Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-29T12:40:49.539Z Has data issue: false hasContentIssue false
  • English
  • Français

An endoscopic Ear Trainer for the low-resource setting

Published online by Cambridge University Press:  03 July 2019

M P A Clark ,
D Nakku  and
B D Westerberg
M P A Clark*
Affiliation:
ENT Department, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK
D Nakku
Affiliation:
Department of ENT Surgery, Mbarara University of Science and Technology, Uganda
B D Westerberg
Affiliation:
Department of Surgery, University of British Columbia, BC Rotary Hearing and Balance Centre at St Paul's Hospital, Vancouver, Canada
*
Author for correspondence: Mr Matthew P A Clark, ENT Department, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Endoscopic ear surgery is a technique that is growing in popularity. It has potential advantages in the low-resource setting for teaching and training, for the relative ease of transporting and storing the surgical equipment and for telemedicine roles. There may also be advantages to the patient, with reduced post-operative pain, facilitating the ability to complete procedures as out-patients.

Methods

Our Ear Trainer has previously been validated for headlight and microscope otology skills, including foreign body removal and ventilation tube insertion, in both the high- and low-resource setting. This study aimed to assess the Ear Trainer for similar training and assessment of endoscopic ear surgery skills in the low-resource setting. The study was conducted in Uganda on ENT trainees.

Results

Despite a lack of prior experience with endoscopes, with limited practice time most participants showed improvements in: efficiency of instrument movement, steadiness of the camera view obtained, overall global rating of the task and performance time (faster task performance).

Conclusion

These results indicate that the Ear Trainer is a useful tool in the training and assessment of endoscopic ear surgery skills.

Keywords

Global HealthEducation, MedicalTeachingSimulation TrainingForeign BodiesTympanostomy Tube InsertionEndoscopyDeveloping CountriesOtologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 7 , July 2019 , pp. 571 - 574
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Mr M P A Clark takes responsibility for the integrity of the content of the paper

References

1Clark, MPA. Endoscopic ear surgery in the ear camp setting; forward thinking or folly? J Laryngol Otol 2018;132:68–70Google Scholar
2Clark, MPA, Westerberg, BD, Mitchell, JE. Development and validation of a low-cost microsurgery Ear Trainer for low-resource settings. J Laryngol Otol 2016;130:954–61Google Scholar
3Luu, K, Straatman, L, Nakku, D, Westerberg, B, Carter, N, Clark, M. Evaluation of a low-fidelity ear surgery simulator in a low-resource setting. J Laryngol Otol 2017;131:1010–16Google Scholar
4Westerberg, BD, Lee, PK, Lukwago, L, Zaramba, S, Bubikere, S, Stewart, I. Cross-sectional survey of hearing impairment and ear disease in Uganda. J Otolaryngol Head Neck Surg 2008;37:753–8Google Scholar
5Abass, OA, Samuel, BO, Odufeko, GT. Medical simulation a tool yet untapped in most developing nations in Africa. Int J Comput Appl 2014;97:1–4Google Scholar
6Johnson, E. Surgical simulators and simulated surgeons: reconstituting medical practice and practitioners in simulations. Soc Stud Sci 2007;37:585–608Google Scholar
7Tavakol, M, Mohagheghi, MA, Dennick, R. Assessing the skills of surgical residents using simulation. J Surg Educ 2008;65:77–83Google Scholar
8Sewell, C, Morris, D, Blevins, NH, Dutta, S, Agrawal, S, Barbagli, F et al. Providing metrics and performance feedback in a surgical simulator. Comput Aided Surg 2008;13:63–8110.3109/10929080801957712Google Scholar
9McGaghie, WC, Issenberg, SB, Cohen, ER, Barsuk, JH, Wayne, DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med 2011;86:706–11Google Scholar
10Clifton, N, Klingmann, C, Khalil, H. Teaching otolaryngology skills through simulation. Eur Arch Otorhinolaryngol 2011;268:949–53Google Scholar
11Yong, M, Mijovic, T, Lea, J. Endoscopic ear surgery in Canada: a cross-sectional study. J Otolaryngol Head Neck Surg 2016;45:4Google Scholar
12Badr-el-Dine, M. Value of ear endoscopy in cholesteatoma surgery. Otol Neurotol 2002;23:631–5Google Scholar
Supplementary material: File

Clark et al. supplementary material

Clark et al. supplementary material 1

Download Clark et al. supplementary material(File)
File 227.3 MB