Validation of a 3D-Printed Percutaneous Injection Laryngoplasty Simulator: A Randomized Controlled Trial.
Validation of a 3D-Printed Percutaneous Injection Laryngoplasty Simulator: A Randomized Controlled Trial.
复制标题
3D 打印经皮注射喉成形术模拟器的验证：随机对照试验。
DOI：
10.1002/lary.30878
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Rameau,Anaïs
中科院分区：
文献类型：
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作者：
Kostas,JuliannaC;Lee,AndrewS;Arunkumar,Amit;Han,Catherine;Lee,Mark;Goel,AlexanderN;Alrassi,James;Crosby,Tyler;Clark,ChristineM;Amin,Milan;Abu-Ghanem,Sara;Kirke,Diana;Rameau,Anaïs
模拟可能是一个有价值的工具，在培训喉办公室程序的非镇静病人。然而，没有研究已经检查是否现有的清醒程序模拟器提高受训者在喉科的表现。我们的目的是评估转移有效性的先前发表的3D打印喉模拟器在改善经皮注射喉成形术（PIL）的能力相比，传统的教育材料与单盲随机对照trial.MethodsOtolaryngology居民少于10 PIL程序在他们的病例日志被招募。对参与者进行培训前调查，以评价基线手术特定知识和信心。参与者在研究生一年内进行了区组随机化，以接受传统的教育材料，无论是否使用3D打印喉部模拟器进行额外的培训。参与者通过经甲状舌骨和经环甲状软骨入路在解剖学上不同的喉部模型上进行PIL。内窥镜和外部性能的记录进行去识别和评价由两个盲喉使用客观的结构化评估的技术技能量表和PIL特定checklist.ResultsTwenty居民完成测试。基线特征表明两组之间的置信水平或PIL经验无显著差异。与对照组相比，接受模拟器培训的老年住院医师在经甲状舌骨入路过程中对组织的尊重明显更好（p< 0.0005）。初级住院医师的表现没有显著差异。ConclusionsIn this first transfer validity study of a simulator for office awake procedure in laryngology，我们发现，以前描述的低成本，高保真度3D打印PIL模拟器提高了高级耳鼻喉科住院医师的PIL表现，这表明这种可访问的模型可能是高级学员练习PIL的有价值的教育辅助手段。134：318-323，2024
ObjectiveSimulation may be a valuable tool in training laryngology office procedures on unsedated patients. However, no studies have examined whether existing awake procedure simulators improve trainee performance in laryngology. Our objective was to evaluate the transfer validity of a previously published 3D‐printed laryngeal simulator in improving percutaneous injection laryngoplasty (PIL) competency compared with conventional educational materials with a single‐blinded randomized controlled trial.MethodsOtolaryngology residents with fewer than 10 PIL procedures in their case logs were recruited. A pretraining survey was administered to participants to evaluate baseline procedure‐specific knowledge and confidence. The participants underwent block randomization by postgraduate year to receive conventional educational materials either with or without additional training with a 3D‐printed laryngeal simulator. Participants performed PIL on an anatomically distinct laryngeal model via trans‐thyrohyoid and trans‐cricothyroid approaches. Endoscopic and external performance recordings were de‐identified and evaluated by two blinded laryngologists using an objective structured assessment of technical skill scale and PIL‐specific checklist.ResultsTwenty residents completed testing. Baseline characteristics demonstrate no significant differences in confidence level or PIL experience between groups. Senior residents receiving simulator training had significantly better respect for tissue during the trans‐thyrohyoid approach compared with control (p< 0.0005). There were no significant differences in performance for junior residents.ConclusionsIn this first transfer validity study of a simulator for office awake procedure in laryngology, we found that a previously described low‐cost, high‐fidelity 3D‐printed PIL simulator improved performance of PIL amongst senior otolaryngology residents, suggesting this accessible model may be a valuable educational adjunct for advanced trainees to practice PIL.Level of EvidenceNALaryngoscope, 134:318–323, 2024