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Effect of 3D-Printed Models on Cadaveric Dissection in Temporal Bone Training
Objective Mastoidectomy is a cornerstone in the surgical management of middle and inner ear diseases. Unfortunately, training is challenged by insufficient access to human cadavers. Three-dimensional (3D) printing of temporal bones could alleviate this problem, but evidence on their educational effe...
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Published in: | OTO open : the official open access journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation 2021-10, Vol.5 (4), p.2473974X211065012-n/a |
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container_title | OTO open : the official open access journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation |
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creator | Frithioff, Andreas Frendø, Martin Weiss, Kenneth Foghsgaard, Søren Pedersen, David Bue Sørensen, Mads Sølvsten Wuyts Andersen, Steven Arild |
description | Objective
Mastoidectomy is a cornerstone in the surgical management of middle and inner ear diseases. Unfortunately, training is challenged by insufficient access to human cadavers. Three-dimensional (3D) printing of temporal bones could alleviate this problem, but evidence on their educational effectiveness is lacking. It is largely unknown whether training on 3D-printed temporal bones improves mastoidectomy performance, including on cadavers, and how this training compares with virtual reality (VR) simulation. To address this knowledge gap, this study investigated whether training on 3D-printed temporal bones improves cadaveric dissection performance, and it compared this training with the already-established VR simulation.
Study Design
Prospective cohort study of an educational intervention.
Setting
Tertiary university hospital, cadaver dissection laboratory, and simulation center in Copenhagen, Denmark.
Methods
Eighteen otorhinolaryngology residents (intervention) attending the national temporal bone dissection course received 3 hours of mastoidectomy training on 3D-printed temporal bones. Posttraining cadaver mastoidectomy performances were rated by 3 experts using a validated assessment tool and compared with those of 66 previous course participants (control) who had received time-equivalent VR training prior to dissection.
Results
The intervention cohort outperformed the controls during cadaver dissection by 29% (P < .001); their performances were largely similar across training modalities but remained at a modest level (~50% of the maximum score).
Conclusion
Mastoidectomy skills improved from training on 3D-printed temporal bone and seemingly more so than on time-equivalent VR simulation. Importantly, these skills transferred to cadaveric dissection. Training on 3D-printed temporal bones can effectively supplement cadaver training when learning mastoidectomy. |
doi_str_mv | 10.1177/2473974X211065012 |
format | article |
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Mastoidectomy is a cornerstone in the surgical management of middle and inner ear diseases. Unfortunately, training is challenged by insufficient access to human cadavers. Three-dimensional (3D) printing of temporal bones could alleviate this problem, but evidence on their educational effectiveness is lacking. It is largely unknown whether training on 3D-printed temporal bones improves mastoidectomy performance, including on cadavers, and how this training compares with virtual reality (VR) simulation. To address this knowledge gap, this study investigated whether training on 3D-printed temporal bones improves cadaveric dissection performance, and it compared this training with the already-established VR simulation.
Study Design
Prospective cohort study of an educational intervention.
Setting
Tertiary university hospital, cadaver dissection laboratory, and simulation center in Copenhagen, Denmark.
Methods
Eighteen otorhinolaryngology residents (intervention) attending the national temporal bone dissection course received 3 hours of mastoidectomy training on 3D-printed temporal bones. Posttraining cadaver mastoidectomy performances were rated by 3 experts using a validated assessment tool and compared with those of 66 previous course participants (control) who had received time-equivalent VR training prior to dissection.
Results
The intervention cohort outperformed the controls during cadaver dissection by 29% (P < .001); their performances were largely similar across training modalities but remained at a modest level (~50% of the maximum score).
