Myringotomy Tube

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Shekar N Kurpad - One of the best experts on this subject based on the ideXlab platform.

  • syringosubarachnoid shunting using a Myringotomy Tube
    Surgical Neurology International, 2016
    Co-Authors: Jack M Leschke, Michael L Mumert, Shekar N Kurpad
    Abstract:

    Syringomyelia results from obstruction of cerebrospinal fluid (CSF) flow due to a multitude of causes. Often symptoms of pain, weakness, and sensory disturbance are progressive and require surgical treatment. We present here a rare technique for syringosubarachnoid shunting.We present the case of a 38-year-old male who suffered a traumatic cervical spinal cord injury due to a motor vehicle accident. With progressive pain and motor decline, a magnetic resonance imaging was obtained and showed a new syrinx extending cervical multiple segments. A unique surgical procedure using a Myringotomy Tube to shunt CSF into the subarachnoid space was employed in this case. The patient's examination stabilized postoperatively, and at 2 months and 6 months follow-up visits, his strength and sensation continued to improve.We used a Myringotomy Tube for syringosubarachnoid shunting for the surgical management of a posttraumatic syrinx with good results. This technique minimizes suturing and may minimize shunt-related complications.

  • Syringosubarachnoid shunting using a Myringotomy Tube
    Surgical Neurology International, 2016
    Co-Authors: Jack M Leschke, Michael L Mumert, Shekar N Kurpad
    Abstract:

    BACKGROUND Syringomyelia results from obstruction of cerebrospinal fluid (CSF) flow due to a multitude of causes. Often symptoms of pain, weakness, and sensory disturbance are progressive and require surgical treatment. We present here a rare technique for syringosubarachnoid shunting. CASE DESCRIPTION We present the case of a 38-year-old male who suffered a traumatic cervical spinal cord injury due to a motor vehicle accident. With progressive pain and motor decline, a magnetic resonance imaging was obtained and showed a new syrinx extending cervical multiple segments. A unique surgical procedure using a Myringotomy Tube to shunt CSF into the subarachnoid space was employed in this case. The patient's examination stabilized postoperatively, and at 2 months and 6 months follow-up visits, his strength and sensation continued to improve. CONCLUSION We used a Myringotomy Tube for syringosubarachnoid shunting for the surgical management of a posttraumatic syrinx with good results. This technique minimizes suturing and may minimize shunt-related complications.

Hanif M Ladak - One of the best experts on this subject based on the ideXlab platform.

  • face and content validity of a virtual reality simulator for Myringotomy with Tube placement
    Journal of Otolaryngology-head & Neck Surgery, 2015
    Co-Authors: Caiwen Huang, Horace Cheng, Yves Bureau, Sumit K Agrawal, Hanif M Ladak
    Abstract:

    Myringotomy with Tube insertion can be challenging for junior Otolaryngology residents as it is one of the first microscopic procedures they encounter. The Western Myringotomy simulator was developed to allow trainees to practice microscope positioning, Myringotomy, and Tube placement. This virtual-reality simulator is viewed in stereoscopic 3D, and a haptic device is used to manipulate the digital ear model and surgical tools. To assess the face and content validity of the Western Myringotomy simulator. The Myringotomy simulator was integrated with new modules to allow speculum placement, manipulation of an operative microscope, and insertion of the ventilation Tube through a deformable tympanic membrane. A questionnaire was developed in consultation with instructing surgeons. Fourteen face validity questions focused on the anatomy of the ear, simulation of the operative microscope, appearance and movement of the surgical instruments, deformation and cutting of the eardrum, and Myringotomy Tube insertion. Six content validity questions focused on training potential on surgical tasks such as speculum placement, microscope positioning, tool navigation, ear anatomy, Myringotomy creation and Tube insertion. A total of 12 participants from the Department of Otolaryngology—Head and Neck Surgery were recruited for the study. Prior to completing the questionnaire, participants were oriented to the simulator and given unlimited time to practice until they were comfortable with all of its aspects. Responses to 12 of the 14 questions on face validity were predominantly positive. One issue of concern was with contact modeling related to Tube insertion into the eardrum, and the second was with the movement of the blade and forceps. The former could be resolved by using a higher resolution digital model for the eardrum to improve contact localization. The latter could be resolved by using a higher fidelity haptic device. With regard to content validity, 64 % of the responses were positive, 21 % were neutral, and 15 % were negative. The Western Myringotomy simulator appears to have sufficient face and content validity. Further development with automated metrics and skills transference testing is planned.

