Borner, Urs; Caversaccio, Marco; Wagner, Franca; Marchal, Francis; Anschuetz, Lukas (2023). First evaluation of an ovine training model for sialendoscopy. Laryngoscope investigative otolaryngology, 8(4), pp. 903-911. Wiley 10.1002/lio2.1116
|
Text
Laryngoscope_Investig_Oto_-_2023_-_Borner.pdf - Published Version Available under License Creative Commons: Attribution-Noncommercial-No Derivative Works (CC-BY-NC-ND). Download (1MB) | Preview |
OBJECTIVE
Sialendoscopy is a minimally invasive diagnostic and therapeutic technique used in the treatment of various salivary gland diseases. To date, there are very few suitable training models other than the pig's head, which has been used at the European Sialendoscopy Training Center for 22 years. The goal of this study was to describe an ovine model for sialendoscopy training and compare the ovine model's to the human anatomy. We propose a step-by-step approach for sialendoscopy training using this ex-vivo model.
METHODS
The anatomy of the ovine salivary ducts and glands was assessed by magnetic resonance imaging using one fresh ovine head. Thereafter, the model was designed during dissection by an experienced sialendoscopist. The various steps were then validated during consecutive dissections using a Likert-scale questionnaire.
RESULTS
The full model was described in the form of a dissection guide and allowed reliable diagnostic sialendoscopy in 10/10 Stenson's and in 5/10 Wharton's ducts. Moreover, interventional sialendoscopy was simulated to provide a training model for the removal of sialoliths in the Stenson's duct. The human and ovine anatomy are quite similar allowing a training experience close to reality.
CONCLUSION
We developed and evaluated an ovine model with the goal of improving training in diagnostic and interventional sialendoscopy. In particular, the Stenson's duct can be successfully prepared, probed and subjected to sialendoscopy. The realistic anatomical environment and excellent tissue quality created a life-like training experience for an experienced sialendoscopist. Further studies with beginners are necessary to validate this model as a training model.
LEVEL OF EVIDENCE
4.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT) 04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology |
UniBE Contributor: |
Borner, Urs, Caversaccio, Marco, Wagner, Franca, Anschütz, Lukas Peter |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2378-8038 |
Publisher: |
Wiley |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
30 Aug 2023 10:54 |
Last Modified: |
30 Aug 2023 10:54 |
Publisher DOI: |
10.1002/lio2.1116 |
PubMed ID: |
37621264 |
Uncontrolled Keywords: |
ovine model salivary gland salivary stone sheep sialendoscopy training model |
BORIS DOI: |
10.48350/185748 |
URI: |
https://boris.unibe.ch/id/eprint/185748 |
Actions (login required)
 |
Edit item |