T Beleites1, T Zahnert2, M-L Polk2, A Kluge2, M Neudert2, M Kemper2. 1. Klinik und Poliklinik für HNO, TU Dresden, Universitätsklinikum, Fetscherstr. 74, 01307, Dresden, Deutschland. Thomas.Beleites@uniklinikum-dresden.de. 2. Klinik und Poliklinik für HNO, TU Dresden, Universitätsklinikum, Fetscherstr. 74, 01307, Dresden, Deutschland.
Abstract
BACKGROUND: Surgery of the middle ear requires a very high level of fine motor skills. Due to the increased potential for complications in middle ear operations, it is appropriate to acquire these skills beforehand by operating on a model. OBJECTIVE: How satisfactory is the training on suitable models? Are the skills acquired from working on a model transferable to intraoperative situations? Will the type of model and its use for training influence ear surgery in the future? MATERIAL AND METHODS: Available publications and own experiences with the Dresden tympanoplasty model (DTM) are analyzed and discussed. RESULTS: Although middle ear surgery makes very high demands on the surgeon and there is a significant risk for severe complications to the ear as a sense organ, there are currently very few options to train surgeons in advance. The DTM is a validated training model, which is capable of closing this gap. Due to the possibility of using a real-time feedback variation of the model, the understanding for reconstruction quality and intraoperative acoustic stress can be improved. The translation of the real-time feedback idea into actual middle ear surgery can improve reconstruction quality in the future. CONCLUSION: Training on suitable models is indispensable, especially when training as a surgeon to carry out middle ear operations. Adding another sense perception to the internal and external quality assessment of tympanoplasty by inclusion of the real-time feedback option, can optimize learning and operating processes.
BACKGROUND: Surgery of the middle ear requires a very high level of fine motor skills. Due to the increased potential for complications in middle ear operations, it is appropriate to acquire these skills beforehand by operating on a model. OBJECTIVE: How satisfactory is the training on suitable models? Are the skills acquired from working on a model transferable to intraoperative situations? Will the type of model and its use for training influence ear surgery in the future? MATERIAL AND METHODS: Available publications and own experiences with the Dresden tympanoplasty model (DTM) are analyzed and discussed. RESULTS: Although middle ear surgery makes very high demands on the surgeon and there is a significant risk for severe complications to the ear as a sense organ, there are currently very few options to train surgeons in advance. The DTM is a validated training model, which is capable of closing this gap. Due to the possibility of using a real-time feedback variation of the model, the understanding for reconstruction quality and intraoperative acoustic stress can be improved. The translation of the real-time feedback idea into actual middle ear surgery can improve reconstruction quality in the future. CONCLUSION: Training on suitable models is indispensable, especially when training as a surgeon to carry out middle ear operations. Adding another sense perception to the internal and external quality assessment of tympanoplasty by inclusion of the real-time feedback option, can optimize learning and operating processes.
Authors: Samuel R Barber; Elliott D Kozin; Matthew Dedmon; Brian M Lin; Kyuwon Lee; Sumi Sinha; Nicole Black; Aaron K Remenschneider; Daniel J Lee Journal: Int J Pediatr Otorhinolaryngol Date: 2016-08-31 Impact factor: 1.675
Authors: T Beleites; M Neudert; N Lasurashvili; M Kemper; C Offergeld; G Hofmann; T Zahnert Journal: Laryngorhinootologie Date: 2011-11-14 Impact factor: 1.057