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Training in endoscopic ear surgery using the papaya petiole

Published online by Cambridge University Press:  25 May 2021

V Narendrakumar
V Narendrakumar*
Affiliation:
Pragathi ENT Clinic, Chrompet, Chennai, India
*
Author for correspondence: Dr Veerasigamani Narendrakumar, Pragathi ENT Clinic, 2/13, Padmanabhan Street, Chrompet, Chennai600044, Tamil Nadu, India E-mail: drnarenent@gmail.com
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Abstract

Background

Endoscopic ear surgery is a game changer in the field of otology. Training in endoscopic skills is essential for ENT residents, and is especially important during the coronavirus disease 2019 lockdown period. In such difficult times, ENT residents and surgeons can undergo hands-on training using a papaya petiole, even within their homes.

Objective

Endoscopic ear surgery training can be carried out using a papaya petiole, enabling the practice of grommet insertion, tympanomeatal flap elevation and foreign body removal from the external auditory canal. This model does not need any laboratory setup.

Results and conclusion

The hollow structure of the papaya petiole model is very similar to that of the external auditory canal, making training in endoscopic ear surgery easy. Use of the model helps a beginner to train in endoscopic handling and microsurgical instrumentation, and improves depth perception. In addition, it does not require high-end facilities to store equipment or undertake the training at any given point in time.

Keywords

Anatomic ModelsCOVID-19DissectionExternal Auditory CanalResidency
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 7 , July 2021 , pp. 648 - 651
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr V Narendrakumar takes responsibility for the integrity of the content of the paper

References

Okhovat, S, Milner, TD, Iyer, A. Feasibility of ovine and synthetic temporal bone models for simulation training in endoscopic ear surgery. J Laryngol Otol 2019;133:966–73CrossRefGoogle ScholarPubMed
Zaidi, A, Khan, MM, Parab, SR. The goat model for exclusive two handed endoscopic middle ear surgery training: a novel technique. Indian J Otolaryngol Head Neck Surg 2019;71(suppl 2):1478–84CrossRefGoogle ScholarPubMed
Anschuetz, L, Bonali, M, Ghirelli, M, Mattioli, F, Villari, D, Caversaccio, M et al. An ovine model for exclusive endoscopic ear surgery. JAMA Otolaryngol Head Neck Surg 2017;143:247–52CrossRefGoogle ScholarPubMed
Dedmon, MM, Kozin, ED, Lee, DJ. Development of a temporal bone model for transcanal endoscopic ear surgery. Otolaryngol Head Neck Surg 2015;153:613–15CrossRefGoogle ScholarPubMed
Mijovic, T, Lea, J. Training and education in endoscopic ear surgery. Curr Otorhinolaryngol Rep 2015;3:193–9CrossRefGoogle Scholar
Ng, CL, Ong, W, Ngo, RYS. Otolaryngology residents' perceptions of endoscopic ear surgery during surgical training. J Laryngol Otol 2020;134:233–40CrossRefGoogle ScholarPubMed
Dedmon, MM, Xie, DX, O Connell, BP, Dillon, NP, Wellborn, PS, Bennett, ML et al. Endoscopic ear surgery skills training improves medical student performance. J Surg Educ 2018;75:1480–5CrossRefGoogle ScholarPubMed
Golub, JS. Building an endoscopic ear surgery program. Curr Opin Otolaryngol Head Neck Surg 2016;24:395–401CrossRefGoogle ScholarPubMed