Septoplasty Pearls

Dobratz, Eric J.; Park, Stephen S.

doi:10.1016/j.otc.2009.03.003

Cited by 25 publications

(16 citation statements)

References 7 publications

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“…Second, deviation of the septum differs between individuals and various types of deviation exist. For this reason, diverse techniques are required as the occasion demands [11,12]. Third, unlike endoscopic sinus surgery and rhinoplasty, few hands-on practice courses for septoplasty are held.…”

Section: Discussionmentioning

confidence: 99%

Learning Curve of Septoplasty with Radiofrequency Volume Reduction of the Inferior Turbinate

Heo

Park

Kim

2013

Clin Exp Otorhinolaryngol

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ObjectivesSince few studies on surgical training and learning curves have been performed, majority of inexperienced surgeons are anxious about performing operations. We aimed to access the results and learning curve of septoplasty with radiofrequency volume reduction (RFVR) of the inferior turbinate.MethodsWe included 270 patients who underwent septoplasty with RFVR of the inferior turbinate by 6 inexperienced surgeons between January 2009 and July 2011. We analyzed success score, cases of revision, cases of complication, operation time, and acoustic rhinometry.ResultsSuccess score was relatively high and every surgeon had few cases of revision and complication. No significant difference was found in success score, revision, complication case, or acoustic rhinometry values between early cases and later cases. Operation time decreased according to increase in experience. However, there was no significant difference in the operation time after more than 30 cases.ConclusionWe can conclude that 30 cases are needed to develop mature surgical skills for septoplasty with RFVR of the inferior turbinate and that training surgeons do not need to be anxious about performing this operation in the unskilled state.

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Section: Discussionmentioning

confidence: 99%

Learning Curve of Septoplasty with Radiofrequency Volume Reduction of the Inferior Turbinate

Heo

Park

Kim

2013

Clin Exp Otorhinolaryngol

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“…For permission to copy go to https://www.oceansidepubl.com/permission.htm authors have noted the usefulness of external approaches to treat complex deviations. 32,33 Little further guidance as to the best approach for the severely deviated septum is offered in the literature, and no attempt has been made to assess results. An external septoplasty approach that maintains the septal L-strut has been described by Byrd et al Although they have used the approach primarily for cosmetic correction, they have not published functional outcomes for their cohort.…”

Section: Discussionmentioning

confidence: 99%

Functional and Cosmetic Outcomes of External Approach Septoplasty

Phillips

Stow

Timperley

et al. 2011

Am J Rhinol�Allergy

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“…Therefore, it may be necessary to apply different techniques in different cases. [8,9] Heo et al [2] included six inexperienced surgeons in their study and analyzed the surgical results in the order of the operations performed. They reported that as surgical experience increased, surgical times became shorter and revision rates remained unchanged.…”

Section: Discussionmentioning

confidence: 99%

Learning curve of septoplasty procedure

Gülüstan¹

2020

tr-ent

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Objectives: The aim of this study was to investigate possible relationship between surgical experience and septoplasty-related data and to determine the learning curve based on surgery duration. Patients and Methods: The first 60 septoplasty patients of four Ear, Nose and Throat residents who completed an 18-month residency training in our clinic between August 2015 and December 2017 were included in the study. A total of 240 patients (155 males, 85 females; mean age 32.8±10.6 years; range, 17 to 60 years) were evaluated. The first 10 patients were grouped as Group A, 11-20 patients as Group B, 21-30 patients as Group C, 31-40 patients as Group D, 41-50 patients as Group E, and 51-60 patients as Group F. The patients' files were retrospectively reviewed to obtain information on demographics, postoperative hospital stay, complications, revision operation requirements, and operation time. The mean operation time was calculated. Duration of surgery was used to evaluate the maturity of surgical skills. Results: The mean operation time was 60.0±17.3 min. The mean operation times of the patients in Group A and Group B were significantly longer than that of the patients in Group C, Group D, Group E, and Group F. There was no significant difference between the groups in terms of length of hospital stay, complications, and revision rates. Conclusion: As the surgeon's experience increases, the operation time decreases, and after 20 patients, it reaches the plateau level. Based on these data, it can be concluded that ENT residents should practice more than 20 patients to learn the septoplasty procedure sufficiently.

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Septoplasty Pearls

Cited by 25 publications

References 7 publications

Learning Curve of Septoplasty with Radiofrequency Volume Reduction of the Inferior Turbinate

Learning Curve of Septoplasty with Radiofrequency Volume Reduction of the Inferior Turbinate

Functional and Cosmetic Outcomes of External Approach Septoplasty

Learning curve of septoplasty procedure

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