Real-time surgical simulation training for recurrent laryngeal nerve and facial nerve dissection
Head and neck surgical simulation training (SST) is an important part in otolaryngology head and neck surgical education. In this study, we provide a live porcine model for SST in recurrent laryngeal nerve (RLN) and facial nerve (FN) dissection for otolaryngology head and neck residents. A lecture w...
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| Veröffentlicht in: | American journal of otolaryngology 2024-09, Vol.45 (5), p.104420, Article 104420 |
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| creator | Lin, Wen-Jiun Chang, Chih-Ming Cheng, Ping-Chia Lo, Wu-Chia Huang, Tzu-Yen Wu, Che-Wei Liao, Li-Jen |
| description | Head and neck surgical simulation training (SST) is an important part in otolaryngology head and neck surgical education. In this study, we provide a live porcine model for SST in recurrent laryngeal nerve (RLN) and facial nerve (FN) dissection for otolaryngology head and neck residents.
A lecture with surgical manual is provided to illustrate the surgical landmarks of pig, and step-by-step procedures for thyroid and parotid surgery, as well as neck dissection. We used 4-month-old pig weighting 32 kg for the SST. The mentor demonstrated result of RLN injury with continuous nerve monitoring. Participants used monopolar stimulation probe (4 pulse/s, 100 μs, 3-8 mA; Medtronic) to identify and intermittent monitor the RLN and FN during the SST. After the dissection course, we conducted a questionnaire survey to check the effectiveness of this training model.
Total 30 participants were recruited, including 16 female and 14 male resident doctors. There were 1, 4 and 25 learners for 3rd year, 4th and 5th years residents, respectively. Before this training course, 53 % (16/30) and 63 % (19/30) had successful experience in finding the RLN and FN, respectively. After the SST, all of our participants had successful identify the RLN and FN (p-value |
| doi_str_mv | 10.1016/j.amjoto.2024.104420 |
| format | Article |
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A lecture with surgical manual is provided to illustrate the surgical landmarks of pig, and step-by-step procedures for thyroid and parotid surgery, as well as neck dissection. We used 4-month-old pig weighting 32 kg for the SST. The mentor demonstrated result of RLN injury with continuous nerve monitoring. Participants used monopolar stimulation probe (4 pulse/s, 100 μs, 3-8 mA; Medtronic) to identify and intermittent monitor the RLN and FN during the SST. After the dissection course, we conducted a questionnaire survey to check the effectiveness of this training model.
Total 30 participants were recruited, including 16 female and 14 male resident doctors. There were 1, 4 and 25 learners for 3rd year, 4th and 5th years residents, respectively. Before this training course, 53 % (16/30) and 63 % (19/30) had successful experience in finding the RLN and FN, respectively. After the SST, all of our participants had successful identify the RLN and FN (p-value <0.01); all had positive response to stimulation and familiar with the procedure.
The live porcine model is effectiveness in SST for RLN and FN dissection. Live porcine model with real-time RLN and FN monitoring should be provided for otolaryngology head and neck resident training.</description><identifier>ISSN: 0196-0709</identifier><identifier>ISSN: 1532-818X</identifier><identifier>EISSN: 1532-818X</identifier><identifier>DOI: 10.1016/j.amjoto.2024.104420</identifier><identifier>PMID: 39067090</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Animals ; Clinical Competence ; Dissection - education ; Facial nerve ; Facial Nerve - surgery ; Female ; Humans ; Internship and Residency - methods ; Live porcine model ; Male ; Models, Animal ; Neck Dissection - education ; Nerve monitoring ; Otolaryngology - education ; Recurrent laryngeal nerve ; Recurrent Laryngeal Nerve - surgery ; Recurrent Laryngeal Nerve Injuries - prevention & control ; Simulation Training - methods ; Surgical simulation training ; Swine</subject><ispartof>American journal of otolaryngology, 2024-09, Vol.45 (5), p.104420, Article 104420</ispartof><rights>2024 Elsevier Inc.</rights><rights>Copyright © 2024 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c241t-1555b971aaf14f2d2a3eb61c79c8febffbb0625064fd1f93ec116152d781138a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0196070924002060$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39067090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Wen-Jiun</creatorcontrib><creatorcontrib>Chang, Chih-Ming</creatorcontrib><creatorcontrib>Cheng, Ping-Chia</creatorcontrib><creatorcontrib>Lo, Wu-Chia</creatorcontrib><creatorcontrib>Huang, Tzu-Yen</creatorcontrib><creatorcontrib>Wu, Che-Wei</creatorcontrib><creatorcontrib>Liao, Li-Jen</creatorcontrib><title>Real-time surgical simulation training for recurrent laryngeal nerve and facial nerve dissection</title><title>American journal of otolaryngology</title><addtitle>Am J Otolaryngol</addtitle><description>Head and neck surgical simulation training (SST) is an important part in otolaryngology head and neck surgical education. In this study, we provide a live porcine model for SST in recurrent laryngeal nerve (RLN) and facial nerve (FN) dissection for otolaryngology head and neck residents.
