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A force sensor improves trainee technique for rigid endoscopy.
Sumrit Bola1, Manu Kunaal Shrivastava1, Josh Brown1
1ENT Department, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
The Journal of Laryngology and Otology
|January 17, 2024
Summary
A modified manikin with force-sensing feedback significantly improves surgical trainees' technical skills in rigid endoscopy. Junior operators reduced applied force after practice, demonstrating enhanced operative technique in a safe simulation environment.
Area of Science:
- Surgical Education
- Medical Simulation
- Otolaryngology
Background:
- Rigid endoscopy training presents challenges for surgical trainees.
- Developing technical proficiency requires effective feedback mechanisms.
Purpose of the Study:
- To evaluate a modified manikin's efficacy in enhancing junior surgical trainees' technical skills in rigid endoscopy.
- To assess the impact of quantitative, real-time force feedback on operative technique.
Main Methods:
- A life support manikin was modified with an integrated oral force-sensing pad.
- Junior trainees and senior otolaryngologists performed rigid endoscopy procedures.
- Real-time feedback on applied force was provided to operators during the procedure.
Main Results:
- A significant inverse correlation was observed between operator seniority and applied force (p < 0.0001).
- Junior trainees demonstrated a statistically significant reduction in applied force after five attempts (118 g decrease, p = 0.007).
- Quantitative feedback led to improved force modulation in learning operators.
Conclusions:
- The modified manikin offers a low-cost, safe simulation for practicing high-risk procedures.
- This model enables trainees to refine operative techniques through objective feedback.
- It provides a valuable tool for improving surgical skill acquisition in rigid endoscopy.

