"Omepralith": A novel simulation model for training in sialoendoscopy.

INTRODUCTION: There are no previously described training models for learning or teaching how to remove lithiasis from the salivary ducts. Therefore, we present a new simulation model to enable us to faithfully represent the process of endoscopic lithiasis extraction by sialoendoscopy. MATERIALS AND METHODS: A simulation model was developed using a pig's head, omeprazole spheres were used to simulate lithiasis in the various ducts of each salivary gland and a Dormia basket was used to train in extraction of the lithiasis model. RESULTS: Twenty-seven residents in training and/or young specialists were successfully trained in this technique using this model. Twenty-six (96.3%) considered the model useful for training in the use of baskets; all of them were able to capture the omeprazole sphere in the salivary duct. A satisfaction rate of 92.25 out of 100 points was obtained through an anonymous survey. CONCLUSION: We describe a novel simulation model using omeprazole spheres, which allows the surgeon to practice how to diagnose and treat obstructive pathology of the salivary glands in a risk-free environment guaranteeing the reproducibility of the technique in conditions similar to those of normal practice.

«Omepralith»: un modelo de simulación novedoso para el entrenamiento en sialoendoscopia / “Omepralith”: A novel simulation model for training in sialoendoscopy

Introducción: No existen modelos de entrenamiento previamente descritos para aprender o enseñar cómo extraer litiasis de los conductos salivales. Es por ello que presentamos un novedoso modelo de simulación que nos permite representar fielmente el proceso de extracción endoscópica de litiasis mediante sialoendoscopia. Materiales y métodos: Se desarrolló un modelo de simulación utilizando la cabeza de un cerdo, se utilizaron esferas de omeprazol para simular la existencia de litiasis en los diversos conductos de cada glándula salival y se utilizó una cesta Dormia para entrenar la extracción del modelo de litiasis. Resultados: Veintisiete residentes en formación y/o jóvenes especialistas han entrenado con éxito esta técnica utilizando este modelo. Veintiséis (96,3%) consideraron útil el modelo para entrenar el uso de cestas, siendo todos ellos capaces de capturar la esfera de omeprazol en el conducto salival. Se obtuvo un porcentaje de satisfacción mediante una encuesta anónima de 92,25 sobre 100 puntos. Conclusión: Describimos un novedoso modelo de simulación mediante esferas de omeprazol, que permite al cirujano practicar cómo realizar el diagnóstico y tratamiento de la enfermedad obstructiva de glándulas salivales en un entorno libre de riesgos, garantizando la reproducibilidad de la técnica en condiciones similares a las de la práctica habitual.(AU)

Introduction: There are no previously described training models for learning or teaching how to remove lithiasis from the salivary ducts. Therefore, we present a new simulation model to enable us to faithfully represent the process of endoscopic lithiasis extraction by sialoendoscopy. Materials and methods: A simulation model was developed using a pig's head, omeprazole spheres were used to simulate lithiasis in the various ducts of each salivary gland and a Dormia basket was used to train in extraction of the lithiasis model. Results: Twenty-seven residents in training and/or young specialists were successfully trained in this technique using this model. Twenty-six (96.3%) considered the model useful for training in the use of baskets; all of them were able to capture the omeprazole sphere in the salivary duct. A satisfaction rate of 92.25 out of 100 points was obtained through an anonymous survey. Conclusion: We describe a novel simulation model using omeprazole spheres, which allows the surgeon to practice how to diagnose and treat obstructive pathology of the salivary glands in a risk-free environment guaranteeing the reproducibility of the technique in conditions similar to those of normal practice.(AU)

"Omepralith": A novel simulation model for training in sialoendoscopy. / «Omepralith¼: un modelo de simulación novedoso para el entrenamiento en sialoendoscopia.

INTRODUCTION: There are no previously described training models for learning or teaching how to remove lithiasis from the salivary ducts. Therefore, we present a new simulation model to enable us to faithfully represent the process of endoscopic lithiasis extraction by sialoendoscopy. MATERIALS AND METHODS: A simulation model was developed using a pig's head, omeprazole spheres were used to simulate lithiasis in the various ducts of each salivary gland and a Dormia basket was used to train in extraction of the lithiasis model. RESULTS: Twenty-seven residents in training and/or young specialists were successfully trained in this technique using this model. Twenty-six (96.3%) considered the model useful for training in the use of baskets; all of them were able to capture the omeprazole sphere in the salivary duct. A satisfaction rate of 92.25 out of 100 points was obtained through an anonymous survey. CONCLUSION: We describe a novel simulation model using omeprazole spheres, which allows the surgeon to practice how to diagnose and treat obstructive pathology of the salivary glands in a risk-free environment guaranteeing the reproducibility of the technique in conditions similar to those of normal practice.

Imaging checklist for preoperative evaluation of laryngeal tumors to be treated by transoral microsurgery: guidelines from the European Laryngological Society.

INTRODUCTION: The modern availability in daily practice of different DICOM viewers allows physicians to routinely evaluate computed tomography (CT) and magnetic resonance (MR) scans of patients in the pre-, intra-, and postoperative settings. Their systematic use, together with a close surgeon-radiologist cooperation, may greatly improve outcomes of patients to be treated by transoral microsurgery for laryngeal cancer. MATERIALS AND METHODS: We herein propose guidelines for systematic evaluation of CT/MR images taken from patients affected by supraglottic and glottic cancer to be treated by transoral microsurgery. RESULTS: A methodical, step-by-step approach focused on laryngeal anatomy, systematically looking at each true and false vocal folds, anterior commissure, laryngeal ventricle, subglottic area, epiglottis, thyroid, cricoid, and arytenoid cartilages, posterior commissure, crico-arytenoid unit, paraglottic and pre-epiglottic spaces, and possible extra-laryngeal extension is proposed. This checklist may be useful before imaging performance (to focus on specific issues to be detailed by the radiologist), as well before and during surgery for the specific evaluation of details to be cleared during transoral microsurgery. CONCLUSION: Detailed preoperative evaluation of supraglottic and glottic anatomy is essential prior to any transoral approach for neoplastic disease. The proposed imaging checklist described herein represents a step-by-step guide to surgeons performing this kind of interventions and an aid in achieving a meticulous approach from a surgical perspective.