BibTex RIS Kaynak Göster

Learning curve of septoplasty procedure

Yıl 2019, Cilt: 29 Sayı: 4, 166 - 171, 10.12.2019

Öz

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.

Kaynakça

  • 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.
  • 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.
  • Marshall AH, Johnston MN, Jones NS. Principles of septal correction. J Laryngol Otol 2004;118:129-34.
  • D’Ascanio L, Manzini M. Quick septoplasty: surgical technique and learning curve. Aesthetic Plast Surg 2009;33:814-8.
  • 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.
  • 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.
  • 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.
  • Dobratz EJ, Park SS. Septoplasty pearls. Otolaryngol Clin North Am 2009;42:527-37.
  • Fettman N, Sanford T, Sindwani R. Surgical management of the deviated septum: techniques in septoplasty. Otolaryngol Clin North Am 2009;42:241-52.
  • Daşkaya H, Yazıcı H, Doğan S, Can IH. Septoplasty: under general or sedation anesthesia. Which is more efficacious? Eur Arch Otorhinolaryngol 2014;271:2433-6.
  • D’Ascanio L, Cappiello L, Piazza F. Unilateral hemiplegia: a unique complication of septoplasty. J Laryngol Otol 2013;127:809-10.
  • Tawadros AM, Prahlow JA. Death related to nasal surgery: case report with review of therapy-related deaths. Am J Forensic Med Pathol 2008;29:260-4.
  • Monteiro ML. Unilateral blindness as a complication of nasal septoplasty: case report. Arq Bras Oftalmol 2006;69:249-50.
  • Liu CY, Yu EC, Lin SH, Wang YP, Wang MC. Learning curve of septomeatoplasty. Auris Nasus Larynx 2009;36:661-4.
Yıl 2019, Cilt: 29 Sayı: 4, 166 - 171, 10.12.2019

Öz

Kaynakça

  • 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.
  • 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.
  • Marshall AH, Johnston MN, Jones NS. Principles of septal correction. J Laryngol Otol 2004;118:129-34.
  • D’Ascanio L, Manzini M. Quick septoplasty: surgical technique and learning curve. Aesthetic Plast Surg 2009;33:814-8.
  • 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.
  • 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.
  • 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.
  • Dobratz EJ, Park SS. Septoplasty pearls. Otolaryngol Clin North Am 2009;42:527-37.
  • Fettman N, Sanford T, Sindwani R. Surgical management of the deviated septum: techniques in septoplasty. Otolaryngol Clin North Am 2009;42:241-52.
  • Daşkaya H, Yazıcı H, Doğan S, Can IH. Septoplasty: under general or sedation anesthesia. Which is more efficacious? Eur Arch Otorhinolaryngol 2014;271:2433-6.
  • D’Ascanio L, Cappiello L, Piazza F. Unilateral hemiplegia: a unique complication of septoplasty. J Laryngol Otol 2013;127:809-10.
  • Tawadros AM, Prahlow JA. Death related to nasal surgery: case report with review of therapy-related deaths. Am J Forensic Med Pathol 2008;29:260-4.
  • Monteiro ML. Unilateral blindness as a complication of nasal septoplasty: case report. Arq Bras Oftalmol 2006;69:249-50.
  • Liu CY, Yu EC, Lin SH, Wang YP, Wang MC. Learning curve of septomeatoplasty. Auris Nasus Larynx 2009;36:661-4.
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Araştırma Makalesi
Yazarlar

Filiz Gülüstan Bu kişi benim

Selçuk Güneş Bu kişi benim

Emine Demir Bu kişi benim

Ayşe Öznur Akidil Bu kişi benim

Mehmet Akif Abakay Bu kişi benim

Zahide Mine Yazıcı Bu kişi benim

İbrahim Sayın Bu kişi benim

Yayımlanma Tarihi 10 Aralık 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 29 Sayı: 4

Kaynak Göster

APA Gülüstan, F., Güneş, S., Demir, E., Akidil, A. Ö., vd. (2019). Learning curve of septoplasty procedure. The Turkish Journal of Ear Nose and Throat, 29(4), 166-171.
AMA Gülüstan F, Güneş S, Demir E, Akidil AÖ, Abakay MA, Yazıcı ZM, Sayın İ. Learning curve of septoplasty procedure. Tr-ENT. Aralık 2019;29(4):166-171.
Chicago Gülüstan, Filiz, Selçuk Güneş, Emine Demir, Ayşe Öznur Akidil, Mehmet Akif Abakay, Zahide Mine Yazıcı, ve İbrahim Sayın. “Learning Curve of Septoplasty Procedure”. The Turkish Journal of Ear Nose and Throat 29, sy. 4 (Aralık 2019): 166-71.
EndNote Gülüstan F, Güneş S, Demir E, Akidil AÖ, Abakay MA, Yazıcı ZM, Sayın İ (01 Aralık 2019) Learning curve of septoplasty procedure. The Turkish Journal of Ear Nose and Throat 29 4 166–171.
IEEE F. Gülüstan, “Learning curve of septoplasty procedure”, Tr-ENT, c. 29, sy. 4, ss. 166–171, 2019.
ISNAD Gülüstan, Filiz vd. “Learning Curve of Septoplasty Procedure”. The Turkish Journal of Ear Nose and Throat 29/4 (Aralık 2019), 166-171.
JAMA 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 vd. “Learning Curve of Septoplasty Procedure”. The Turkish Journal of Ear Nose and Throat, c. 29, sy. 4, 2019, ss. 166-71.
Vancouver Gülüstan F, Güneş S, Demir E, Akidil AÖ, Abakay MA, Yazıcı ZM, Sayın İ. Learning curve of septoplasty procedure. Tr-ENT. 2019;29(4):166-71.