Our Summary

This research paper discusses a new training method for surgeons, which has become particularly useful during the Covid-19 pandemic, when opportunities for hands-on training have decreased. The training involves a simulation model for a specific type of ear surgery called myringotomy, where a small hole is made in the ear drum to relieve pressure or fluid, and a ventilatory tube is inserted.

The study involved doctors in training at different levels of their residency, and they were assessed on various aspects of the procedure including how long it took, how they positioned the microscope, how well they removed earwax, identified middle ear fluid, avoided damaging the ear canal wall and ear drum, and placed the tube.

Eleven trainees took part in the study, with scores ranging from 14 to 34 out of a maximum possible 40. On average, more experienced trainees scored higher. The trainees felt the simulation was a good representation of what they would experience operating on a real patient.

The study shows that this simulation model is a cost-effective way to teach important aspects of this surgery, which have been overlooked in previous training methods.

FAQs

  1. What is the purpose of the myringotomy with ventilatory tube insertion simulation model?
  2. How were the participants evaluated in the simulation model exercise?
  3. What were the results and feedback of the simulation model study?

Doctor’s Tip

A helpful tip a doctor might tell a patient about ear tube surgery is to follow all pre-operative instructions provided by the medical team, such as fasting before the procedure and stopping certain medications. It is also important to discuss any concerns or questions with the healthcare provider before the surgery to ensure a successful outcome. Additionally, patients should follow all post-operative care instructions, such as avoiding water in the ears and attending follow-up appointments as scheduled.

Suitable For

Patients who are typically recommended ear tube surgery include those who have recurrent ear infections, chronic fluid buildup behind the eardrum, hearing loss due to fluid in the middle ear, or frequent ear infections that do not respond to other treatments. Children are often recommended for ear tube surgery, but adults may also be candidates for the procedure.

Timeline

Before ear tube surgery:

  • Patient experiences frequent ear infections or fluid buildup in the middle ear
  • Patient may have difficulty hearing or experience episodes of dizziness
  • ENT specialist evaluates the patient’s condition and recommends ear tube surgery
  • Patient undergoes pre-operative assessments and consultations with the surgical team
  • Surgery date is scheduled and patient receives instructions on pre-operative care

After ear tube surgery:

  • Patient is taken to the recovery room and monitored for any immediate complications
  • Patient may experience mild discomfort or drainage from the ear
  • Patient is discharged home with post-operative care instructions
  • Follow-up appointments are scheduled to monitor the healing process and check the status of the ear tubes
  • Patient experiences improvement in hearing and reduction in ear infections
  • Ear tubes eventually fall out on their own or are removed by the ENT specialist in a minor procedure.

What to Ask Your Doctor

  1. What is the purpose of ear tube surgery and how will it benefit me or my child?
  2. What are the potential risks and complications associated with ear tube surgery?
  3. How long does the procedure typically take and what is the recovery process like?
  4. Will there be any restrictions or limitations on activities following the surgery?
  5. How long do ear tubes typically stay in place and what is the process for removing them?
  6. What signs or symptoms should I watch for that may indicate a problem with the ear tubes?
  7. How often will follow-up appointments be needed after the surgery?
  8. Are there any alternative treatments or options to consider before proceeding with ear tube surgery?
  9. What is the success rate of ear tube surgery in improving hearing and reducing ear infections?
  10. Are there any long-term effects or complications that can occur as a result of having ear tubes inserted?

Reference

Authors: Kelly Z, Cao A, Ahmedli N, Nassar M. Journal: J Laryngol Otol. 2022 Jun;136(6):562-567. doi: 10.1017/S0022215121004692. Epub 2022 Mar 2. PMID: 35234112