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Ex-vivo surgical model for “Barbed Snore Surgery”: a feasibility study

  • Head and Neck
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Introduction

The “Barbed Snore Surgery” is one of the last technical innovations in palatal surgery for Obstructive Sleep Apnea. The availability of a low-cost surgical model able to replicate tissue consistency and main anatomical structures could be fundamental for the spreading of this surgery. The aim of this study was to assess the feasibility of an ex-vivo ovine model in the surgical training of BSS.

Methods

After adequate preparation of adult lamb heads, a post-graduate student with no surgical expertise was guided by a skilled surgeon in the execution of two BSS procedures: “Barbed Roman Blinds Technique” and “Barbed Anterior Pharyngoplasty”. Anatomical limitations and similarity with the human tissue were assessed and recorded during the simulation.

Results

All the procedures were successfully completed. Despite proportional differences, the palatal tissue was assessed as similar in consistency and thickness to the human tissue. The simulation was considered satisfactory and suitable for surgical training.

Conclusion

This ex-vivo ovine surgical model could represent the right tool for BSS training thanks to readily available and inexpensive specimens. Moreover, it appears to present the realistic anatomy and tissue consistence essential for an adequate surgical simulation.

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References

  1. Javia L, Deutsch ES (2012) A systematic review of simulators in otolaryngology. Otolaryngol Head Neck Surg 147(6):999–1011

    Article  Google Scholar 

  2. Gardner AK, Scott DJ, Hebert JC et al (2015) Gearing up for milestones in surgery: Will simulation play a role? Surgery 158(5):1421–1427

    Article  Google Scholar 

  3. Rinaldi V, Costantino A, Moffa A et al (2019) “Barbed snore surgery” simulator: a low-cost surgical model. Eur Arch Otorhinolaryngol 276(8):2345–2348

    Article  Google Scholar 

  4. Musbahi O, Aydin A, Al Omran Y et al (2017) Current status of simulation in otolaryngology: a systematic review. J Surg Educ 74(2):203–215

    Article  Google Scholar 

  5. Ianacone DC, Gnadt BJ, Isaacson G (2016) Ex vivo ovine model for head and neck surgical simulation. Am J Otolaryngol 37(3):272–278

    Article  Google Scholar 

  6. Ghirelli M, Mattioli F, Federici G et al (2019) Ex vivo porcine larynx model for microlaryngoscopy laryngeal surgery: proposal for a structured surgical training. J Voice S0892–1997(18):30516–30522

    Google Scholar 

  7. Mantovani M, Minetti A, Torretta S et al (2012) The velo-uvulo-pharyngeal lift or “roman blinds” technique for treatment of snoring: a preliminary report. Acta Otorhinolaryngol Ital 32(1):48–53

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Mantovani M, Carioli D, Torretta S et al (2017) Barbed snore surgery for concentric collapse at the velum: the Alianza technique. J Craniomaxillofac Surg 45(11):1794–1800

    Article  Google Scholar 

  9. Rinaldi V, Costantino A, Moffa A et al (2019) Postoperative pain and wound healing after coblation-assisted barbed anterior pharyngoplasty (CABAPh): an observational study. Indian J Otolaryngol Head Neck Surg. https://doi.org/10.1007/s12070-018-01577-8

    Article  Google Scholar 

  10. Isaacson G, Ianacone DC, Soliman AMS (2016) Ex vivo ovine model for suspension microlaryngoscopy training. J Laryngol Otol 130(10):939–942

    Article  CAS  Google Scholar 

  11. Isaacson G, Ianacone DC, Wolfson MR (2015) Ex vivo ovine model for pediatric flexible endoscopy training. Int J Pediatr Otorhinolaryngol 79(12):2196–2199

    Article  Google Scholar 

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Funding

No funding was received for this research.

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Authors and Affiliations

  1. Integrated Sleep Surgery Team, Unit of Integrated Therapies in Otolaryngology, School of Medicine, Campus Bio-Medico University of Rome, Rome, Italy

    Vittorio Rinaldi, Andrea Costantino & Manuele Casale

  2. Department of Otolaryngology, University of Foggia, Foggia, Italy

    Antonio Moffa

Authors
  1. Vittorio Rinaldi
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  2. Andrea Costantino
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  3. Antonio Moffa
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  4. Manuele Casale
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Corresponding author

Correspondence to Andrea Costantino.

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Conflict of interest

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge, or beliefs) in the subject matter or materials discussed in this manuscript.

Ethical approval

Because of the nature of this project, no institutional review board approval was necessary.

Informed consent

This article does not contain any studies with human participants or live animal performed by any of the authors.

Additional information

This article is part of the Topical Collection on sleep apnea syndrome. Guest Editors: Manuele Casale, Rinaldi Vittorio.

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Rinaldi, V., Costantino, A., Moffa, A. et al. Ex-vivo surgical model for “Barbed Snore Surgery”: a feasibility study. Eur Arch Otorhinolaryngol 276, 3539–3542 (2019). https://doi.org/10.1007/s00405-019-05660-w

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  • DOI: https://doi.org/10.1007/s00405-019-05660-w

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