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Ex vivo ovine model for suspension microlaryngoscopy training

Published online by Cambridge University Press:  30 August 2016

G Isaacson ,
D C Ianacone  and
A M S Soliman
G Isaacson*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA Department of Pediatrics, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA
D C Ianacone
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA
A M S Soliman
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA
*
Address for correspondence: Dr Glenn Isaacson, Department of Otolaryngology – Head and Neck Surgery, Lewis Katz School of Medicine, Temple University, 1077 Rydal Road, Suite 201, Rydal, PA 19046, USA E-mail: [email protected]
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Abstract

Objective:

To develop an ovine model for teaching suspension laryngoscopy and phonosurgery.

Methods:

The head and neck from 10 pre-pubescent sheep were harvested following humane euthanasia at the end of an in vivo protocol. No live animals were used in this study. The tissues were saline-perfused and refrigerated for 1–5 days. Suspension laryngoscopy was performed using adolescent Parsons and adult Kantor-Berci laryngoscopes suspended with a Benjamin-Parsons laryngoscope holder. Visualisation was achieved with 0° and 30° telescopes, and a three-chip camera and video system. Shapshay-Ossoff microlaryngeal instruments were used for endolaryngeal dissection.

Results:

Experienced laryngologists led a second year medical student through several procedures including injection laryngoplasty, hydrodissection and incision, endolaryngeal suturing, and partial cordectomy. Despite expected anatomical differences, the model proved highly realistic for suspension microlaryngoscopy.

Conclusion:

The sheep head and neck model provides an inexpensive, safe model for developing skills in suspension laryngoscopy and basic phonosurgery.

Keywords

Airway SurgeryLaryngoscopyInjection LaryngoplastyMicrolaryngoscopySheepSurgical Simulation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 10 , October 2016 , pp. 939 - 942
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Aggarwal, R, Darzi, A. Technical-skills training in the 21st century. N Engl J Med 2006;21:2695–6CrossRefGoogle Scholar
2 Holliday, MA, Bones, VM, Malekzadeh, S, Grant, NN. Low-cost modular phonosurgery training station: development and validation. Laryngoscope 2015;125:1409–13Google Scholar
3 Conroy, E, Surender, K, Geng, Z, Chen, T, Dailey, S, Jiang, J. Video-based method of quantifying performance and instrument motion during simulated phonosurgery. Laryngoscope 2014;124:2332–7Google Scholar
4 Amin, M, Rosen, CA, Simpson, CB, Postma, GN. Hands-on training methods for vocal fold injection education. Ann Otol Rhinol Laryngol 2007;116:1–6 CrossRefGoogle ScholarPubMed
5 Nasser, Kotby M, Wahba, HA, Kamal, E, El-Makhzangy, AM, Bahaa, N. Animal model for training and improvement of the surgical skills in endolaryngeal microsurgery. J Voice 2012;26:351–7Google Scholar
6 Dailey, SH, Kobler, JB, Zeitels, SM. A laryngeal dissection station: educational paradigms in phonosurgery. Laryngoscope 2004;114:878–82Google Scholar
7 Dedmon, MM, Paddle, PM, Phillips, J, Kobayashi, L, Franco, RA, Song, PC. Development and validation of a high-fidelity porcine laryngeal surgical simulator. Otolaryngol Head Neck Surg 2015;153:420–6Google Scholar
8 Tan, M, Prufer, N, Chinosornvatana, N, Park, C, Woo, P. Application of natural orifice transluminal endoscopic surgery (NOTES) instrumentation to the endolarynx. Ann Otol Rhinol Laryngol 2012;121:435–41Google Scholar
9 Isaacson, G, Ianacone, DC, Wolfson, MR. Ex vivo ovine model for pediatric flexible endoscopy training. Int J Pediatr Otorhinolaryngol 2015;79:2196–9Google Scholar
10 Awad, Z, Patel, B, Hayden, L, Sandhu, GS, Tolley, NS. Simulation in laryngology training; what should we invest in? Our experience with 64 porcine larynges and a literature review. Clin Otolaryngol 2015;40:269–73Google Scholar
11 Howard, NS, Mendelsohn, AH, Berke, GS. Development of the ex vivo laryngeal model of phonation. Laryngoscope 2015;125:1414–19Google Scholar
12 Shoja, MM, Benninger, B, Agutter, P, Loukas, M, Tubbs, RS. A historical perspective: infection from cadaveric dissection from the 18th to 20th centuries. Clin Anat 2013;26:154–60Google Scholar
13 Isaacson, G. Extraluminal arytenoid reconstruction: laryngeal framework surgery applied to a pediatric problem. Ann Otol Rhinol Laryngol 1990;99:616–20Google Scholar
14 Deutsch, ES, Christenson, T, Curry, J, Hossain, J, Zur, K, Jacobs, I. Multimodality education for airway endoscopy skill development. Ann Otol Rhinol Laryngol 2009;118:81–6Google Scholar
15 Hasiwa, N, Bailey, J, Clausing, P, Daneshian, M, Eileraas, M, Farkas, S et al. Critical evaluation of the use of dogs in biomedical research and testing in Europe. ALTEX 2011;28:326–40CrossRefGoogle ScholarPubMed
16 Gardiner, Q, Oluwole, M, Tan, L, White, PS. An animal model for training in endoscopic nasal and sinus surgery. J Laryngol Otol 1996;110:425–8Google Scholar
17 Huijskens, EG, Smit, LA, Rossen, JW, Heederik, D, Koopmans, M. Evaluation of patients with community-acquired pneumonia caused by zoonotic pathogens in an area with a high density of animal farms. Zoonoses Public Health 2016;63:160–6Google Scholar
18 Centers for Disease Control and Prevention. Q Fever. In: http://www.cdc.gov/qfever/ [10 July 2015]Google Scholar
19 Whitney, EA, Massung, RF, Kersh, GJ, Fitzpatrick, KA, Mook, DM, Taylor, DK et al. Survey of laboratory animal technicians in the United States for Coxiella burnetii antibodies and exploration of risk factors for exposure. J Am Assoc Lab Anim Sci 2013;52:725–31Google Scholar