Learning curve of tympanoplasty type I

Safety of tympanoplasty and ossiculoplasty performed by otorhinolaryngology trainees

“…Previous studies have reported mixed results regarding the impact of involving trainee surgeons, in a variety of surgical specialties. 7–15,19–24 There have been relatively limited studies in otolaryngology, 1,15–17 especially on the impact of specific procedures. A thorough literature review revealed that the impact of resident participation has only been investigated in open tracheostomy.…”

“…19 Another study explored the learning curve of tympanoplasty type I in different residency levels. 1…”

“…Tympanoplasty is one of the most common surgical procedures performed in the otorhinolaryngology field. 1 It is performed to repair perforation due to otitis media, traumatic rupture or post-operative complications, and to restore the function of the middle ear. 2,3 Despite the advances in antibiotic treatment, middle-ear infections and the subsequent tympanic membrane perforations remain a common otological problem.…”

The impact of surgical trainee participation on sinus surgery outcomes

“…When residents are involved in otolaryngologic surgeries, longer operative times have been reported for tympanoplasty 13 transsphenoidal approaches to the pituitary, 14 thyroidectomy, and parathyroidectomy, 12 as well as tonsillectomy, adenoidectomy, and myringotomy with tube placement. 15 Free flap surgery 16 and tympanoplasty 13,17 performed with resident assistance did not result in increased complications; however, an increased rate of intraoperative cerebrospinal fluid (CSF) leaks was found during otolaryngologistassisted transsphenoidal pituitary surgery when residents were involved. 14 Although several prospective studies have demonstrated the benefit of endoscopic sinus surgery (ESS) on patients' quality of life (QOL) in the chronic rhinosinusitis (CRS) population, [18][19][20][21] reported.…”

“…In the field of otolaryngology, published studies on the effect of trainees on patient outcomes are largely limited to retrospective reviews. When residents are involved in otolaryngologic surgeries, longer operative times have been reported for tympanoplasty transsphenoidal approaches to the pituitary, thyroidectomy, and parathyroidectomy, as well as tonsillectomy, adenoidectomy, and myringotomy with tube placement . Free flap surgery and tympanoplasty performed with resident assistance did not result in increased complications; however, an increased rate of intraoperative cerebrospinal fluid (CSF) leaks was found during otolaryngologist‐assisted transsphenoidal pituitary surgery when residents were involved …”