Application of 3D-Printed nasal models in lacrimal surgery training
摘要
This study aimed to investigate the feasibility and efficacy of 3D-printed nasal models for training in nasal endoscopic examination and artificial lacrimal duct intubation, while also evaluating trainees’ learning experience and skill improvement.
MethodsA nasal model replicating anatomical structures was constructed using stereolithography (SLA) 3D printing based on adult nasal CT data. Twenty-four ophthalmologists subsequently underwent training involving simulated nasal endoscopic procedures and artificial lacrimal duct intubation on these models. Pre- and post-training practical assessments included the anatomical identification rate, nasal endoscopic operation time, and the success rate of artificial lacrimal duct intubation. A 5-point Likert scale questionnaire was used to measure participants’ learning outcomes and satisfaction.
Results3D-printed model accurately replicated nasal anatomical details, encompassing the nasal cavity, nasopharyngeal structures, and precise nasolacrimal duct opening localization. Following training, participants demonstrated significantly improved anatomical identification rates (p < 0.0001) and substantially reduced endoscopic operation times (p < 0.001), further achieving a 95.8% (23/24) qualification rate for lacrimal duct implantation positioning. Notably, questionnaire feedback indicated that 91.7% of trainees agreed the model enhanced anatomical understanding; 87.5% affirmed its haptic feedback approximated real surgery; 95.8% reported increased surgical confidence; and 91.7% endorsed its use for pre-operative training.
Conclusions3D-printed nasal model offers a high-fidelity, reusable platform for nasal endoscopy and lacrimal surgery training, effectively advancing trainees’ operative skills and confidence—thus demonstrating significant potential for clinical dissemination.