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A Laryngeal Dissection Station: Educational Paradigms in Phonosurgery

Identifieur interne : 002C57 ( Istex/Corpus ); précédent : 002C56; suivant : 002C58

A Laryngeal Dissection Station: Educational Paradigms in Phonosurgery

Auteurs : Seth H. Dailey ; James B. Kobler ; Steven M. Zeitels

Source :

RBID : ISTEX:A409B02C7097AE21F75F11A7D1EE7FD912A1FEBF

English descriptors

Abstract

Objectives: To introduce a new tool for phonosurgical training and education. A multitude of innovations in complex laryngeal surgery has catalyzed new educational initiatives. Establishing dexterity in phonomicrosurgery is often difficult to achieve while working on patients because of the narrow margin for success. Furthermore, laryngoplastic phonosurgery and open partial laryngectomy require sophisticated knowledge of precise anatomic relationships, which can be difficult to express in images. Finally, many teaching programs do not have a high volume of these procedures, and there is a significant need to transmit this information in continuing education courses. Study Design: Prototype design. Methods: A laryngeal dissection station (LDS) was designed to facilitate the acquisition of high‐level procedural skill sets for both transoral and transcervical techniques. Results: This LDS can be used in existing temporal‐bone laboratories by using cadaveric larynges. A rectangular frame supports two adjustable holders, one for the larynx and one for the examining speculum of a laryngoscope. Procedures are performed with the larynx fixed in space by a novel fixator. Variation in position and orientation of the components affords simulation of both microlaryngoscopy and open surgery. The dissection station can accommodate virtually any laryngoscope, regardless of size or shape. Conclusions: This training apparatus should facilitate laryngeal surgical instruction in residency training and continuing medical education. This device and others like it can help establish clinical competency in laryngology, should this become necessary in future educational models of residency training and recertification.

Url:
DOI: 10.1097/00005537-200405000-00017

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ISTEX:A409B02C7097AE21F75F11A7D1EE7FD912A1FEBF