A lecture with surgical manual is provided to illustrate the surgical landmarks of pig, and step-by-step procedures for thyroid and parotid surgery, as well as neck dissection. We used 4-month-old pig weighting 32 kg for the SST. The mentor demonstrated result of RLN injury with continuous nerve monitoring. Participants used monopolar stimulation probe (4 pulse/s, 100 μs, 3-8 mA; Medtronic) to identify and intermittent monitor the RLN and FN during the SST. After the dissection course, we conducted a questionnaire survey to check the effectiveness of this training model.
Total 30 participants were recruited, including 16 female and 14 male resident doctors. There were 1, 4 and 25 learners for 3rd year, 4th and 5th years residents, respectively. Before this training course, 53 % (16/30) and 63 % (19/30) had successful experience in finding the RLN and FN, respectively. After the SST, all of our participants had successful identify the RLN and FN (p-value <0.01); all had positive response to stimulation and familiar with the procedure.
The live porcine model is effectiveness in SST for RLN and FN dissection. Live porcine model with real-time RLN and FN monitoring should be provided for otolaryngology head and neck resident training.</description><subject>Animals</subject><subject>Clinical Competence</subject><subject>Dissection - education</subject><subject>Facial nerve</subject><subject>Facial Nerve - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Internship and Residency - methods</subject><subject>Live porcine model</subject><subject>Male</subject><subject>Models, Animal</subject><subject>Neck Dissection - education</subject><subject>Nerve monitoring</subject><subject>Otolaryngology - education</subject><subject>Recurrent laryngeal nerve</subject><subject>Recurrent Laryngeal Nerve - surgery</subject><subject>Recurrent Laryngeal Nerve Injuries - prevention & control</subject><subject>Simulation Training - methods</subject><subject>Surgical simulation training</subject><subject>Swine</subject><issn>0196-0709</issn><issn>1532-818X</issn><issn>1532-818X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKxDAUhoMoOl7eQCRLNx1zkvS2EUS8wYAgCu5imp4MGdpUk1bw7c1QdenqwM9_4XyEnAJbAoPiYrPU_WYYhyVnXCZJSs52yAJywbMKqtddsmBQFxkrWX1ADmPcMMaEFPk-ORA1K5LMFuTtCXWXja5HGqewdkZ3NLp-6vToBk_HoJ13fk3tEGhAM4WAfqSdDl9-nZLUY_hEqn1LrTbuT2hdjGi2Fcdkz-ou4snPPSIvtzfP1_fZ6vHu4fpqlRkuYcwgz_OmLkFrC9LylmuBTQGmrE1lsbG2aVjBc1ZI24KtBRqAAnLelhWAqLQ4Iudz73sYPiaMo-pdNNh12uMwRSVYlReV5FWZrHK2mjDEGNCq9-D69JICprZs1UbNbNWWrZrZptjZz8LU9Nj-hX5hJsPlbMD056fDoKJx6A22LqEbVTu4_xe-AbZvjfc</recordid><startdate>202409</startdate><enddate>202409</enddate><creator>Lin, Wen-Jiun</creator><creator>Chang, Chih-Ming</creator><creator>Cheng, Ping-Chia</creator><creator>Lo, Wu-Chia</creator><creator>Huang, Tzu-Yen</creator><creator>Wu, Che-Wei</creator><creator>Liao, Li-Jen</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202409</creationdate><title>Real-time surgical simulation training for recurrent laryngeal nerve and facial nerve dissection</title><author>Lin, Wen-Jiun ; Chang, Chih-Ming ; Cheng, Ping-Chia ; Lo, Wu-Chia ; Huang, Tzu-Yen ; Wu, Che-Wei ; Liao, Li-Jen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c241t-1555b971aaf14f2d2a3eb61c79c8febffbb0625064fd1f93ec116152d781138a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Animals</topic><topic>Clinical Competence</topic><topic>Dissection - education</topic><topic>Facial nerve</topic><topic>Facial Nerve - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Internship and Residency - methods</topic><topic>Live porcine model</topic><topic>Male</topic><topic>Models, Animal</topic><topic>Neck Dissection - education</topic><topic>Nerve