Conclusion
Mastoidectomy skills improved from training on 3D-printed temporal bone and seemingly more so than on time-equivalent VR simulation. Importantly, these skills transferred to cadaveric dissection. Training on 3D-printed temporal bones can effectively supplement cadaver training when learning mastoidectomy.</description><identifier>ISSN: 2473-974X</identifier><identifier>EISSN: 2473-974X</identifier><identifier>DOI: 10.1177/2473974X211065012</identifier><identifier>PMID: 34926973</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>3D printing ; additive manufacturing ; Bones ; Cadavers ; Dissection ; education ; mastoidectomy ; neurotology ; Original Research ; Otolaryngology ; otology ; rapid prototyping ; Simulation ; surgical simulation ; temporal bone ; training ; Virtual reality</subject><ispartof>OTO open : the official open access journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation, 2021-10, Vol.5 (4), p.2473974X211065012-n/a</ispartof><rights>The Authors 2021</rights><rights>The Authors 2021.</rights><rights>The Authors 2021. This work is licensed under the Creative Commons Attribution – Non-Commercial License https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Authors 2021 2021 American Academy of Otolaryngology - Head and Neck Surgery Foundation, unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5833-b76d599c8e261c40642ce5db15ee685166d61138f30250c36e65e02f775bdfb03</citedby><cites>FETCH-LOGICAL-c5833-b76d599c8e261c40642ce5db15ee685166d61138f30250c36e65e02f775bdfb03</cites><orcidid>0000-0003-4301-347X ; 0000-0003-2054-7639 ; 0000-0002-7013-7614 ; 0000-0002-3491-9790</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8671684/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2613238309?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,25753,27924,27925,37012,37013,44590,46052,46476,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34926973$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Frithioff, Andreas</creatorcontrib><creatorcontrib>Frendø, Martin</creatorcontrib><creatorcontrib>Weiss, Kenneth</creatorcontrib><creatorcontrib>Foghsgaard, Søren</creatorcontrib><creatorcontrib>Pedersen, David Bue</creatorcontrib><creatorcontrib>Sørensen, Mads Sølvsten</creatorcontrib><creatorcontrib>Wuyts Andersen, Steven Arild</creatorcontrib><title>Effect of 3D-Printed Models on Cadaveric Dissection in Temporal Bone Training</title><title>OTO open : the official open access journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation</title><addtitle>OTO Open</addtitle><description>Objective
Mastoidectomy is a cornerstone in the surgical management of middle and inner ear diseases. Unfortunately, training is challenged by insufficient access to human cadavers. Three-dimensional (3D) printing of temporal bones could alleviate this problem, but evidence on their educational effectiveness is lacking. It is largely unknown whether training on 3D-printed temporal bones improves mastoidectomy performance, including on cadavers, and how this training compares with virtual reality (VR) simulation. To address this knowledge gap, this study investigated whether training on 3D-printed temporal bones improves cadaveric dissection performance, and it compared this training with the already-established VR simulation.
Study Design
Prospective cohort study of an educational intervention.
Setting
Tertiary university hospital, cadaver dissection laboratory, and simulation center in Copenhagen, Denmark.
Methods
Eighteen otorhinolaryngology residents (intervention) attending the national temporal bone dissection course received 3 hours of mastoidectomy training on 3D-printed temporal bones. Posttraining cadaver mastoidectomy performances were rated by 3 experts using a validated assessment tool and compared with those of 66 previous course participants (control) who had received time-equivalent VR training prior to dissection.
Results
The intervention cohort outperformed the controls during cadaver dissection by 29% (P < .001); their performances were largely similar across training modalities but remained at a modest level (~50% of the maximum score).
Conclusion
Mastoidectomy skills improved from training on 3D-printed temporal bone and seemingly more so than on time-equivalent VR simulation. Importantly, these skills transferred to cadaveric dissection. Training on 3D-printed temporal bones can effectively supplement cadaver training when learning mastoidectomy.</description><subject>3D printing</subject><subject>additive manufacturing</subject><subject>Bones</subject><subject>Cadavers</subject><subject>Dissection</subject><subject>education</subject><subject>mastoidectomy</subject><subject>neurotology</subject><subject>Original Research</subject><subject>Otolaryngology</subject><subject>otology</subject><subject>rapid prototyping</subject><subject>Simulation</subject><subject>surgical simulation</subject><subject>temporal bone</subject><subject>training</subject><subject>Virtual reality</subject><issn>2473-974X</issn><issn>2473-974X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>24P</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqFkUtv1DAUhSNERau2P4ANisSGTYof8SMskOi0hUqthsUgsbMc-3rwKGMPdqZV_z0eUkoLQqxsHX_n6F6fqnqJ0QnGQrwlraCdaL8SjBFnCJNn1cFOa3bi80f3_eo45xVCCEshSItfVPu07QjvBD2ors-dAzPW0dX0rPmcfBjB1tfRwpDrGOqZtvoGkjf1mc-5kL6IPtQLWG9i0kN9GgPUi6R98GF5VO05PWQ4vj8Pqy8X54vZp-Zq_vFy9uGqMUxS2vSCW9Z1RgLh2LSIt8QAsz1mAFwyzLnlGFPpKCIMGcqBM0DECcF663pED6vLKddGvVKb5Nc63amovfopxLRUOo3eDKAkAQAme-ps12IkO-bKh2GnpcSuRbZkvZ-yNtt-DdZAGMteT0KfvgT_TS3jjZJcYC7bEvDmPiDF71vIo1r7bGAYdIC4zarsSFDLCRYFff0HuorbFMpX7ShKqKSoKxSeKJNizgncwzAYqV336q_ui-fV4y0eHL-aLsC7Cbj1A9z9P1HNF3NyeoFKAzvzyWTOegm_Z_73OD8AybzExw</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Frithioff, Andreas</creator><creator>Frendø, Martin</creator><creator>Weiss, Kenneth</creator><creator>Foghsgaard, Søren</creator><creator>Pedersen, David