{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:47:48Z","timestamp":1787312868307,"version":"build-2736575974"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T00:00:00Z","timestamp":1616025600000},"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":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215121000839_sec_a1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Simulation training has become a key part of the surgical curriculum over recent years. Current trainees face significantly reduced operating time as a result of the coronavirus disease 2019 pandemic, alongside increased costs to surgical training, thus creating a need for low-cost simulation models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215121000839_sec_a2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review of the literature was performed using multiple databases. Each model included was assessed for the ease and expense of its construction, as well as its validity and educational value.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215121000839_sec_a3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 18 low-cost simulation models were identified, relating to otology, head and neck surgery, laryngeal surgery, rhinology, and tonsil surgery. In only four of these models (22.2 per cent) was an attempt made to demonstrate the educational impact of the model. Validation was rarely formally assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215121000839_sec_a4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>More efforts are required to standardise validation methods and demonstrate the educational value of the available low-cost simulation models in otorhinolaryngology.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215121000839","type":"journal-article","created":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T06:07:23Z","timestamp":1616047643000},"page":"486-491","source":"Crossref","is-referenced-by-count":14,"title":["A systematic review of low-cost simulators in ENT 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