monitoring</topic><topic>Otolaryngology - education</topic><topic>Recurrent laryngeal nerve</topic><topic>Recurrent Laryngeal Nerve - surgery</topic><topic>Recurrent Laryngeal Nerve Injuries - prevention & control</topic><topic>Simulation Training - methods</topic><topic>Surgical simulation training</topic><topic>Swine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Wen-Jiun</creatorcontrib><creatorcontrib>Chang, Chih-Ming</creatorcontrib><creatorcontrib>Cheng, Ping-Chia</creatorcontrib><creatorcontrib>Lo, Wu-Chia</creatorcontrib><creatorcontrib>Huang, Tzu-Yen</creatorcontrib><creatorcontrib>Wu, Che-Wei</creatorcontrib><creatorcontrib>Liao, Li-Jen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of otolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Wen-Jiun</au><au>Chang, Chih-Ming</au><au>Cheng, Ping-Chia</au><au>Lo, Wu-Chia</au><au>Huang, Tzu-Yen</au><au>Wu, Che-Wei</au><au>Liao, Li-Jen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Real-time surgical simulation training for recurrent laryngeal nerve and facial nerve dissection</atitle><jtitle>American journal of otolaryngology</jtitle><addtitle>Am J Otolaryngol</addtitle><date>2024-09</date><risdate>2024</risdate><volume>45</volume><issue>5</issue><spage>104420</spage><pages>104420-</pages><artnum>104420</artnum><issn>0196-0709</issn><issn>1532-818X</issn><eissn>1532-818X</eissn><abstract>Head and neck surgical simulation training (SST) is an important part in otolaryngology head and neck surgical education. In this study, we provide a live porcine model for SST in recurrent laryngeal nerve (RLN) and facial nerve (FN) dissection for otolaryngology head and neck residents.
A lecture with surgical manual is provided to illustrate the surgical landmarks of pig, and step-by-step procedures for thyroid and parotid surgery, as well as neck dissection. We used 4-month-old pig weighting 32 kg for the SST. The mentor demonstrated result of RLN injury with continuous nerve monitoring. Participants used monopolar stimulation probe (4 pulse/s, 100 μs, 3-8 mA; Medtronic) to identify and intermittent monitor the RLN and FN during the SST. After the dissection course, we conducted a questionnaire survey to check the effectiveness of this training model.
Total 30 participants were recruited, including 16 female and 14 male resident doctors. There were 1, 4 and 25 learners for 3rd year, 4th and 5th years residents, respectively. Before this training course, 53 % (16/30) and 63 % (19/30) had successful experience in finding the RLN and FN, respectively. After the SST, all of our participants had successful identify the RLN and FN (p-value <0.01); all had positive response to stimulation and familiar with the procedure.
The live porcine model is effectiveness in SST for RLN and FN dissection. Live porcine model with real-time RLN and FN monitoring should be provided for otolaryngology head and neck resident training.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39067090</pmid><doi>10.1016/j.amjoto.2024.104420</doi></addata></record> |
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| subjects | Animals Clinical Competence Dissection - education Facial nerve Facial Nerve - surgery Female Humans Internship and Residency - methods Live porcine model Male Models, Animal Neck Dissection - education Nerve monitoring Otolaryngology - education Recurrent laryngeal nerve Recurrent Laryngeal Nerve - surgery Recurrent Laryngeal Nerve Injuries - prevention & control Simulation Training - methods Surgical simulation training Swine |
| title | Real-time surgical simulation training for recurrent laryngeal nerve and facial nerve dissection |
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