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"Barbed snore surgery" simulator: a low-cost surgical model.

Vittorio Rinaldi¹, Andrea Costantino², Antonio Moffa³

¹Department of Otolaryngology, Integrated Therapies in Otolaryngology, School of Medicine, Campus Bio-Medico University, Via Alvaro del Portillo 21, 00128, Rome, Italy.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

|June 14, 2019

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This study introduces an affordable, realistic surgical simulator for barbed snore surgery (BSS), a minimally invasive treatment for obstructive sleep apnea syndrome (OSAS). The simulator aims to accelerate the learning curve for untrained surgeons, promoting wider adoption of this effective technique.

Area of Science:

Otolaryngology
Surgical Education
Medical Device Development

Background:

Barbed snore surgery (BSS) is an innovative, minimally invasive surgical technique for obstructive sleep apnea syndrome (OSAS).
Widespread adoption of BSS is limited in many ENT centers, potentially due to the surgical learning curve.
There is a need for accessible training tools to facilitate BSS proficiency.

Purpose of the Study:

To develop an inexpensive and realistic surgical simulator for barbed snore surgery (BSS).
To expedite the surgical learning curve for BSS in untrained Ear, Nose, and Throat (ENT) surgeons.
To promote the diffusion of BSS for treating obstructive sleep apnea syndrome (OSAS).

Main Methods:

A low-cost surgical simulator was constructed using a manually shaped silicone palate fixed on a resin skeleton.

Keywords:

Barbed Simulator Sleep apnea Surgery Surgical model

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The simulator features a modular mandible fixation system allowing adjustable inter-incisive distance.

Barbed anterior pharyngoplasty (BAPh) was performed on the simulator to demonstrate its utility.

Main Results:

The simulator accurately replicated the palate lift and shortening observed in real BSS procedures.
The BAPh procedure was successfully performed on the simulator, validating its feasibility.
The cost of the simulator was approximately $19.25, making it highly economical.

Conclusions:

This novel surgical model offers a realistic and repeatable training platform for BSS.
The low cost and ease of manufacturing facilitate global dissemination of this training tool.
The simulator is expected to increase the accessibility and application of BSS for OSAS management.