3D-printed tracheoesophageal puncture and prosthesis placement simulator

A tracheoesophageal prosthesis (TEP) allows for speech after total laryngectomy. However, TEP placement is technically challenging, requiring a coordinated series of steps. Surgical simulators improve technical skills and reduce operative time. We hypothesize that a reusable 3-dimensional (3D)-print...

Full description

Saved in:
Bibliographic Details
Published in:American journal of otolaryngology 2018-01, Vol.39 (1), p.37-40
Main Authors: Barber, Samuel R., Kozin, Elliott D., Naunheim, Matthew R., Sethi, Rosh, Remenschneider, Aaron K., Deschler, Daniel G.
Format: Article
Language:English
Subjects:
3D printing
Adult
Catheters
Clinical Competence
Design
Education, Medical, Graduate - methods
Educational Measurement
Endoscopy
Esophagoscopy - methods
Esophagus
Esophagus - surgery
Female
Humans
Internship and Residency - methods
Laryngeal Neoplasms - surgery
Laryngectomy - methods
Larynx, Artificial
Male
Neck
Otolaryngology
Otolaryngology - education
Pilot Projects
Placement
Printing, Three-Dimensional
Prostheses
Prosthesis Implantation - methods
Punctures
Residency education
Simulation
Simulation Training - methods
Simulators
Singers
Skills
Software
Squid
Surgery
Three dimensional printing
Trachea - surgery
Tracheoesophageal puncture
United States
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A tracheoesophageal prosthesis (TEP) allows for speech after total laryngectomy. However, TEP placement is technically challenging, requiring a coordinated series of steps. Surgical simulators improve technical skills and reduce operative time. We hypothesize that a reusable 3-dimensional (3D)-printed TEP simulator will facilitate comprehension and rehearsal prior to actual procedures. The simulator was designed using Fusion360 (Autodesk, San Rafael, CA). Components were 3D-printed in-house using an Ultimaker 2+ (Ultimaker, Netherlands). Squid simulated the common tracheoesophageal wall. A Blom-Singer TEP (InHealth Technologies, Carpinteria, CA) replicated placement. Subjects watched an instructional video and completed pre- and post-simulation surveys. The simulator comprised 3D-printed parts: the esophageal lumen and superficial stoma. Squid was placed between components. Ten trainees participated. Significant differences existed between junior and senior residents with surveys regarding anatomy knowledge(p
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2017.08.001