5). Seventy-seven participants answered the questionnaire six months after the end of the course. 93% of them reported that they could perform the procedures more safely following the course, 98% reported an improvement in their anatomical and clinical knowledge, and 85% related an improvement in their surgical ability. After the course, the number of endoscopic surgeries increased in 40% of the respondents. ConclusionEndoscopic sinus dissection courses using the Sinus Model Otorhino Neuro Trainer simulator proved to be useful in the training of otolaryngologists.

Highlights

  • Endonasal surgeries are among the most common procedures performed in otolaryngology

  • Sixty (54.1%) of these participants were otolaryngology residents; 51 (45.9%) otolaryngologists who had already graduated with a mean of 5.9 years of practice in the specialty, ranging from one to 23 years

  • S.I.M.O.N.T. presents many advantages when compared with animal or cadaveric models, or with virtual simulators: there is no need of a special place or technique for its storage; it is cleaned after use; it uses the same surgical instruments as used in practice; it has the capability to simulate and represent different diseases; it lacks the biological risks inherent in traditional dissections of fresh cadavers; and it can be used to dissect and train in almost any available space

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Summary

Introduction

Endonasal surgeries are among the most common procedures performed in otolaryngology. Due to difficulty in cadaver acquisition and the intrinsic risks of training residents during operations on real patients, nasosinusal endoscopic dissection courses utilizing real simulators, such as the Sinus Model Otorhino Neuro Trainer are being developed as a new technique to facilitate the acquisition of better anatomical knowledge and surgical skill. Objective: To evaluate the efficacy of nasosinusal endoscopic dissection courses with the Sinus Model Otorhino Neuro Trainer simulator in the training of otolaryngology surgeons. Methods: A prospective, longitudinal cohort study was conducted with 111 otolaryngologists who participated in a theoretical and practical course of endoscopic surgery dissection using the Sinus Model Otorhino Neuro Trainer simulator, with application of questionnaires during and after the course. The development of such laboratories has some challenges, including ethical, legal, financial and technical problems that hinder the acquisition of cadavers or animal models; the surgical training process in otolaryngology is gradually moving toward to the use of surgical simulators.2,4---7

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