The development and validation of a synthetic septoplasty surgical training model
Notice bibliographique
Résumé
Background: Septoplasty surgery is a core competency for an otolaryngologist.It is performed through the relatively small nostrils and involves multiple steps, which make the procedure difficult to observe and learn.Objective: To develop and validate a high fidelity septoplasty training tool built using three-dimensional printing technology.Methods: One deviated nasal septum case was chosen from among multiple computed tomography (CT) scans.The radiographic data were exported and underwent segmentation to obtain a complete computer model and used to create a synthetic replica of a deviated nasal septum using additive manufacturing.Each printed prototype was examined by two experienced otolaryngologists and changes were made as needed.The final physical replica was then evaluated for septoplasty simulation by 20 otolaryngologists with different levels of training.A survey was completed by each participant after the simulation, and observations associated with each simulation were obtained, including the time needed to complete the simulation and the rate of complications , such as the number of flap perforations that occurred. Results:The fabricated physical replica of the nasal septum incorporated two different materials mixed to obtain different stiffnesses that approximated the properties of the nasal septum, and allowed the users to perform the basic steps of septoplasty, such as flap elevation and deviation resection.The replica was anatomically correct.The steps required to complete the simulation were found to be realistic, with scores of 4.05 (0.82) and 4.2 (1), respectively, on a 5-point Likert scale.Ninety-two percent of the residents v desired the replica to be implemented into their teaching curriculum.There was a significant difference (p < 0.05) between the expert, intermediate, and novice groups in the (i) time taken, (ii) nares cut, and (ii) task-specific checklist answers.However, for other performance metrics, no significant differences were found.The septoplasty taskspecific checklist and global assessment tool also yielded significant differences between results from trainees with different levels of experience. Conclusion:The replica presents a new and innovative option for the training of junior trainees in a safe environment.This is the first physical replica of the nasal septum introduced for this purpose.The findings of the study support the validity of the replica for surgical training purposes.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,003 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».