  • Face and content validity of a virtual-reality simulator for Myringotomy with Tube placement
    Journal of Otolaryngology - Head & Neck Surgery, 2015
    Co-Authors: Caiwen Huang, Horace Cheng, Yves Bureau, Sumit K Agrawal, Hanif M Ladak
    Abstract:

    Background Myringotomy with Tube insertion can be challenging for junior Otolaryngology residents as it is one of the first microscopic procedures they encounter. The Western Myringotomy simulator was developed to allow trainees to practice microscope positioning, Myringotomy, and Tube placement. This virtual-reality simulator is viewed in stereoscopic 3D, and a haptic device is used to manipulate the digital ear model and surgical tools. Objective To assess the face and content validity of the Western Myringotomy simulator. Methods The Myringotomy simulator was integrated with new modules to allow speculum placement, manipulation of an operative microscope, and insertion of the ventilation Tube through a deformable tympanic membrane. A questionnaire was developed in consultation with instructing surgeons. Fourteen face validity questions focused on the anatomy of the ear, simulation of the operative microscope, appearance and movement of the surgical instruments, deformation and cutting of the eardrum, and Myringotomy Tube insertion. Six content validity questions focused on training potential on surgical tasks such as speculum placement, microscope positioning, tool navigation, ear anatomy, Myringotomy creation and Tube insertion. A total of 12 participants from the Department of Otolaryngology—Head and Neck Surgery were recruited for the study. Prior to completing the questionnaire, participants were oriented to the simulator and given unlimited time to practice until they were comfortable with all of its aspects. Results Responses to 12 of the 14 questions on face validity were predominantly positive. One issue of concern was with contact modeling related to Tube insertion into the eardrum, and the second was with the movement of the blade and forceps. The former could be resolved by using a higher resolution digital model for the eardrum to improve contact localization. The latter could be resolved by using a higher fidelity haptic device. With regard to content validity, 64 % of the responses were positive, 21 % were neutral, and 15 % were negative. Conclusions The Western Myringotomy simulator appears to have sufficient face and content validity. Further development with automated metrics and skills transference testing is planned.

Jack M Leschke - One of the best experts on this subject based on the ideXlab platform.

  • syringosubarachnoid shunting using a Myringotomy Tube
    Surgical Neurology International, 2016
    Co-Authors: Jack M Leschke, Michael L Mumert, Shekar N Kurpad
    Abstract:

    Syringomyelia results from obstruction of cerebrospinal fluid (CSF) flow due to a multitude of causes. Often symptoms of pain, weakness, and sensory disturbance are progressive and require surgical treatment. We present here a rare technique for syringosubarachnoid shunting.We present the case of a 38-year-old male who suffered a traumatic cervical spinal cord injury due to a motor vehicle accident. With progressive pain and motor decline, a magnetic resonance imaging was obtained and showed a new syrinx extending cervical multiple segments. A unique surgical procedure using a Myringotomy Tube to shunt CSF into the subarachnoid space was employed in this case. The patient's examination stabilized postoperatively, and at 2 months and 6 months follow-up visits, his strength and sensation continued to improve.We used a Myringotomy Tube for syringosubarachnoid shunting for the surgical management of a posttraumatic syrinx with good results. This technique minimizes suturing and may minimize shunt-related complications.