Bue</creator><creator>Sørensen, Mads Sølvsten</creator><creator>Wuyts Andersen, Steven Arild</creator><general>SAGE Publications</general><general>John Wiley & Sons, Inc</general><general>Wiley</general><scope>AFRWT</scope><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-4301-347X</orcidid><orcidid>https://orcid.org/0000-0003-2054-7639</orcidid><orcidid>https://orcid.org/0000-0002-7013-7614</orcidid><orcidid>https://orcid.org/0000-0002-3491-9790</orcidid></search><sort><creationdate>202110</creationdate><title>Effect of 3D-Printed Models on Cadaveric Dissection in Temporal Bone Training</title><author>Frithioff, Andreas ; Frendø, Martin ; Weiss, Kenneth ; Foghsgaard, Søren ; Pedersen, David Bue ; Sørensen, Mads Sølvsten ; Wuyts Andersen, Steven Arild</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5833-b76d599c8e261c40642ce5db15ee685166d61138f30250c36e65e02f775bdfb03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>3D printing</topic><topic>additive manufacturing</topic><topic>Bones</topic><topic>Cadavers</topic><topic>Dissection</topic><topic>education</topic><topic>mastoidectomy</topic><topic>neurotology</topic><topic>Original Research</topic><topic>Otolaryngology</topic><topic>otology</topic><topic>rapid prototyping</topic><topic>Simulation</topic><topic>surgical simulation</topic><topic>temporal bone</topic><topic>training</topic><topic>Virtual reality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Frithioff, Andreas</creatorcontrib><creatorcontrib>Frendø, Martin</creatorcontrib><creatorcontrib>Weiss, Kenneth</creatorcontrib><creatorcontrib>Foghsgaard, Søren</creatorcontrib><creatorcontrib>Pedersen, David Bue</creatorcontrib><creatorcontrib>Sørensen, Mads Sølvsten</creatorcontrib><creatorcontrib>Wuyts Andersen, Steven Arild</creatorcontrib><collection>SAGE Open Access Journals</collection><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Publicly Available Content database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>OTO open : the official open access journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Frithioff, Andreas</au><au>Frendø, Martin</au><au>Weiss, Kenneth</au><au>Foghsgaard, Søren</au><au>Pedersen, David Bue</au><au>Sørensen, Mads Sølvsten</au><au>Wuyts Andersen, Steven Arild</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of 3D-Printed Models on Cadaveric Dissection in Temporal Bone Training</atitle><jtitle>OTO open : the official open access journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation</jtitle><addtitle>OTO Open</addtitle><date>2021-10</date><risdate>2021</risdate><volume>5</volume><issue>4</issue><spage>2473974X211065012</spage><epage>n/a</epage><pages>2473974X211065012-n/a</pages><issn>2473-974X</issn><eissn>2473-974X</eissn><abstract>Objective
Mastoidectomy is a cornerstone in the surgical management of middle and inner ear diseases. Unfortunately, training is challenged by insufficient access to human cadavers. Three-dimensional (3D) printing of temporal bones could alleviate this problem, but evidence on their educational effectiveness is lacking. It is largely unknown whether training on 3D-printed temporal bones improves mastoidectomy performance, including on cadavers, and how this training compares with virtual reality (VR) simulation. To address this knowledge gap, this study investigated whether training on 3D-printed temporal bones improves cadaveric dissection performance, and it compared this training with the already-established VR simulation.
Study Design
Prospective cohort study of an educational intervention.
Setting
Tertiary university hospital, cadaver dissection laboratory, and simulation center in Copenhagen, Denmark.
Methods
Eighteen otorhinolaryngology residents (intervention) attending the national temporal bone dissection course received 3 hours of mastoidectomy training on 3D-printed temporal bones. Posttraining cadaver mastoidectomy performances were rated by 3 experts using a validated assessment tool and compared with those of 66 previous course participants (control) who had received time-equivalent VR training prior to dissection.
Results
The intervention cohort outperformed the controls during cadaver dissection by 29% (P < .001); their performances were largely similar across training modalities but remained at a modest level (~50% of the maximum score).
Conclusion
Mastoidectomy skills improved from training on 3D-printed temporal bone and seemingly more so than on time-equivalent VR simulation. Importantly, these skills transferred to cadaveric dissection. Training on 3D-printed temporal bones can effectively supplement cadaver training when learning mastoidectomy.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>34926973</pmid><doi>10.1177/2473974X211065012</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4301-347X</orcidid><orcidid>https://orcid.org/0000-0003-2054-7639</orcidid><orcidid>https://orcid.org/0000-0002-7013-7614</orcidid><orcidid>https://orcid.org/0000-0002-3491-9790</orcidid><oa>free_for_read</oa></addata></record> |
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source | Wiley Online Library Open Access; PubMed Central; ProQuest Publicly Available Content database |
subjects | 3D printing additive manufacturing Bones Cadavers Dissection education mastoidectomy neurotology Original Research Otolaryngology otology rapid prototyping Simulation surgical simulation temporal bone training Virtual reality |
title | Effect of 3D-Printed Models on Cadaveric Dissection in Temporal Bone Training |
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