■评估猪头模型作为眼部整形外科训练工具的实用性。
■新鲜的猪头被用于手术车间进行内翻矫正,眼睑边缘修复,和植入眼整形手术的内脏-天真的参与者。技能提高,外科理解,参与者的表现由训练有素的眼整形外科医师进行主观和客观评估.主观评估是根据与培训后参与者共享的Likert量表通过标准化问卷进行的。教职员工根据三点量表和基于能力的外科评估规则进行客观评估。
■本次研讨会共有18名初学手术的参与者,其中包括眼科住院医师和综合眼科医生。约88.88%的参与者能够在内翻手术中进行眼睑边缘和骨下解剖。在进行眼睑撕裂修复时,94.44%的人能够正确识别灰线和前后薄片。大约83.33%的参与者能够将植入物放置在巩膜壳或内部空间中。大约83.33%的参与者指出,在进行手术步骤时,质地和组织动作与人眼相似。约94.44%的参与者表示理解更好,培训后的技能发展和额外的信心。客观评估的中位数为3分。真实患者的表现导致内翻矫正的中位得分为4。
■猪眼眶解剖是可用的,负担得起的,和眼部整形手术训练的有用工具。对猪模型进行训练可以提高对解剖学的认识,临床判断,以及学员的手术效率。
UNASSIGNED: To assess the utility of pig head model as an oculoplastic surgical training tool.
UNASSIGNED: Fresh pig head was availed for surgical workshop for entropion correction, eyelid margin repair, and evisceration with implant for oculoplastic surgery-naïve participants. Skill improvement, surgical understanding, and performance of the participants were evaluated both subjectively and objectively by trained oculoplastic surgeons. Subjective assessment was done by a standardized questionnaire based on Likert scale shared with the participants post training. Objective evaluation was done by the faculty based on a three-point scale and a competency-based surgical assessment rubric.
UNASSIGNED: There were 18 surgery-naïve participants in the workshop which comprised ophthalmology residents and comprehensive ophthalmologists. About 88.88% of the participants were able to perform the lid margin and sub-tarsal dissection in entropion surgery. While performing lid tear repair, 94.44% were correctly able to identify the grey line and anterior and posterior lamellae. About 83.33% of the participants were able to place an implant in the scleral shell or intraconal space. About 83.33% of the participants noted that texture and tissue maneuvering were similar to the human eye while performing surgical steps. About 94.44% of the participants reported better understanding, development of skill and additional confidence after training. The median score on objective assessment was 3. The performance on real patients resulted in a median score of 4 for entropion correction.
UNASSIGNED: Porcine orbital dissection is an available, affordable, and useful tool for oculoplastic surgical training. Training on porcine model can improve anatomical understanding, clinical judgement, and surgical efficiency in trainees.