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An update on simulation training in rhinology: a systematic review of evidence

Published online by Cambridge University Press:  11 April 2024

Laura J Brennan*
Affiliation:
Department of ENT, St Michaels Hospital, University Hospitals Bristol and Weston, Bristol, United Kingdom
Ramkishan Balakumar
Affiliation:
Department of ENT, St Michaels Hospital, University Hospitals Bristol and Weston, Bristol, United Kingdom
Seren Waite
Affiliation:
Department of ENT, St Michaels Hospital, University Hospitals Bristol and Weston, Bristol, United Kingdom
Warren O. Bennett
Affiliation:
Department of ENT, St Michaels Hospital, University Hospitals Bristol and Weston, Bristol, United Kingdom
*
Corresponding author: Laura J Brennan; Email: [email protected]

Abstract

Background

Rhinological procedures demand a high degree of technical expertise and anatomical knowledge. Because of limited surgical opportunities, ethical considerations and the complexity of these procedures, simulation-based training has become increasingly important. This review aimed to evaluate the effectiveness of simulation models used in rhinology training.

Methods

Searches were conducted on PubMed, Embase, Cochrane and Google Scholar for studies conducted between July 2012 and July 2022. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (‘PRISMA’) protocol defined a final list of articles. Each validated study was assigned a level of evidence and a level of recommendation based on the Oxford Centre of Evidence-Based Medicine classification.

Results

Following exclusions, 42 articles were identified which encompassed six types of simulation models and 26 studies evaluated validity. The rhinological skills assessed included endoscopic sinus surgery (n = 28), skull base/cerebrospinal fluid leak repair (n = 14), management of epistaxis and/or sphenopalatine artery ligation (n = 8), and septoplasty and septorhinoplasty (n = 6). All studies reported the beneficial impact of their simulation models on trainee development.

Conclusion

Simulation training in rhinology is a valuable adjunct to traditional surgical education. Although evidence is of moderate quality, the findings highlight the importance of simulation-based training in rhinology training.

Type
Main Article
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Laura J Brennan takes responsibility for the integrity of the content of the paper

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