Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-29T13:34:40.645Z Has data issue: false hasContentIssue false
  • English
  • Français

A novel approach to myringotomy simulation

Published online by Cambridge University Press:  02 March 2022

Z Kelly Open the ORCID record for Z Kelly [Opens in a new window] ,
A Cao ,
N Ahmedli  and
M Nassar
Z Kelly
Affiliation:
Department of Otolaryngology, Montefiore Medical Center, Bronx, New York, USA
A Cao
Affiliation:
Department of Otolaryngology, Montefiore Medical Center, Bronx, New York, USA
N Ahmedli
Affiliation:
Department of Otolaryngology, Montefiore Medical Center, Bronx, New York, USA
M Nassar*
Affiliation:
Department of Otolaryngology, Montefiore Medical Center, Bronx, New York, USA
*
Author for correspondence: Dr Michel Nassar, Department of Otolaryngology, Montefiore Medical Center, Third Floor, 3400 Bainbridge Avenue, Bronx, NY10467, USA E-mail: [email protected] Fax: +1 718 405 9014
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

In the wake of the 2019 coronavirus disease pandemic, elective cases and opportunities for clinical application have decreased, and the need for useful simulation models has become more apparent for developing surgical skills. A novel myringotomy with ventilatory tube insertion simulation model was created.

Methods

Residents across all levels at our institution participated in the simulation. Participants were evaluated in terms of: time of procedure, microscope positioning, cerumen removal, identification of middle ear effusion type, canal wall trauma, tympanic membrane damage and tube placement.

Results

Eleven residents participated. Scores ranged from 14 to 34, out of a maximum of 40. The average score among junior and senior residents was 24 and 31, respectively. The simulation was felt to be representative of the operating theatre experience.

Conclusion

This study demonstrates a low-cost simulation model that captures several important, nuanced aspects of myringotomy with tube insertion, often overlooked in previously reported simulations.

Keywords

PediatricsOtolaryngologyResidencyMedical EducationOtologySimulation Training
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 6 , June 2022 , pp. 562 - 567
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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

Dr M Nassar takes responsibility for the integrity of the content of the paper

References

Mahalingam, S, Awad, Z, Tolley, NS, Khemani, S. Ventilation tube insertion simulation: a literature review and validity assessment of five training models. Clin Otolaryngol 2016;41:321–6CrossRefGoogle ScholarPubMed
Kovatch, KJ, Wertz, AP, Carle, TR, Harvey, RS, Bohm, LA, Thorne, MC et al. Optimal timing of entry-level otolaryngology simulation. OTO Open 2019;3:1–7CrossRefGoogle ScholarPubMed
Sparks, D, Kavanagh, KR, Vargas, JA, Valdez, TA. 3D printed myringotomy and tube simulation as an introduction to otolaryngology for medical students. Int J Pediatr Otorhinolaryngol 2020;128:109730CrossRefGoogle ScholarPubMed
Rosenfeld, RM, Schwartz, SR, Pynnonen, MA, Tunkel, DE, Hussey, HM, Fichera, JS et al. Clinical practice guideline: tympanostomy tubes in children--executive summary. Otolaryngol Head Neck Surg 2013;149:8–16CrossRefGoogle ScholarPubMed
Malekzadeh, S, Hanna, G, Wilson, B, Pehlivanova, M, Milmoe, G. A model for training and evaluation of myringotomy and tube placement skills. Laryngoscope 2011;121:1410–15CrossRefGoogle Scholar
Owa, AO, Farrell, RW. Simple model for teaching myringotomy and aural ventilation tube insertion. J Laryngol Otol 1998;112:642–3CrossRefGoogle ScholarPubMed
Huang, C, Cheng, H, Bureau, Y, Agrawal, SK, Ladak, HM. Face and content validity of a virtual-reality simulator for myringotomy with tube placement. J Otolaryngol Head Neck Surg 2015;44:40CrossRefGoogle ScholarPubMed
Wiet, GJ, Stredney, D, Wan, D. Training and simulation in otolaryngology. Otolaryngol Clin North Am 2011;44:1333–50CrossRefGoogle ScholarPubMed
Wiet, GJ, Deutsch, ES, Malekzadeh, S, Nalekzadeh, S, Onwuka, AJ, Calledner, NW et al. SimTube: a national simulation training and research project. Otolaryngol Head Neck Surg 2020;163:522–30CrossRefGoogle ScholarPubMed
Deutsch, ES, Wiet, GJ, Seidman, M, Hussey, HM, Malekzadeh, S, Fried, MP. Simulation activity in otolaryngology residencies. Otolaryngol Head Neck Surg 2015;153:193–201CrossRefGoogle ScholarPubMed
Shenton, C, Aucott, W. How I do it: a simulator of the ear for developing otomicroscopy skills during the coronavirus disease 2019 pandemic. J Laryngol Otol 2020;134:1022–5CrossRefGoogle Scholar
Bhat, PS, Kaliavaradan, S, Muruganidhi, N, Sethu, PL. Model for hands-on tonsillectomy surgical training of postgraduate residents during COVID-19 pandemic. Eur Arch Otorhinolaryngol 2021;278:2631–6CrossRefGoogle ScholarPubMed
Gallo, O, Locatello, LG, Orlando, P, Martelli, F, Bruno, C, Cilona, M et al. The clinical consequences of the COVID-19 lockdown: a report from an Italian referral ENT department. Laryngoscope Investig Otolaryngol 2020;5:824–31CrossRefGoogle Scholar
Munjal, T, Kavanagh, KR, Ezzibdeh, RM, Valdez, TA. The impact of COVID-19 on global disparities in surgical training in pediatric otolaryngology. Int J Pediatr Otorhinolaryngol 2020;138:110267CrossRefGoogle ScholarPubMed