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<b>Objectives:</b>
To introduce a new tool for phonosurgical training and education. A multitude of innovations in complex laryngeal surgery has catalyzed new educational initiatives. Establishing dexterity in phonomicrosurgery is often difficult to achieve while working on patients because of the narrow margin for success. Furthermore, laryngoplastic phonosurgery and open partial laryngectomy require sophisticated knowledge of precise anatomic relationships, which can be difficult to express in images. Finally, many teaching programs do not have a high volume of these procedures, and there is a significant need to transmit this information in continuing education courses.</p>
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<b>Study Design:</b>
Prototype design.</p>
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<b>Methods:</b>
A laryngeal dissection station (LDS) was designed to facilitate the acquisition of high‐level procedural skill sets for both transoral and transcervical techniques.</p>
<p>
<b>Results:</b>
This LDS can be used in existing temporal‐bone laboratories by using cadaveric larynges. A rectangular frame supports two adjustable holders, one for the larynx and one for the examining speculum of a laryngoscope. Procedures are performed with the larynx fixed in space by a novel fixator. Variation in position and orientation of the components affords simulation of both microlaryngoscopy and open surgery. The dissection station can accommodate virtually any laryngoscope, regardless of size or shape.</p>
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<b>Conclusions:</b>
This training apparatus should facilitate laryngeal surgical instruction in residency training and continuing medical education. This device and others like it can help establish clinical competency in laryngology, should this become necessary in future educational models of residency training and recertification.</p>
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<p>Presented at the World Congress of Bronchology, Boston, MA, June 15, 2002.</p>
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<title>A Laryngeal Dissection Station: Educational Paradigms in Phonosurgery</title>
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<titleInfo type="abbreviated" lang="en">
<title>A Laryngeal Dissection Station: Educational Paradigms in Phonosurgery</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA" lang="en">
<title>A Laryngeal Dissection Station: Educational Paradigms in Phonosurgery</title>
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<name type="personal">
<namePart type="given">Seth H.</namePart>
<namePart type="family">Dailey</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Otology and Laryngology, Harvard Medical School, Division of Otolaryngology, Brigham and Women's Hospital, Boston, MA, U.S.A.</affiliation>
<description>Correspondence: Dr. Seth H. Dailey, 333 Longwood Avenue, 3rd Floor, Boston, MA 02115, U.S.A.</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">James B.</namePart>
<namePart type="family">Kobler</namePart>
<namePart type="termsOfAddress">PhD</namePart>
<affiliation>Department of Otology and Laryngology, Harvard Medical School, Division of Laryngology and Voice and Speech laboratory, Massachusetts Eye and Ear Infirmary, Boston, MA, U.S.A.</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Steven M.</namePart>
<namePart type="family">Zeitels</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Otology and Laryngology, Harvard Medical School, Division of Laryngology and Voice and Speech laboratory, Massachusetts Eye and Ear Infirmary, Boston, MA, U.S.A.</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
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<publisher>John Wiley & Sons, Inc.</publisher>
<place>
<placeTerm type="text">Hoboken, NJ</placeTerm>
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<dateIssued encoding="w3cdtf">2004-05</dateIssued>
<dateValid encoding="w3cdtf">2003-12-04</dateValid>
<copyrightDate encoding="w3cdtf">2004</copyrightDate>
</originInfo>
<language>
<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<internetMediaType>text/html</internetMediaType>
<extent unit="figures">5</extent>
<extent unit="references">29</extent>
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<abstract lang="en">Objectives: To introduce a new tool for phonosurgical training and education. A multitude of innovations in complex laryngeal surgery has catalyzed new educational initiatives. Establishing dexterity in phonomicrosurgery is often difficult to achieve while working on patients because of the narrow margin for success. Furthermore, laryngoplastic phonosurgery and open partial laryngectomy require sophisticated knowledge of precise anatomic relationships, which can be difficult to express in images. Finally, many teaching programs do not have a high volume of these procedures, and there is a significant need to transmit this information in continuing education courses. Study Design: Prototype design. Methods: A laryngeal dissection station (LDS) was designed to facilitate the acquisition of high‐level procedural skill sets for both transoral and transcervical techniques. Results: This LDS can be used in existing temporal‐bone laboratories by using cadaveric larynges. A rectangular frame supports two adjustable holders, one for the larynx and one for the examining speculum of a laryngoscope. Procedures are performed with the larynx fixed in space by a novel fixator. Variation in position and orientation of the components affords simulation of both microlaryngoscopy and open surgery. The dissection station can accommodate virtually any laryngoscope, regardless of size or shape. Conclusions: This training apparatus should facilitate laryngeal surgical instruction in residency training and continuing medical education. This device and others like it can help establish clinical competency in laryngology, should this become necessary in future educational models of residency training and recertification.</abstract>
<note type="content">*Presented at the World Congress of Bronchology, Boston, MA, June 15, 2002.</note>
<subject lang="en">
<genre>keywords</genre>
<topic>Phonosurgery</topic>
<topic>voice</topic>
<topic>larynx</topic>
<topic>education</topic>
</subject>
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<titleInfo>
<title>The Laryngoscope</title>
</titleInfo>
<titleInfo type="abbreviated">
<title>The Laryngoscope</title>
</titleInfo>
<genre type="journal">journal</genre>
<subject>
<genre>article-category</genre>
<topic>Article</topic>
</subject>
<identifier type="ISSN">0023-852X</identifier>
<identifier type="eISSN">1531-4995</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-4995</identifier>
<identifier type="PublisherID">LARY</identifier>
<part>
<date>2004</date>
<detail type="volume">
<caption>vol.</caption>
<number>114</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>5</number>
</detail>
<extent unit="pages">
<start>878</start>
<end>882</end>
<total>5</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">A409B02C7097AE21F75F11A7D1EE7FD912A1FEBF</identifier>
<identifier type="DOI">10.1097/00005537-200405000-00017</identifier>
<identifier type="ArticleID">LARY5541140517</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2004 The Triological Society</accessCondition>
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<recordContentSource>WILEY</recordContentSource>
<recordOrigin>John Wiley & Sons, Inc.</recordOrigin>
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