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Low cost, easy-to-replicate myringotomy tube insertion simulation model.

Nicole Molin1, Jerlon Chiu2, Benjamin Liba1

  • 1Department of Otolaryngology -Head & Neck Surgery, Lewis Katz School of Medicine at Temple University, 3440 N Broad Street, Kresge West 3rd Floor, Philadelphia, PA, 19140, USA.

International Journal of Pediatric Otorhinolaryngology
|January 10, 2020
PubMed
Summary

This study introduces a low-cost, easy-to-build simulation model for myringotomy tube (MT) placement. Training with this model significantly improved surgical skills and reduced procedure time for medical students.

Keywords:
MyringotomyMyringotomy tubeSimulationSurgical education

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Area of Science:

  • Surgical Education
  • Medical Simulation
  • Otolaryngology Training

Background:

  • Simulation is crucial for surgical education, yet effective myringotomy tube (MT) placement simulators are lacking.
  • Existing models are either too simple or too complex and expensive to construct.
  • A need exists for an accessible, cost-effective MT placement simulator.

Purpose of the Study:

  • To develop and evaluate a novel, low-cost simulation model for myringotomy tube (MT) placement.
  • To assess the model's efficacy in improving essential MT placement skills.
  • To provide a realistic training tool for medical students and residents.

Main Methods:

  • A simulation model was constructed using a rotating head, speculum, auditory canal simulator, and tympanic membrane target.
  • Ten surgically naive medical students underwent 30 minutes of training using the simulator.
  • Performance was evaluated by measuring procedure time and using a validated Global Rating Scale.

Main Results:

  • Students demonstrated statistically significant improvements in MT placement skill scores after training.
  • A significant decrease in the time required for MT placement was observed.
  • The model facilitated the acquisition of necessary MT placement skills.

Conclusions:

  • The developed MT placement simulator is inexpensive and simple to build.
  • It effectively simulates key aspects of patient anatomy and head orientation.
  • Thirty minutes of practice significantly enhanced the skills of inexperienced student surgeons.