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Erschienen in: European Archives of Oto-Rhino-Laryngology 12/2019

10.10.2019 | Head and Neck

Ex-vivo surgical model for “Barbed Snore Surgery”: a feasibility study

verfasst von: Vittorio Rinaldi, Andrea Costantino, Antonio Moffa, Manuele Casale

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 12/2019

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Abstract

Introduction

The “Barbed Snore Surgery” is one of the last technical innovations in palatal surgery for Obstructive Sleep Apnea. The availability of a low-cost surgical model able to replicate tissue consistency and main anatomical structures could be fundamental for the spreading of this surgery. The aim of this study was to assess the feasibility of an ex-vivo ovine model in the surgical training of BSS.

Methods

After adequate preparation of adult lamb heads, a post-graduate student with no surgical expertise was guided by a skilled surgeon in the execution of two BSS procedures: “Barbed Roman Blinds Technique” and “Barbed Anterior Pharyngoplasty”. Anatomical limitations and similarity with the human tissue were assessed and recorded during the simulation.

Results

All the procedures were successfully completed. Despite proportional differences, the palatal tissue was assessed as similar in consistency and thickness to the human tissue. The simulation was considered satisfactory and suitable for surgical training.

Conclusion

This ex-vivo ovine surgical model could represent the right tool for BSS training thanks to readily available and inexpensive specimens. Moreover, it appears to present the realistic anatomy and tissue consistence essential for an adequate surgical simulation.
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Literatur
1.
Zurück zum Zitat Javia L, Deutsch ES (2012) A systematic review of simulators in otolaryngology. Otolaryngol Head Neck Surg 147(6):999–1011CrossRef Javia L, Deutsch ES (2012) A systematic review of simulators in otolaryngology. Otolaryngol Head Neck Surg 147(6):999–1011CrossRef
2.
Zurück zum Zitat Gardner AK, Scott DJ, Hebert JC et al (2015) Gearing up for milestones in surgery: Will simulation play a role? Surgery 158(5):1421–1427CrossRef Gardner AK, Scott DJ, Hebert JC et al (2015) Gearing up for milestones in surgery: Will simulation play a role? Surgery 158(5):1421–1427CrossRef
3.
Zurück zum Zitat Rinaldi V, Costantino A, Moffa A et al (2019) “Barbed snore surgery” simulator: a low-cost surgical model. Eur Arch Otorhinolaryngol 276(8):2345–2348CrossRef Rinaldi V, Costantino A, Moffa A et al (2019) “Barbed snore surgery” simulator: a low-cost surgical model. Eur Arch Otorhinolaryngol 276(8):2345–2348CrossRef
4.
Zurück zum Zitat Musbahi O, Aydin A, Al Omran Y et al (2017) Current status of simulation in otolaryngology: a systematic review. J Surg Educ 74(2):203–215CrossRef Musbahi O, Aydin A, Al Omran Y et al (2017) Current status of simulation in otolaryngology: a systematic review. J Surg Educ 74(2):203–215CrossRef
5.
Zurück zum Zitat Ianacone DC, Gnadt BJ, Isaacson G (2016) Ex vivo ovine model for head and neck surgical simulation. Am J Otolaryngol 37(3):272–278CrossRef Ianacone DC, Gnadt BJ, Isaacson G (2016) Ex vivo ovine model for head and neck surgical simulation. Am J Otolaryngol 37(3):272–278CrossRef
6.
Zurück zum Zitat Ghirelli M, Mattioli F, Federici G et al (2019) Ex vivo porcine larynx model for microlaryngoscopy laryngeal surgery: proposal for a structured surgical training. J Voice S0892–1997(18):30516–30522 Ghirelli M, Mattioli F, Federici G et al (2019) Ex vivo porcine larynx model for microlaryngoscopy laryngeal surgery: proposal for a structured surgical training. J Voice S0892–1997(18):30516–30522
7.
Zurück zum Zitat Mantovani M, Minetti A, Torretta S et al (2012) The velo-uvulo-pharyngeal lift or “roman blinds” technique for treatment of snoring: a preliminary report. Acta Otorhinolaryngol Ital 32(1):48–53PubMedPubMedCentral Mantovani M, Minetti A, Torretta S et al (2012) The velo-uvulo-pharyngeal lift or “roman blinds” technique for treatment of snoring: a preliminary report. Acta Otorhinolaryngol Ital 32(1):48–53PubMedPubMedCentral
8.
Zurück zum Zitat Mantovani M, Carioli D, Torretta S et al (2017) Barbed snore surgery for concentric collapse at the velum: the Alianza technique. J Craniomaxillofac Surg 45(11):1794–1800CrossRef Mantovani M, Carioli D, Torretta S et al (2017) Barbed snore surgery for concentric collapse at the velum: the Alianza technique. J Craniomaxillofac Surg 45(11):1794–1800CrossRef
10.
Zurück zum Zitat Isaacson G, Ianacone DC, Soliman AMS (2016) Ex vivo ovine model for suspension microlaryngoscopy training. J Laryngol Otol 130(10):939–942CrossRef Isaacson G, Ianacone DC, Soliman AMS (2016) Ex vivo ovine model for suspension microlaryngoscopy training. J Laryngol Otol 130(10):939–942CrossRef
11.
Zurück zum Zitat Isaacson G, Ianacone DC, Wolfson MR (2015) Ex vivo ovine model for pediatric flexible endoscopy training. Int J Pediatr Otorhinolaryngol 79(12):2196–2199CrossRef Isaacson G, Ianacone DC, Wolfson MR (2015) Ex vivo ovine model for pediatric flexible endoscopy training. Int J Pediatr Otorhinolaryngol 79(12):2196–2199CrossRef
Metadaten
Titel
Ex-vivo surgical model for “Barbed Snore Surgery”: a feasibility study
verfasst von
Vittorio Rinaldi
Andrea Costantino
Antonio Moffa
Manuele Casale
Publikationsdatum
10.10.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 12/2019
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-019-05660-w

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