Development and validation of a 3D laryngeal model in surgical skills training

Abstract

Objective:

To present and validate a new simulation model for endoscopic phonomicrosurgery training as an improved teaching method.

Methods:

A low-cost artificial model was assembled using 3D printing, silicone, and gelatin. The study was designed to test the model’s ability to carry out training and teaching of endoscopic phonomicrosurgery. The synthetic model was built to simulate normal and pathological vocal folds such as polyps, intracordal cysts and keratoses, made of silicone and gelatin and embedded in a larynx framework made by 3D printing. Simulations of endoscopic surgical procedures were performed and documented through photographs and videos and the images were submitted to the evaluation of a group of 17 otorhinolaryngologists who used a Likert scale questionnaire. The responses were submitted to an agreement analysis using the sum of the scores obtained for the responses as an appropriate level of validation. Cronbach’s alpha index was calculated to measure the degree of the questionnaire internal consistency.

Result:

The evaluations indicated maximum approval for the model adequacy for use in practical classes and for the teaching of the procedures, as well as in the overall satisfaction with the model in the use of surgical training.

Conclusion:

The present proposal for training laryngeal endoscopic surgery in a 3D synthetic model is a viable option according to the validation methodology used in the present study.

Keywords
Anatomical models; Endoscopy; Laryngology; Vocal folds; Microsurgery

Highlights

3D model adequate for training in laryngeal endoscopic surgery.

Simulation of different vocal fold lesions.

Learning and teaching of laryngeal microsurgery in the laboratory.

Surgical training with low cost, accessibility and replicability.

New technologies for acquiring surgical skills.