Implementation of a Program for Surgical Education in Laryngology

University Voice and Swallowing Center, Department of Otolaryngology-Head and Neck Surgery, University of California Irvine School of Medicine, Orange, California, USA.
The Laryngoscope (Impact Factor: 2.14). 11/2010; 120(11):2241-6. DOI: 10.1002/lary.21099
Source: PubMed


To describe the implementation of a program for surgical education in laryngology.
Items necessary to modify a temporal bone lab for laryngeal dissection purposes were identified, and costs to do so were calculated. The prices and availability of human and canine laryngeal specimens to be used for teaching purposes were then compared. Endoscopic and open laryngeal surgery were performed on canine larynges to determine suitability as a teaching model. A laryngeal dissection course with teaching objectives was created and instituted in an Otolaryngology-Head and Neck Surgery residency training program.
Modifications to convert an existing temporal bone lab into a laryngeal dissection lab cost $7,425. Canine larynges were found to strongly resemble human larynges and were easily used in a teaching model. They were more easily acquired and less expensive than human larynges. A novel dissection approach was created to maximize utility of a single cadaveric laryngeal specimen. Development of a laryngeal dissection manual facilitated a laryngeal dissection course.
A laryngeal dissection educational course can be instituted with simple and relatively inexpensive modifications to an existing temporal bone laboratory. Canine larynges can be substituted for human larynges for a substantial cost savings without educational compromise. The educational methods demonstrated can be easily duplicated at other training sites.

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    • "To respond to this demand, a solid education in the basic sciences and human anatomy is necessary (Sataloff, 2003; Dailey et al, 2004; Uribe et al, 2004; Logemann , 2006; Skinder-Meredith, 2010). Several otolaryngology education programs in the United States have developed laryngeal dissection courses using canine (Verma et al., 2010), bovine (Effat, 2005), or human (Amin et al., 2007) laryngeal specimens. These hands-on training programs are beneficial in the development of surgical skills. "
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