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Pediatric laryngeal simulator using 3D printed models: A novel technique.

Katherine R Kavanagh1, Valerie Cote1, Yvonne Tsui2

  • 1Department of Otolaryngology Head and Neck Surgery, Connecticut Children's Medical Center, Hartford, Connecticut, U.S.A.

The Laryngoscope
|October 13, 2016
PubMed
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A new silicone elastomer (SE) pediatric laryngeal model offers realistic tactile properties for otolaryngology (ENT) surgical simulation training. This low-cost, reproducible model enhances resident skill acquisition in airway procedures.

Area of Science:

  • Medical Education
  • Surgical Simulation
  • Otolaryngology Training

Background:

  • High-quality medical simulation models are crucial for developing surgical and nonsurgical technical skills.
  • Existing pediatric laryngeal models may lack the necessary tactile fidelity and reproducibility for effective otolaryngology residency training.

Purpose of the Study:

  • To develop and describe a practical, low-cost pediatric laryngeal model for otolaryngology residency training.
  • To create a model with tactile properties mimicking human tissue and reliable reproducibility.

Main Methods:

  • Developed pediatric laryngeal models using direct 3D printing (polylactic acid, acrylonitrile butadiene styrene, high-impact polystyrene) and casted models (silicone elastomer) from 3D-printed molds.
  • Evaluated models based on anatomic accuracy, ease of manipulation, hardness, and production cost.
Keywords:
Simulationlaryngoscopypediatric otolaryngologyresident education

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  • Utilized a tissue likeness scale for validation and statistical analysis (Fleiss' Kappa, ANOVA) to assess interrater agreement and material differences.
  • Main Results:

    • Silicone elastomer (SE) models demonstrated superior anatomical accuracy and tactile properties suitable for surgical manipulation.
    • Direct 3D printing was more cost-effective but lacked the necessary material fidelity for surgical simulation.
    • SE models provided better tissue likeness compared to directly printed materials.

    Conclusions:

    • Casted silicone elastomer models of the pediatric larynx offer high-quality anatomy and tactile properties comparable to human tissue.
    • These models are easily manipulated with standard surgical instruments, providing a valuable training resource.
    • The developed simulation system is reliable, low-cost, accessible, and modular for otolaryngology residents.