Endoscopic sinus surgery training courses: benefit and problems - a multicentre evaluation to systematically improve surgical training

Braun, T.; Betz, Christian; Ledderose, G.J.; Havel, M.; Stelter, K.; Kohnel, T.; Straus, G.; Waschke, J.; Kirchner, T.; Briner, H.R.; Simmen, D.; Caversaccio, M.; Wormald, Peter John; Jones, N.; Leunig, A.

doi:10.4193/rhin11.266

Cited by 21 publications

(27 citation statements)

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“…The need for the classification is based on assessing training of surgeons in sinus surgery . The frontal sinus can be the most consistently challenging region to perform sinus surgery as it is located behind a variable sized frontal beak (resulting in either a small or large frontal ostium) and between 2 vulnerable areas—the lamina papyracea and the olfactory fossa .…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS) covers a wide range of complexity—from minimal anterior ethmoidectomy with maxillary antrostomy (so called mini‐functional ESS [mini‐FESS]) to complete fronto‐sphenoid‐ethmoidectomy (so‐called “full house FESS”) . Ear, nose, and throat (ENT) trainees are expected to gradually progress, through the duration of their training program, from simple mini‐FESS cases (for limited disease) to independently performing full‐house FESS (for widespread pan‐sinus disease). Currently there are no universally accepted milestones that trainees can check themselves against in order to monitor their progress or skill level.…”

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confidence: 99%

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The International Classification of the radiological Complexity (ICC) of frontal recess and frontal sinus

Wormald

Bassiouni

Callejas

et al. 2016

Int Forum Allergy Rhinol

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

The International Classification of the radiological Complexity (ICC) of frontal recess and frontal sinus

Wormald

Bassiouni

Callejas

et al. 2016

Int Forum Allergy Rhinol

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“…The reasons are multiple: a reduction in availability of cadavers, increased costs of running dissection laboratories and a change in emphasis in favour of skills such as communication and teamwork among medical students [5, 6•]. Despite this, it is clear that cadaveric endoscopic sinus dissection courses are an excellent anatomical learning and surgical confidence-building tool [7].…”

Section: Cadaver Dissectionmentioning

confidence: 99%

Rhinology: Simulation Training (Part 2)

Tornari

Tedla

Šurda

2020

Curr Otorhinolaryngol Rep

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Purpose of Review Recently, there has been an expansion of novel technologies in simulation training. The aim of this review was to examine existing evidence about training simulators in rhinology, their incorporation into real training programmes and translation of these skills into the operating room. The first part focuses on the virtual and augmented reality simulators. The second part describes the role of physical (i.e. non-computer-based) models of endoscopic sinus surgery. Recent Findings We learned that an ideal sinus surgery model would score highly in all standard measures of validity whilst maintaining an attainable cost. This is a challenging goal that is worthy of pursuit given that simulation training has been shown to be cost-effective option in other domains. Non-AR or VR models are attractive ways to fill gaps in simulation training whilst reducing compared with computer-based models. Summary In an era of improved computer technology and improved 3D printing, it will be increasingly important to focus on both the manufacture and validation process. One area that will benefit from further technological advancement is the realistic simulation of bleeding as this would obviate the need for animal models. Future studies on ESS simulation will also need to robustly demonstrate the validity of each model with the emphasis on the ability of a model to predict performance in operative environment.

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“…Courses organised with cadaveric dissection are a wonderful opportunity to learn from experienced surgeons in each field (55) . It should be recommended to attend at least one otology, rhinology and neck dissection course by the end of ENT training.…”

Section: Cadaveric Dissectionmentioning

confidence: 99%

“…IGS with AR may facilitate the process of learning to read preoperative CT images, and applying that information during surgery, compared with traditional DICOM viewing software that presents CT images in the 3 orthogonal planes (55) . Even so, care should be taken since trainee sinus surgeons seeing their more experienced colleagues using a navigation device tend to overestimate the capabilities of the system and to underestimate the risks (62) .…”

Section: Navigation and Augmented Realitymentioning

confidence: 99%

Training in ENT; a comprehensive review of existing evidence

Šurda¹,

Barac²,

Deghani³

et al. 2018

RHINOL

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Despite an expansion of fellowship opportunities over the last three decades, there is still incomplete regulation and standardisation of fellowship training. The aim of this comprehensive review was to examine existing evidence about the ear, nose and throat (ENT) training, especially focused on surgical and non-surgical aspects of the training. It is challenging to critically evaluate and compare training programmes across nations for several reasons. Studies on the subject rely entirely on trainee self-reports, without any objective comparators between groups. No evidence exists that directly compares the theoretical or practical attainment of trainees between nations. More fundamentally, trainee exposure to, and competence in, elective surgical procedures, is not the sole measure of a training programme, nor can it be viewed in isolation from the health system's expectations of a newlyqualified specialist, which may vary. During recent years, the Internet and e-learning methods were implemented into the training curriculum. Also, there is an increasing number of platforms that can host the ENT learning content free of charge. Novel educational tools are powerful alternative to standard teaching techniques within otorhinolaryngology education for both residents and medical students. Overall evidence for virtual reality (VR) simulators could be implemented as adjunct in training programs but cannot replace conventional methods. This is mainly due to the fact that actual surgical outcomes after VR training have not been studied so far, but may be the content of future larger scale studies. The otolaryngologists' non-surgical training needs to extend beyond the limits of ENT as skills and experience in areas of ENT, respiratory medicine, allergology, infectious diseases, radiology and oncology are required in the diagnosis and management of ENT diseases.

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Endoscopic sinus surgery training courses: benefit and problems - a multicentre evaluation to systematically improve surgical training

Cited by 21 publications

References 0 publications

The International Classification of the radiological Complexity (ICC) of frontal recess and frontal sinus

The International Classification of the radiological Complexity (ICC) of frontal recess and frontal sinus

Rhinology: Simulation Training (Part 2)

Training in ENT; a comprehensive review of existing evidence

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