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Background: The application of botulinum toxin (BoNT) in the treatment of blepharospasm and hemifacial spasm (HS) is a well-established practice. However, neurology residency programs often rely on real patients for training, which has limitations in terms of patient availability and skill acquisition.
Objective: Assess the efficacy of a new facial phantom model for acquiring motor skills in BoNT application.
Methods: An anthropomorphic facial phantom model was developed in collaboration with a medical training simulator start-up. A group of seven neurologists and one ophthalmologist with expertise in BoNT application evaluated the model using an adapted learning object review instrument (LORI). The instrument assessed aspects such as: content quality, alignment of learning objectives, feedback and adaptation, motivation, presentation design, and accessibility.
Results: The facial phantom model received high scores in the LORI evaluation, with the highest ratings given to alignment with learning objectives and motivation. The model also scored well in terms of accessibility, content quality, and presentation design. However, feedback and adaptation received a lower score due to the static nature of the model.
Conclusion: The facial phantom model shows promise as a valuable tool for teaching and developing competence in BoNT application for HS and blepharospasm. The model reduces the reliance on real patients for training, providing a broader and safer learning experience for neurology residents. It also provides a realistic learning experience and offers portability, cost-effectiveness, and ease of manufacturing for use in various medical training scenarios. It is an effective and accessible tool for teaching BoNT application.
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http://dx.doi.org/10.1055/s-0044-1779037 | DOI Listing |
J Vasc Surg Cases Innov Tech
February 2025
Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA.
Abdominal aortic aneurysm (AAA) is the focal dilation of the terminal aorta, which can lead to rupture if left untreated. Traditional endovascular aneurysm repair techniques are minimally invasive and pose low mortality rates compared with open surgical repair; however, endovascular aneurysm repair procedures face challenges in accommodating variations in the patient's anatomy. Complex aneurysms are defined when the sac extends past the renal arteries or has an insufficient neck landing zone to deploy a traditional endograft.
View Article and Find Full Text PDFTher Adv Ophthalmol
December 2024
Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Charles Bonnet syndrome (CBS) is a condition characterised by visual hallucinations of varying complexity on a background of vision loss. CBS research has gained popularity only in recent decades, despite evidence dating back to 1760. Knowledge of CBS among both the patient and professional populations unfortunately remains poor, and little is known of its underlying pathophysiology.
View Article and Find Full Text PDFCraniomaxillofac Trauma Reconstr
December 2024
Department of Cranio-Maxillo-Facial-Surgery, University Hospital Ulm, Ulm, Germany.
Study Design: Experimental single-centre study of X-ray absorption using a phantom skull.
Objective: This experimental study aimed to compare the radiation doses of different 3D imaging devices used in maxillofacial surgery, including one Multidetector CT (MDCT), two Conebeam CT (CBCT) and four intraoperative 3D C-arms.
Methods: Thermoluminescent dosimeters (TLD) were used to determine the absorbed radiation in an Alderson-Rando phantom skull.
Nihon Hoshasen Gijutsu Gakkai Zasshi
December 2024
Department of Radiological Sciences, School of Health Sciences, Fukushima Medical University.
Purpose: In MRI examinations, makeup cosmetics may cause image artifacts or be adsorbed by a static magnetic field. However, there are no reports on each cosmetic material ingredient. The purpose of this study was to evaluate the displacement force and image artifacts caused by cosmetic ingredients and to clarify the cosmetic ingredients that need to be removed.
View Article and Find Full Text PDFNicotine Tob Res
November 2024
Center for Tobacco Products, U.S. Food and Drug Administration, 10903 New Hampshire Ave, Silver Spring, MD.
Introduction: LGBTQ+ populations and people who smoke face stigma. This may lead to distancing oneself from smoking-related stigma by becoming phantom smokers (i.e.
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