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European Archives of Oto-Rhino-Laryngology

, Volume 273, Issue 8, pp 2085–2089 | Cite as

Evaluation of resident’s training for endoscopic sinus surgery using a sheep’s head

  • Beatriz Delgado-Vargas
  • Azucena Lloris Romero-Salazar
  • Pablo M. Reyes Burneo
  • Catalina Vásquez Hincapie
  • Gonzalo de los Santos Granado
  • Raúl del Castillo López
  • Claudio Frágola Arnau
  • Ignacio Cobeta Marco
Rhinology

Abstract

Training in functional endoscopic sinus surgery (FESS) is an essential part of each ENT resident and it takes place on a very fragile area. This study focus on showing the learning curve of FESS, using an anatomical model such as the sheep's head. Four residents in our centre performed dissections. Each of these residents operated eight sheep's head. They performed an endoscopic septoplasty followed by maxillary antrostomy, total ethmoidectomy and frontal sinusotomy on every head. A staff member guided all procedures and checked for the appropriate dissection and complications occurred. Analysis was made upon the residents’ performance of their first four septoplasties and eight nasal sides against their subsequent performance of the same. Final procedures presented better outcomes than the initial ones on every step of them. Results were measured by means of decrease of time (P < 0.0001) and complications, showing no major complications on the latest ones. Sheep's head is a suitable substitute for the cadaveric human head, to obtain the surgical skills needed for FESS procedures. Sheep's nasal cavity allows gaining dexterity and it is an easy model to obtain.

Keywords

FESS Paranasal sinus Endoscopy Education Lamb’s head 

Notes

Acknowledgements

We would like to thank Medtronic, especially Pilar Sobrino, for lending the equipment that allowed us to perform the dissections.

Compliance with ethical standards

Conflicts of interest

The authors declare no conflicts of interest to disclose.

References

  1. 1.
    Kinsella JB, Calhoun KH, Bradfield JJ et al (1995) Complications of endoscopic sinus surgery in a residency training program. Laryngoscope 105:1029–1032CrossRefPubMedGoogle Scholar
  2. 2.
    Stammberger H, Posawetz W (1990) Functional endoscopic sinus surgery. Concept, indications and results of the Messerklinger technique. Eur Arch Otorhinolaryngol 247:63–76CrossRefPubMedGoogle Scholar
  3. 3.
    Laeeq K, Lin SY, Diaz DA et al (2013) Achievement of competency in endoscopic sinus surgery of otolaryngology residents. Laryngoscope 123:2932–2934CrossRefPubMedGoogle Scholar
  4. 4.
    Ogino-Nishimura E, Nakagawa T, Sakamoto T, Ito J (2012) An endoscopic endonasal surgery training model using quail eggs. Laryngoscope 122:2154–2157CrossRefPubMedGoogle Scholar
  5. 5.
    Briner HR, Simmen D, Jones N et al (2007) Evaluation of an anatomic model of the paranasal sinuses for endonasal surgical training. Rhinology 45:20–23PubMedGoogle Scholar
  6. 6.
    Gardiner Q, Oluwole M, Tan L, White PS (1996) An animal model for training in endoscopic nasal and sinus surgery. J Laryngol Otol 110:425–428CrossRefPubMedGoogle Scholar
  7. 7.
    Cordero A, Medina MM, Alonso A, Labatut T (2011) Stapedectomy in sheep: an animal model for surgical training. Otol Neurotol 32:742–747CrossRefPubMedGoogle Scholar
  8. 8.
    Cordero A, Benítez S, Reyes P et al (2015) Ovine ear model for fully endoscopic stapedectomy training. Eur Arch Otorhinolaryngol. doi: 10.1007/s00405-014-3114-3 PubMedGoogle Scholar
  9. 9.
    Mladina R, Castelnuovo P, Locatelli D et al (2013) Training cerebrospinal fluid leak repair with nasoseptal flap on the lamb’s head. J Otorhinolaryngol Relat Spec 75:32–36CrossRefGoogle Scholar
  10. 10.
    Awad Z, Taghi A, Sethukumar P, Tolley NS (2015) Construct validity of the ovine model in endoscopic sinus surgery training. Laryngoscope 125:539–543CrossRefPubMedGoogle Scholar
  11. 11.
    Hosemann W, Draf C (2013) Danger points, complications and medico-legal aspects in endoscopic sinus surgery. Curr Top Otorhinolaryngol Head Neck Surg 12:1–61. doi: 10.3205/cto000098 Google Scholar
  12. 12.
    Celis LS, Melcón MG, Calvo FF et al (2010) Complications of endoscopic sinus surgery in a residency training program. Acta Otorrinolaringol Esp 61:345–350CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Beatriz Delgado-Vargas
    • 1
  • Azucena Lloris Romero-Salazar
    • 1
  • Pablo M. Reyes Burneo
    • 1
  • Catalina Vásquez Hincapie
    • 1
  • Gonzalo de los Santos Granado
    • 1
  • Raúl del Castillo López
    • 1
  • Claudio Frágola Arnau
    • 1
  • Ignacio Cobeta Marco
    • 1
  1. 1.Department of Otolaryngology and Head and Neck SurgeryHospital Universitario Ramón y CajalMadridSpain

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