  • Syringosubarachnoid shunting using a Myringotomy Tube
    Surgical Neurology International, 2016
    Co-Authors: Jack M Leschke, Michael L Mumert, Shekar N Kurpad
    Abstract:

    BACKGROUND Syringomyelia results from obstruction of cerebrospinal fluid (CSF) flow due to a multitude of causes. Often symptoms of pain, weakness, and sensory disturbance are progressive and require surgical treatment. We present here a rare technique for syringosubarachnoid shunting. CASE DESCRIPTION We present the case of a 38-year-old male who suffered a traumatic cervical spinal cord injury due to a motor vehicle accident. With progressive pain and motor decline, a magnetic resonance imaging was obtained and showed a new syrinx extending cervical multiple segments. A unique surgical procedure using a Myringotomy Tube to shunt CSF into the subarachnoid space was employed in this case. The patient's examination stabilized postoperatively, and at 2 months and 6 months follow-up visits, his strength and sensation continued to improve. CONCLUSION We used a Myringotomy Tube for syringosubarachnoid shunting for the surgical management of a posttraumatic syrinx with good results. This technique minimizes suturing and may minimize shunt-related complications.

Caiwen Huang - One of the best experts on this subject based on the ideXlab platform.

  • face and content validity of a virtual reality simulator for Myringotomy with Tube placement
    Journal of Otolaryngology-head & Neck Surgery, 2015
    Co-Authors: Caiwen Huang, Horace Cheng, Yves Bureau, Sumit K Agrawal, Hanif M Ladak
    Abstract:

    Myringotomy with Tube insertion can be challenging for junior Otolaryngology residents as it is one of the first microscopic procedures they encounter. The Western Myringotomy simulator was developed to allow trainees to practice microscope positioning, Myringotomy, and Tube placement. This virtual-reality simulator is viewed in stereoscopic 3D, and a haptic device is used to manipulate the digital ear model and surgical tools. To assess the face and content validity of the Western Myringotomy simulator. The Myringotomy simulator was integrated with new modules to allow speculum placement, manipulation of an operative microscope, and insertion of the ventilation Tube through a deformable tympanic membrane. A questionnaire was developed in consultation with instructing surgeons. Fourteen face validity questions focused on the anatomy of the ear, simulation of the operative microscope, appearance and movement of the surgical instruments, deformation and cutting of the eardrum, and Myringotomy Tube insertion. Six content validity questions focused on training potential on surgical tasks such as speculum placement, microscope positioning, tool navigation, ear anatomy, Myringotomy creation and Tube insertion. A total of 12 participants from the Department of Otolaryngology—Head and Neck Surgery were recruited for the study. Prior to completing the questionnaire, participants were oriented to the simulator and given unlimited time to practice until they were comfortable with all of its aspects. Responses to 12 of the 14 questions on face validity were predominantly positive. One issue of concern was with contact modeling related to Tube insertion into the eardrum, and the second was with the movement of the blade and forceps. The former could be resolved by using a higher resolution digital model for the eardrum to improve contact localization. The latter could be resolved by using a higher fidelity haptic device. With regard to content validity, 64 % of the responses were positive, 21 % were neutral, and 15 % were negative. The Western Myringotomy simulator appears to have sufficient face and content validity. Further development with automated metrics and skills transference testing is planned.

