At first glance, the Otolaryngology Surgery Simulation Center at Montefiore Medical Center in New York resembles a traditional temporal bone dissection lab. Two sets of stations face each other, their T-bone samples in jars waiting for third-year surgical residents to try mastering complex and delicate surgery. But something is different. The stations are flanked on either side by two medical simulators-one for endoscopic sinus surgery (ESS), the other for temporal bone dissection (TBD). The temporal bone stations are otolaryngology’s past; the simulators are its future.
Explore this issue:September 2008
Babak Sadoughi, MD, of Montefiore’s simulation center, explained: Using cadaveric bones presents many issues. Drilling human bones is messy, it’s hard to find cadavers, and there are contamination issues and strict disposal protocols to follow. Also, once you drill a bone, you’re done.
With the TBD simulators, Montefiore’s 20 otolaryngologic surgical residents can practice T-bone dissection to their hearts’ content. Montefiore’s Chair of Otorhinolaryngology-Head and Neck Surgery, Marvin Fried, MD, a pioneer in using otolaryngologic simulation since the 1980s, inherited the ESS simulator when he came to Montefiore, then figured out how best to use it.