Abstract
Objective: Design an inexpensive, reproducible anatomic model to simulate myringotomy and tympanostomy tube placement in the surgical skills laboratory, which would allow residents to familiarize themselves with the microscope, anatomy, and tools used during a typical procedure.
Method: Design an inexpensive, reproducible anatomic model to simulate myringotomy and tympanostomy tube placement in the surgical skills laboratory, which would allow residents to familiarize themselves with the microscope, anatomy, and tools used during a typical procedure.
Results: The model was assembled by sawing the styrofoam head in half and making medial and lateral openings. The medial portion of the simulator ear was removed and the ear placed within the external opening of the head. A T-pin was molded to represent the malleus and secured at the inner edge of a three cm segment of detached bulb syringe tip. Glad Wrap was draped over the “malleus,” and the entire assembly was then placed within the medial opening of the head to line-up with the external canal. The “tympanic membrane” is the only disposable portion of the model.
Conclusion: This model is a practical and reproducible anatomic model for simulation training of a myringotomy. It has been used successfully by multiple residents and can be created by utilizing inexpensive materials. We plan to integrate this into a Verification of Proficiencies (VOP) program to assess surgical skills in otolaryngology residents.
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