{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,22]],"date-time":"2026-02-22T16:59:07Z","timestamp":1771779547471,"version":"3.50.1"},"reference-count":8,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T00:00:00Z","timestamp":1611705600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215120002613_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Simulation training has become a core component in the training of ENT surgeons. It provides the opportunity for the repetitive practice of a surgical technique. Simulators are broadly categorised into low- and high-fidelity simulators. A method using a home microprocessor to enhance a low-fidelity surgical simulator is introduced.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120002613_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>The Yorick tonsil tie trainer was enhanced using an Arduino microcontroller attached to the simulated inferior pole of the tonsil. The Arduino was coded to give a visual stimulus when linear motion exceeded parameters. The prototype simulator was tested to gain information on whether the enhancement could identify differences between novice and expert users.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120002613_sec_a3\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>An enhanced low-fidelity tonsil trainer was produced using a low-cost, simple home microprocessing board. The enhanced simulator gives objective feedback allowing for self-directed learning. Further research is required to evaluate the benefits of these enhancements above non-enhanced simulation training.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215120002613","type":"journal-article","created":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T10:57:19Z","timestamp":1611745039000},"page":"179-181","source":"Crossref","is-referenced-by-count":5,"title":["Enhancement of a low-fidelity surgical simulator. Is it possible?"],"prefix":"10.1017","volume":"135","author":[{"given":"L M","family":"Evans","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Owens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,1,27]]},"reference":[{"key":"S0022215120002613_ref4","author":"Tooke","year":"2007","journal-title":"Aspiring to Excellence: Findings and Recommendations of the Independent Inquiry into Modernising Medical Careers. Interim Report"},{"key":"S0022215120002613_ref1","first-page":"102","article-title":"The Cardiff Cup: a model for tonsillectomy tie training","volume":"1","author":"Al-Hussaini","year":"2011","journal-title":"Otolaryngol"},{"key":"S0022215120002613_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2010.01.011"},{"key":"S0022215120002613_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2009.01882.x"},{"key":"S0022215120002613_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2008.01647.x"},{"key":"S0022215120002613_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2929.2005.02224.x"},{"key":"S0022215120002613_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200207000-00002"},{"key":"S0022215120002613_ref6","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2009.038562"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215120002613","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,12]],"date-time":"2021-04-12T08:07:25Z","timestamp":1618214845000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215120002613\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,27]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["S0022215120002613"],"URL":"https:\/\/doi.org\/10.1017\/s0022215120002613","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,27]]}}}