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How I do it: a simulator of the ear for developing otomicroscopy skills during the coronavirus disease 2019 pandemic

  • C Shenton (a1) and W Aucott (a1)

Abstract

Objective

To develop a simulator of the external auditory canal and tympanic membrane that enables surgical trainees to practise their otomicroscopy skills, which is particularly valuable at a time where there is limited patient contact because of the coronavirus disease 2019 lockdown.

Methods

A simulator of the external auditory canal and tympanic membrane was made using a cardboard bowl, a 2 ml syringe and a latex glove. The simulator was used to practise otomicroscopy skills, including microsuction, foreign body removal, myringotomy and grommet insertion. Five doctors in the ENT department participated, ranging from core surgical training year two doctor to specialty doctor.

Results

The simulator provides an effective tool on which surgical trainees can practise, develop and maintain a variety of otomicroscopy skills.

Conclusion

This inexpensive, easy and quick-to-make simulator enables trainees to practise their otomicroscopy skills on an approximately accurate model during a time when there is minimal clinical opportunity to develop these skills, particularly because of the coronavirus disease 2019 pandemic.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Corresponding author

Author for correspondence: Ms Catriona Shenton, Blackpool Victoria Hospital Whinney Heys Road Blackpool, FY3 8NR, UK E-mail: catriona.shenton1@nhs.net

Footnotes

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Ms C Shenton takes responsibility for the integrity of the content of the paper

Footnotes

References

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1Association of Surgeons of Great Britain and Ireland. Clinical guide to surgical prioritisation during the coronavirus pandemic. In: https://www.asgbi.org.uk/userfiles/file/covid19/c0221-specialty-guide-surgical-prioritisation-v1.pdf [3 May 2020]
2NHS Health Education England. Otolaryngology (ENT) national recruitment 2020: Portfolio and self-assessment guidelines for candidates. In: https://www.yorksandhumberdeanery.nhs.uk/sites/default/files/ent_2020_self-assessment.pdf [3 May 2020]
3Intercollegiate Surgical Curriculum Program. The Intercollegiate Surgical Curriculum: Core Surgery. In: https://www.iscp.ac.uk/static/public/syllabus/syllabus_core_2017.pdf [3 May 2020]
4Tuaño-Uy, MJS, Martinez, NV. Model myringotomy practice set: a do-it-yourself and inexpensive alternative. PJOHNS 2008;20:31–4
5Paraiso, R, Downey, L. A simple method for teaching myringotomy and ventilation tube insertion. Ear Nose Throat J 2011;90:94–6
6Jesudason, WV, Smith, I. How we do it: the Bradford grommet trainer: a model for training in myringotomy and grommet insertion. Clin Otolaryngol 2005;30:371–3
7Chiesa Estomba, CM, Meléndez García, JM, Hamdam Zavarce, MI, Betances Reinoso, FA. The Vigo grommet trainer. Eur Ann Otorhinolaryngol Head Neck Dis 2015;132:53–5
8Chan, AL, Carrillo, RJD, Ong, KC. Simulation platform for myringotomy with ventilation tube insertion in adult ears. PJOHNS 2018;33:1420
9Villanueva, JCR, Opulencia, AP. Myringotomy and tympanostomy tube insertion training device: a surgical simulator. Otolaryngol Head Neck Surg 2014;151:218
10Ingram, A, Malone, JP. An inexpensive, reproducible anatomic model for surgical training of myringotomy. Otolaryngol Head Neck Surg 2011;145:160
11Volsky, PG, Hughley, BB, Peirce, SM, Kesser, BW. Construct validity of a simulator for myringotomy with ventilation tube insertion. Otolaryngol Head Neck Surg 2009;14:603–8
12Wheeler, B, Doyle, PC, Chandarana, S, Agrawal, S, Husein, M, Ladak, HM. Interactive computer-based simulator for training in blade navigation and targeting in myringotomy. Comput Methods Programs Biomed 2009;98:130–9
13Ho, AK, Alsaffar, H, Doyle, PC, Ladak, HM, Agrawal, SK. Virtual reality myringotomy simulation with real-time deformation: development and validity testing. Laryngoscope 2012;122:1844–51
14Huang, C, Cheng, H, Bureau, Y, Agrawal, SK, Ladak, HM. Face and content validity of a virtual-reality simulator for myringotomy with tube placement. J Otolaryngol Head Neck Surg 2015;44:40

Keywords

How I do it: a simulator of the ear for developing otomicroscopy skills during the coronavirus disease 2019 pandemic

  • C Shenton (a1) and W Aucott (a1)

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