2022, Number 1
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Simulación Clínica 2022; 4 (1)
Myringotomy and ventilation tube placement simulation-training models
Sepúlveda V, Nazal K, Rosenbaum A, Muñoz T, Faba G, Callejas C, Jiménez M, García R, Lagos AE
Language: Spanish
References: 29
Page: 11-17
PDF size: 237.53 Kb.
ABSTRACT
Introduction: Simulation plays an important role in training skills while maintaining patient safety.
Objectives: A simulation model and its construct validation is presented. In addition, a literature review on simulation models for training in myringotomy and ventilation tube installation was performed.
Material and methods: In 2013, a simulation model for training in myringotomy and ventilation tube installation was created. A workshop on the procedure was held and a specific evaluation scale was applied. The total time of the procedure, microscopic vision blockage and number of contacts with the external auditory canal were recorded. Participants were classified into three groups according to their level of expertise: "novice", "intermediate", and "expert".
Results: The novice group obtained a lower score on the evaluation scale (p < 0.01), and higher total times of the procedure, of microscopic vision blockage and number of contacts than the other groups (p < 0.01). No significant differences were found between the intermediate and expert groups.
Conclusions: The presented model has construct validity. Most of the simulators found have content and/or construct validity, but the transfer of skills to the real patient has not been evaluated yet, presenting a challenge to be followed.
REFERENCES
Yoon TH, Park S-K, Kim JY, Pae KH, Ahn JH. Tympanoplasty, with or without mastoidectomy, is highly effective for treatment of chronic otitis media in children. Acta Otolaryngol Suppl. 2007; 558: 44-48.
Tos M. Epidemiology and natural history of secretory otitis. Am J Otol. 1984; 5 (6): 459-462.
Casselbrant ML, Brostoff LM, Cantekin EI, Flaherty MR, Doyle WJ, Bluestone CD, et al. Otitis media with effusion in preschool children. Laryngoscope. 1985; 95 (4): 428-436.
Finkelstein A, Beltrán C, Caro J. Actualización en otitis media con efusión: revisión bibliográfica. Rev Otorrinolaringol Cir Cabeza y Cuello. 2006; 66 (3): 247-255.
Rosenfeld RM, Kay D. Natural history of untreated otitis media. Laryngoscope. 2003; 113 (10): 1645-1657.
Rosenfeld RM, Shin JJ, Schwartz SR, Coggins R, Gagnon L, Hackell JM, et al. Clinical practice guideline: otitis media with effusion (Update). Otolaryngol Head Neck Surg. 2016; 154 (1): S1-41.
Isaacson G. Six Sigma tympanostomy tube insertion: achieving the highest safety levels during residency training. Otolaryngol Head Neck Surg. 2008; 139 (3): 353-357.
Montague M-L, Lee MSW, Hussain SSM. Human error identification: an analysis of myringotomy and ventilation tube insertion. Arch Otolaryngol Head Neck Surg. 2004; 130 (10): 1153-1157.
Evgeniou E, Walker H, Gujral S. The role of simulation in microsurgical training. J Surg Educ. 2018; 75 (1): 171-181.
Chan AL, Carrillo RJD, Ong KC. Simulation platform for myringotomy with ventilation tube insertion in adult ears. PJOHNS. 2018; 33: 14-20.
Alvarado J, Henríquez JP, Castillo R, Sosa J, León F, et al. Programa pionero de simulación en sutura para estudiantes de medicina de pregrado. Rev Chil Cir. 2015; 67 (5): 480-485.
Hovgaard LH, Al-Shahrestani F, Andersen SAW. Current Evidence for Simulation-Based Training and assessment of myringotomy and ventilation tube insertion: a systematic review. Otol Neurotol. 2021; 42 (9): 1188-1196.
García R, Jiménez M, San Martín J. Validación de modelo de simulación de cirugía de colleras. Sochiorl; 2013, 34.
Ferreira E Silva L, Chisté Ferreira M, Couceiro Seto II, Martins Umbelino A, Aguiar Gomes VC, de Borborema Garcia L, et al. A three-dimensional printed myringotomy, tympanostomy and ventilation tube placement simulator. J Laryngol Otol. 2021; 135 (5): 420-425.
Vaitaitis VJ, Dunham ME, Kwon Y-C, Mayer WC, Evans AK, Baker AJ, et al. A surgical simulator for tympanostomy tube insertion incorporating capacitive sensing technology to track instrument placement. Otolaryngol Head Neck Surg. 2020; 162 (3): 343-345.
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: 109730.
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: 40.
Ho AK, Alsaffar H, Doyle PC, Ladak HM, Agrawal SK. Virtual reality myringotomy simulation with real-time deformation: development and validity testing. Laryngoscope. 2012; 122 (8): 1844-1851.
Wheeler B, Doyle PC, Chandarana S, Agrawal S, Husein M, Ladak HM. Interactive computer-based simulator for training in blade navigation and targeting in myringotomy. Comput Methods Programs Biomed. 2010; 98 (2): 130-139.
Sowerby LJ, Rehal G, Husein M, Doyle PC, Agrawal S, Ladak HM. Development and face validity testing of a three-dimensional myringotomy simulator with haptic feedback. J Otolaryngol Head Neck Surg. 2010; 39 (2): 122-129.
Volsky PG, Hughley BB, Peirce SM, Kesser BW. Construct validity of a simulator for myringotomy with ventilation tube insertion. Otolaryngol Head Neck Surg. 2009; 141 (5): 603-608.e1.
Wiet GJ, Deutsch ES, Malekzadeh S, Onwuka AJ, Callender NW, Seidman MD, et al. SimTube: a national simulation training and research project. Otolaryngol Head Neck Surg. 2020; 163 (3): 522-530.
Malekzadeh S, Hanna G, Wilson B, Pehlivanova M, Milmoe G. A model for training and evaluation of myringotomy and tube placement skill. Laryngoscope. 2011; 121 (7): 1410-1415.
Tuaño-Uy MJS, Martinez NV. Model myringotomy practice set: a do-it-yourself and inexpensive alternative. PJOHNS. 2008; 23 (1): 31-34.
Chiesa Estomba CM, Meléndez García JM, Hamdam Zavarce MI, Betances Reinoso FA. The Vigo grommet trainer. Eur Ann Otorhinolaryngol Head Neck Dis. 2015; 132 (1): 53-55.
Hong P, Webb AN, Corsten G, Balderston J, Haworth R, Ritchie K, et al. An anatomically sound surgical simulation model for myringotomy and tympanostomy tube insertion. Int J Pediatr Otorhinolaryngol. 2014; 78 (3): 522-529.
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 (4): 321-326.
Leong A, Kundu S, Martinez-Devesa P, Aldren C. Artificial ear: a training tool for grommet insertion and manual dexterity. ORL. 2006; 68 (2): 115-117.
Molin N, Chiu J, Liba B, Isaacson G. Low cost, easy-to-replicate myringotomy tube insertion simulation model. Int J Pediatr Otorhinolaryngol. 2020; 131: 109847.