Intraoperative Functional Endoscopic Sinus Surgery Training: Efficient Teaching Techniques—A New Method

Abstract

Introduction:Functional endoscopic sinus surgery is a complex procedure used by otorhinolaryngologists to treat a host of nasal sinus pathologies. Due to the involved nasal anatomy and the nature of the procedure, teaching residents to use an endoscope is challenging. Simulation labs have been helpful but intraoperative instruction can still present difficulty in communication between resident and attending physicians during the teaching process. The purpose of this is to hypothesize a method of teaching intraoperatively that can be used supplemental to or independently of virtual reality teaching.Method:Literature review to determine current intraoperative verbal teaching methods used by surgeons was performed. Review was also performed on the effects of simulation techniques in preparing residents for the operating room. Although this was not a systematic review including statistical analysis, a gap was found in the literature on how residents can be efficiently taught intraoperatively to navigate an endoscope while maintaining patient safety. A novel and inexpensive method has been devised as a possible teaching method.Conclusions:Extensive literature is not available in intraoperative teaching techniques. It is therefore uncertain whether such a method has been used before. Further study, possibly in the form of surveys and intraoperative trials, must be done to determine the effectiveness of this mechanism.

Exploring Balloon Sinuplasty Adverse Events With the Innovative OpenFDA Database

“…1,10,17 As of this time, a majority of training can be done through the BSP technology companies themselves, but there was minimal literature evidence of unfunded training experiences in regards to learning procedure sequences in order to avoid complications such as balloon rupture or guidewire deployment problems. 5,18,19 Sinus surgeries have consistently held the highest percentage of malpractice claims among otolaryngologists. 20,21 Many of these claims centered on negligent technique or informed consent for patients who encountered chronic sinusitis or CSF leaks.…”

A multi-centre, prospective epidemiological surveillance study considering ophthalmic complications of functional endoscopic sinus surgery

“…It may also reflect the increasing safety of FESS in the UK – a result of increased teaching and improvements in instrument technology. 1,11…”

“…This may suggest a weakness in the overall completeness of the BOSU reporting process. It may also reflect increasing safety of ESS in the UK -reflecting increased teaching and improvements in instrument technology (1,11) .…”

“…The relationship between the paranasal sinuses and the orbits creates potential for traumatic orbital injury, with direct or indirect effect on ocular function (1) . Over the last 20 years the number and spectrum of endonasal sinus operations has increased.…”

“…The relationship between the paranasal sinuses and the orbits creates potential for traumatic orbital injury, with direct or indirect effects on ocular function. 1 Over the last 20 years, the number and spectrum of endonasal sinus operations has increased. The range includes partial uncinectomy, pan-sinus surgery with extended surgery of the frontal sinus (Draf type III procedure), maxillary sinus surgery (grade 3–4, medial maxillectomy, pre-lacrimal approach), and sphenoid sinus surgery.…”