A Systematic Review of Simulation in Otolaryngology Residency Training

Abstract

Poster Presentations P159Methods: Retrospective review of non-randomized prospectively maintained patient databases at two tertiary centers from 1998-2008; Sahlgrenska University Hospital (SU) in Gothenburg, Sweden, and Aberdeen Royal Infirmary (ARI) in Aberdeen, Scotland. Patients with stage III and IV disease were included in the study. Primary outcome measures included 3-year overall and disease-specific survival depending on treatment.Results: A total of 176 patients were identified, of whom 83% were male and 17% were female with an average age of 65. Sixty-five patients (37%) presented with stage III tumors, of which 51 patients received organ-preserving treatment and 14 patients underwent total laryngectomy. Corresponding figures for the 111 patients (63%) presenting with stage IV disease were 42 and 69. Three-year overall and disease-specific survival for stage III were 58% and 73% respectively. Corresponding figures for stage IV disease were 42% and 53%. Choice of treatment did not significantly influence survival for stage III (P = 0.56) or IV (P = 0.93) disease.Conclusions: Choice of treatment, whether it be organ preservation or surgery, does not significantly influence overall or disease-specific survival. Therefore, other factors such as quality of life and voice and efficacy of salvage treatments are perhaps more likely to indicate preferred treatment options.

Identifying and reducing risks in functional endoscopic sinus surgery through a hierarchical task analysis

“…Errors can involve any member of staff from any discipline during the procedure and a preoperative task analysis viewed prior to a surgery will increase the awareness of these errors among team members and improve the capacity of the theatre team to manage these risks. Future surgical training will rely more on simulation 28 and task analysis will facilitate the steps to build and improve simulation based tools. Task analysis in the operating theater has the potential to allow any observer to appreciate the organization and technical proficiency required during each step by following the steps with their observation.…”