title: A laryngeal dissection station: educational paradigms in phonosurgery.
abstract: OBJECTIVE
  To introduce a new tool for phonosurgical training and education. A multitude of innovations in complex laryngeal surgery has catalyzed new educational initiatives. Establishing dexterity in phonomicrosurgery is often difficult to achieve while working on patients because of the narrow margin for success. Furthermore, laryngoplastic phonosurgery and open partial laryngectomy require sophisticated knowledge of precise anatomic relationships, which can be difficult to express in images. Finally, many teaching programs do not have a high volume of these procedures, and there is a significant need to transmit this information in continuing education courses.
  
  
  METHODS
  Prototype design.
  
  
  METHODS
  A laryngeal dissection station (LDS) was designed to facilitate the acquisition of high-level procedural skill sets for both transoral and transcervical techniques.
  
  
  RESULTS
  This LDS can be used in existing temporal-bone laboratories by using cadaveric larynges. A rectangular frame supports two adjustable holders, one for the larynx and one for the examining speculum of a laryngoscope. Procedures are performed with the larynx fixed in space by a novel fixator. Variation in position and orientation of the components affords simulation of both microlaryngoscopy and open surgery. The dissection station can accommodate virtually any laryngoscope, regardless of size or shape.
  
  
  CONCLUSIONS
  This training apparatus should facilitate laryngeal surgical instruction in residency training and continuing medical education. This device and others like it can help establish clinical competency in laryngology, should this become necessary in future educational models of residency training and recertification.
authors.affiliation: Department of Otology and Laryngology, Harvard Medical School, Division of Otolaryngology, Brigham and Women's Hospital, Boston, MA 02115, USA. shdailey@partners.org
authors.forename: Seth H
authors.initials: SH
authors.lastname: Dailey
authors.forename: James B
authors.initials: JB
authors.lastname: Kobler
authors.forename: Steven M
authors.initials: SM
authors.lastname: Zeitels
mesh_terms: D013502:General Surgery / Q000193:education*; D006801:Humans; D007825:Laryngectomy / Q000379:methods*; D007830:Larynx / Q000033:anatomy & histology*