Skip to main content Accessibility help
×
Home
Hostname: page-component-684899dbb8-4btjb Total loading time: 0.243 Render date: 2022-05-29T07:48:02.076Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true }

An animal model for endoscopic endonasal surgery and dacryocystorhinostomy training: uses and limitations of the lamb's head

Published online by Cambridge University Press:  12 May 2011

R Mladina
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, University Hospital Centre Zagreb, Croatia
K Vuković
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, University Hospital Centre Zagreb, Croatia
R Štern Padovan
Affiliation:
Department of Diagnostic and Interventional Radiology, University Hospital Centre Zagreb, Croatia
N Skitarelić*
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, General Hospital Zadar, Croatia
*
Address for correspondence: Dr Neven Skitarelić, Department of Otolaryngology - Head and Neck Surgery, Put Murvice 33, 23 000 Zadar, Croatia Fax: 00385 23 312724 E-mail: neven.skitarelic@zd.t-com.hr

Abstract

Objectives:

Structured training in endoscopic sinus surgery is essential, considering the serious potential complications. We have developed a detailed endoscopic endonasal surgery training programme, using a lamb's head model. This study aimed to assess the possibilities of using such a model for endoscopic dacryocystorhinostomy training.

Materials and methods:

Dacryocystography was performed on lamb's head models, which were then meticulously dissected, both macroscopically and endoscopically, to assess the nasolacrimal system.

Results:

Dacryocystography showed the absence of a lacrimal sac in all the lamb's heads dissected. This result was confirmed by dissection.

Conclusion:

Lamb's heads are excellent models with which to teach endoscopic sinus surgery techniques. However, this study clearly demonstrated the absence of a lacrimal sac in all such models dissected. Thus, this animal model is inappropriate for endoscopic dacryocystorhinostomy training.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Carter, F, Russell, E, Dunkley, P, Cuschieri, A. Restructured animal tissue model for training in laparoscopic anti-reflux surgery. Minim Invasive Ther Allied Technol 1994;3:7780CrossRefGoogle Scholar
2McFerran, DJ, Grant, HR, Ingrams, DR, Fife, DG. Endoscopic sinus surgery: are junior doctors being properly trained? Ann R Coll Surg Engl 1998;80:359–63Google ScholarPubMed
3Kinsella, JB, Calhoun, KH, Bradfield, JJ, Hokanson, JA, Bailey, BJ. Complications of endoscopic sinus surgery in a residency training program. Laryngoscope 1995;105:1029–32CrossRefGoogle Scholar
4Manickavasagam, J, Segaram, S, Harkness, P. Functional endoscopic sinus surgery chopstick technique. Laryngoscope 2010;120:975–7Google ScholarPubMed
5Gardiner, Q, Oluwole, M, Tan, L, White, PS. An animal model for training in endoscopic nasal and sinus surgery. J Laryngol Otol 1996;110:425–8Google ScholarPubMed
6Montague, ML, Kishore, A, McGarry, GW. Audit-derived guidelines for training in endoscopic sinonasal surgery (ESS) – protecting patients during the learning curve. Clin Otolaryngol Allied Sci 2003;28:411–16CrossRefGoogle ScholarPubMed
7Zuckerman, JD, Wise, SK, Rogers, GA, Senior, BA, Schlosser, RJ, DelGaudio, JM. The utility of cadaver dissection in endoscopic sinus surgery training courses. Am J Rhinol Allergy 2009;23:218–24CrossRefGoogle ScholarPubMed
8Briner, HR, Simmen, D, Jones, N, Manestar, D, Manestar, M, Lang, A et al. Evaluation of an anatomic model of the paranasal sinuses for endonasal surgical training. Rhinology 2007;45:20–3Google ScholarPubMed
9Fried, MP, Sadoughi, B, Gibber, MJ, Jacobs, JB, Lebowitz, RA, Ross, DA et al. From virtual reality to the operating room: the endoscopic sinus surgery simulator experiment. Otolaryngol Head Neck Surg 2010;142:202–7CrossRefGoogle ScholarPubMed
10Mladina, R. Endonasal Endoscopic Anatomy of the Lamb's Head. Tuttlingen: Storz Endo Press, 2010Google Scholar
18
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

An animal model for endoscopic endonasal surgery and dacryocystorhinostomy training: uses and limitations of the lamb's head
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

An animal model for endoscopic endonasal surgery and dacryocystorhinostomy training: uses and limitations of the lamb's head
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

An animal model for endoscopic endonasal surgery and dacryocystorhinostomy training: uses and limitations of the lamb's head
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *