Learning curve of septoplasty procedure

Volume: 29 Number: 4 December 10, 2019
  • Filiz Gülüstan
  • Selçuk Güneş
  • Emine Demir
  • Ayşe Öznur Akidil
  • Mehmet Akif Abakay
  • Zahide Mine Yazıcı
  • İbrahim Sayın

Learning curve of septoplasty procedure

Abstract

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.

Keywords

References

  1. Uppal S, Mistry H, Nadig S, Back G, Coatesworth A. Evaluation of patient benefit from nasal septal surgery for nasal obstruction. Auris Nasus Larynx 2005;32:129-37.
  2. Heo SJ, Park CM, Kim JS. Learning curve of septoplasty with radiofrequency volume reduction of the inferior turbinate. Clin Exp Otorhinolaryngol 2013;6:231-6.
  3. Marshall AH, Johnston MN, Jones NS. Principles of septal correction. J Laryngol Otol 2004;118:129-34.
  4. D’Ascanio L, Manzini M. Quick septoplasty: surgical technique and learning curve. Aesthetic Plast Surg 2009;33:814-8.
  5. Leong S, Cahill RA, Mehigan BJ, Stephens RB. Considerations on the learning curve for laparoscopic colorectal surgery: a view from the bottom. Int J Colorectal Dis 2007;22:1109-15.
  6. Guyuron B, Uzzo CD, Scull H. A practical classification of septonasal deviation and an effective guide to septal surgery. Plast Reconstr Surg 1999;104:2202-9.
  7. Dąbrowska-Bień J, Skarżyński PH, Gwizdalska I, Łazęcka K, Skarżyński H. Complications in septoplasty based on a large group of 5639 patients. Eur Arch Otorhinolaryngol 2018;275:1789-94.
  8. Dobratz EJ, Park SS. Septoplasty pearls. Otolaryngol Clin North Am 2009;42:527-37.

Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

Filiz Gülüstan This is me

Selçuk Güneş This is me

Emine Demir This is me

Ayşe Öznur Akidil This is me

Mehmet Akif Abakay This is me

Zahide Mine Yazıcı This is me

İbrahim Sayın This is me

Publication Date

December 10, 2019

Submission Date

-

Acceptance Date

-

Published in Issue

Year 2019 Volume: 29 Number: 4

APA
Gülüstan, F., Güneş, S., Demir, E., Akidil, A. Ö., Abakay, M. A., Yazıcı, Z. M., & Sayın, İ. (2019). Learning curve of septoplasty procedure. The Turkish Journal of Ear Nose and Throat, 29(4), 166-171. https://izlik.org/JA33ZH56WM
AMA
1.Gülüstan F, Güneş S, Demir E, et al. Learning curve of septoplasty procedure. Tr-ENT. 2019;29(4):166-171. https://izlik.org/JA33ZH56WM
Chicago
Gülüstan, Filiz, Selçuk Güneş, Emine Demir, et al. 2019. “Learning Curve of Septoplasty Procedure”. The Turkish Journal of Ear Nose and Throat 29 (4): 166-71. https://izlik.org/JA33ZH56WM.
EndNote
Gülüstan F, Güneş S, Demir E, Akidil AÖ, Abakay MA, Yazıcı ZM, Sayın İ (December 1, 2019) Learning curve of septoplasty procedure. The Turkish Journal of Ear Nose and Throat 29 4 166–171.
IEEE
[1]F. Gülüstan et al., “Learning curve of septoplasty procedure”, Tr-ENT, vol. 29, no. 4, pp. 166–171, Dec. 2019, [Online]. Available: https://izlik.org/JA33ZH56WM
ISNAD
Gülüstan, Filiz - Güneş, Selçuk - Demir, Emine - Akidil, Ayşe Öznur - Abakay, Mehmet Akif - Yazıcı, Zahide Mine - Sayın, İbrahim. “Learning Curve of Septoplasty Procedure”. The Turkish Journal of Ear Nose and Throat 29/4 (December 1, 2019): 166-171. https://izlik.org/JA33ZH56WM.
JAMA
1.Gülüstan F, Güneş S, Demir E, Akidil AÖ, Abakay MA, Yazıcı ZM, Sayın İ. Learning curve of septoplasty procedure. Tr-ENT. 2019;29:166–171.
MLA
Gülüstan, Filiz, et al. “Learning Curve of Septoplasty Procedure”. The Turkish Journal of Ear Nose and Throat, vol. 29, no. 4, Dec. 2019, pp. 166-71, https://izlik.org/JA33ZH56WM.
Vancouver
1.Filiz Gülüstan, Selçuk Güneş, Emine Demir, Ayşe Öznur Akidil, Mehmet Akif Abakay, Zahide Mine Yazıcı, İbrahim Sayın. Learning curve of septoplasty procedure. Tr-ENT [Internet]. 2019 Dec. 1;29(4):166-71. Available from: https://izlik.org/JA33ZH56WM