关键词: ovine model salivary gland salivary stone sheep sialendoscopy training model

来  源:   DOI:10.1002/lio2.1116   PDF(Pubmed)

Abstract:
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 4.
摘要:
唾液腺镜检查是一种微创诊断和治疗技术,用于治疗各种唾液腺疾病。迄今为止,除了猪头之外,很少有合适的训练模型,已在欧洲Sialendospecify培训中心使用了22年。本研究的目的是描述用于内窥镜检查训练的绵羊模型,并将绵羊模型与人体解剖学进行比较。我们提出了一种使用这种离体模型进行内窥镜检查训练的逐步方法。
使用一个新鲜的绵羊头通过磁共振成像评估绵羊唾液管和腺体的解剖结构。此后,该模型是由经验丰富的内窥镜医师在解剖过程中设计的。然后使用Likert量表问卷在连续解剖期间验证各个步骤。
完整模型以解剖指南的形式进行了描述,并允许在10/10Stenson和5/10Wharton的管道中进行可靠的诊断鼻内镜检查。此外,模拟了介入性唾液酸内镜检查,为Stenson导管中唾液酸的去除提供了训练模型。人类和绵羊的解剖结构非常相似,可以提供接近现实的训练体验。
我们开发并评估了一种绵羊模型,目的是改善诊断和介入性鼻内镜检查的训练。特别是,Stenson\的管道可以成功地准备,探查并接受唾液酸内镜检查。逼真的解剖环境和出色的组织质量为经验丰富的内窥镜医师创造了逼真的培训体验。需要与初学者进行进一步的研究,以验证该模型作为训练模型。
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