模型和教学教学材料耳机框架雕刻:一个系统的审查
Naomi Nandra1, Thomas H Jovic1, Stephen R Ali1
1Reconstructive Surgery and Regenerative Medicine Research Centre. Institute of Life Sciences, Swansea University Medical School, Swansea, UK; Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|October 12, 2023
概括
练习用于耳朵重建的耳道框架雕刻需要有效的培训模型. 初级外科医生从合成材料,动物软骨或3D打印中受益,以提高技能.
科学领域:
- 整形外科 整形外科 整形外科
- 医学教育 医学教育
- 生物材料科学 生物材料科学
背景情况:
- 耳部重建手术,特别是耳部框架雕刻,带来了重大的技术挑战.
- 耳部解剖学的患者特异性需要专门的训练模型进行外科实践和规划.
研究的目的:
- 系统地审查和评估最有效的模型和方法来练习耳道框架雕刻.
- 确定用于耳朵重建手术的最佳培训材料和技术.
主要方法:
- 按照系统审查和元分析 (PRISMA) 准则的首选报告项目进行了系统审查.
- 在MEDLINE,Embase和Cochrane数据库中进行了搜索,使用与耳部重建和教学相关的术语.
- 从最初的354篇文章中,包括了13项研究,分析了各种雕刻材料和方法.
主要成果:
- 分析的材料包括蔬菜,动物组织,合成材料和3D打印模具.
- 评估了这些材料与人类肋骨软骨的相似性.
- 由于研究异质性,量化分析是不可行的.
结论:
- 对于初级外科医生来说,建议使用廉价合成材料重复练习,然后使用动物软骨或3D打印的,以获得技能.
- 经验丰富的外科医生可以利用横截面成像和对侧耳的3D打印来进行术前模拟和精确匹配.
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