  • Face and content validity of a virtual-reality simulator for Myringotomy with Tube placement
    Journal of Otolaryngology - Head & Neck Surgery, 2015
    Co-Authors: Caiwen Huang, Horace Cheng, Yves Bureau, Sumit K Agrawal, Hanif M Ladak
    Abstract:

    Background Myringotomy with Tube insertion can be challenging for junior Otolaryngology residents as it is one of the first microscopic procedures they encounter. The Western Myringotomy simulator was developed to allow trainees to practice microscope positioning, Myringotomy, and Tube placement. This virtual-reality simulator is viewed in stereoscopic 3D, and a haptic device is used to manipulate the digital ear model and surgical tools. Objective To assess the face and content validity of the Western Myringotomy simulator. Methods The Myringotomy simulator was integrated with new modules to allow speculum placement, manipulation of an operative microscope, and insertion of the ventilation Tube through a deformable tympanic membrane. A questionnaire was developed in consultation with instructing surgeons. Fourteen face validity questions focused on the anatomy of the ear, simulation of the operative microscope, appearance and movement of the surgical instruments, deformation and cutting of the eardrum, and Myringotomy Tube insertion. Six content validity questions focused on training potential on surgical tasks such as speculum placement, microscope positioning, tool navigation, ear anatomy, Myringotomy creation and Tube insertion. A total of 12 participants from the Department of Otolaryngology—Head and Neck Surgery were recruited for the study. Prior to completing the questionnaire, participants were oriented to the simulator and given unlimited time to practice until they were comfortable with all of its aspects. Results Responses to 12 of the 14 questions on face validity were predominantly positive. One issue of concern was with contact modeling related to Tube insertion into the eardrum, and the second was with the movement of the blade and forceps. The former could be resolved by using a higher resolution digital model for the eardrum to improve contact localization. The latter could be resolved by using a higher fidelity haptic device. With regard to content validity, 64 % of the responses were positive, 21 % were neutral, and 15 % were negative. Conclusions The Western Myringotomy simulator appears to have sufficient face and content validity. Further development with automated metrics and skills transference testing is planned.

Michael L Mumert - One of the best experts on this subject based on the ideXlab platform.

  • syringosubarachnoid shunting using a Myringotomy Tube
    Surgical Neurology International, 2016
    Co-Authors: Jack M Leschke, Michael L Mumert, Shekar N Kurpad
    Abstract:

    Syringomyelia results from obstruction of cerebrospinal fluid (CSF) flow due to a multitude of causes. Often symptoms of pain, weakness, and sensory disturbance are progressive and require surgical treatment. We present here a rare technique for syringosubarachnoid shunting.We present the case of a 38-year-old male who suffered a traumatic cervical spinal cord injury due to a motor vehicle accident. With progressive pain and motor decline, a magnetic resonance imaging was obtained and showed a new syrinx extending cervical multiple segments. A unique surgical procedure using a Myringotomy Tube to shunt CSF into the subarachnoid space was employed in this case. The patient's examination stabilized postoperatively, and at 2 months and 6 months follow-up visits, his strength and sensation continued to improve.We used a Myringotomy Tube for syringosubarachnoid shunting for the surgical management of a posttraumatic syrinx with good results. This technique minimizes suturing and may minimize shunt-related complications.

  • Syringosubarachnoid shunting using a Myringotomy Tube
    Surgical Neurology International, 2016
    Co-Authors: Jack M Leschke, Michael L Mumert, Shekar N Kurpad
    Abstract:

    BACKGROUND Syringomyelia results from obstruction of cerebrospinal fluid (CSF) flow due to a multitude of causes. Often symptoms of pain, weakness, and sensory disturbance are progressive and require surgical treatment. We present here a rare technique for syringosubarachnoid shunting. CASE DESCRIPTION We present the case of a 38-year-old male who suffered a traumatic cervical spinal cord injury due to a motor vehicle accident. With progressive pain and motor decline, a magnetic resonance imaging was obtained and showed a new syrinx extending cervical multiple segments. A unique surgical procedure using a Myringotomy Tube to shunt CSF into the subarachnoid space was employed in this case. The patient's examination stabilized postoperatively, and at 2 months and 6 months follow-up visits, his strength and sensation continued to improve. CONCLUSION We used a Myringotomy Tube for syringosubarachnoid shunting for the surgical management of a posttraumatic syrinx with good results. This technique minimizes suturing and may minimize shunt-related complications.