The Validity of Training Endoscopic Sinus and Skull Base Surgery Techniques on the Experimental Head Model

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dc.contributor.authorMladina, Ranko
dc.contributor.authorSkitarelic, Neven
dc.contributor.authorCingi, Cemal
dc.contributor.authorChen, Lei
dc.contributor.authorMuluk, Nuray Bayar
dc.date.accessioned2020-06-25T18:29:42Z
dc.date.available2020-06-25T18:29:42Z
dc.date.issued2018
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjectives:The aim of this study was to better understand the usual learning curve in acquiring endonasal endoscopic sinus and skull base surgery (ESSBS) techniques during the novice training on the lamb's head model.Methods:Ten novices were asked to perform 10 bilateral dissections on the particular lamb's head each. The dissections were uniform, consisted of 10 well-defined steps, beginning from the simple removal of the inferior turbinate, and ending with more complicated procedures like cerebrospinal fluid leak repair, Draf 3 procedure for the frontal sinus and elevation of the nasal septal flap. The dissections have been supervised by experienced surgeons. A set of standard ESSBS instruments and 0 degrees and 45 degrees endoscopes have been used under the navigational system. The time required to complete each step has been measured in minutes.Results:In general and quite expectedly, time rates have been obviously lowering as the number of the dissections performed has been growing in each of the participants.Conclusion:Training of the endonasal ESSBS techniques on the lamb's head proved to be useful for novices in getting basic surgical skills in the field. Because of the high degree of anatomic similarity and high level of the anatomic dimensions congruency between the lamb's head and human head (sheep's head has bigger dimensions!) it proved to be an essential preparation for the human cadaveric dissection. The median values of the time rates having been needed to complete the particular of the 10 steps in the last novices' dissections could be accepted as an orientation, just suggesting that once the time needed to complete 1 of the 10 steps has been and achieved by the particular novice, this could be an approximate sign of the maturity for the exercises on human cadaver head.en_US
dc.description.sponsorshipKarl Storz GmbH Comp, Tuttlingen, Germanyen_US
dc.description.sponsorshipThe authors thank Karl Storz GmbH Comp, Tuttlingen, Germany, for their generous support through all these years in the development of the most practical way of teaching, training, and introducing novices to the ESSBS techniques.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1097/SCS.0000000000004208
dc.identifier.endpage501en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue2en_US
dc.identifier.pmid29239925
dc.identifier.scopus2-s2.0-85044195489
dc.identifier.scopusqualityQ3
dc.identifier.startpage498en_US
dc.identifier.urihttps://doi.org/10.1097/SCS.0000000000004208
dc.identifier.urihttps://hdl.handle.net/20.500.12587/7430
dc.identifier.volume29en_US
dc.identifier.wosWOS:000427989400092
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal Of Craniofacial Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEndoscopicen_US
dc.subjectlamb's headen_US
dc.subjectsinusen_US
dc.subjectskull baseen_US
dc.subjectsurgeryen_US
dc.subjecttime valuesen_US
dc.subjecttrainingen_US
dc.titleThe Validity of Training Endoscopic Sinus and Skull Base Surgery Techniques on the Experimental Head Modelen_US
dc.typeArticle

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