Pilot study on microvascular anastomosis: performance and future educational prospects

Berretti, Giulia; Colletti, Giacomo; Parrinello, Giampiero; Iavarone, Alessandra; Vannucchi, Paola; Deganello, Alberto

doi:10.14639/0392-100x-1583

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…Tumours of the parotid gland constitute approximately 3% of head and neck tumours, and 80% are benign. Benign tumours like pleomorphic salivary adenoma, cystadenolymphoma, and basal cell adenoma are indications for parotid surgery 1 , 2 . Parotid surgery aims to partially or totally remove the gland while preserving facial nerve function and preventing tumour recurrence 3 .…”

Section: Introductionmentioning

confidence: 99%

Long-term outcomes and quality of life following parotidectomy for benign disease

Plath

Sand

Cavaliere

et al. 2022

Acta Otorhinolaryngol Ital

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SUMMARY Objective Parotidectomy worsens quality of life (QoL) in the short-term, but the long-term impact is unknown. In this study, we analysed the long-term effects of parotidectomy on QoL. Methods In this prospective long-term follow-up study, participants were divided into three groups: short-term (ST) follow-up of six weeks, long-term (LT) follow-up of 13 years and short- and long-term (SLT) follow-up. QoL was assessed using the Parotidectomy Outcome Inventory (POI-8). Parotidectomies were classified based on whether the great auricular nerve (GAN) had been preserved or sacrificed. Results In total, 164 observations were analysed, 74 in the LT group, 57 in the ST group and 33 in the SLT group. Hypoaesthesia was a major problem and facial palsy was a minor problem. Pain (p < 0.01) and hypoaesthesia (p < 0.001) were significantly lower after 13 years compared with after six weeks, and QoL was higher after 13 years compared with after six weeks (p = 0.04). The disease-specific impairment rate decreased from 70% at short-term follow-up to 30% at long-term follow-up. Removal of the GAN was associated with hypoaesthesia in the ST group (p = 0.028). Conclusions Hypoaesthesia has a long-term impact on the QoL, and this should be emphasised during preoperative discussions.

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Section: Introductionmentioning

confidence: 99%

Long-term outcomes and quality of life following parotidectomy for benign disease

Plath

Sand

Cavaliere

et al. 2022

Acta Otorhinolaryngol Ital

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Hemodynamics of vascular shunts: trends, challenges, and prospects

Kuyanova,

Dubovoi,

Fomichev

et al. 2023

Biophys Rev

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Does early exposure to cardiothoracic surgery increase interest in the specialty?

Punjabi,

Almohtadi,

Singh

et al. 2023

Perfusion

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Introduction The number of applications for cardiothoracic surgery has been steadily dropping over the past decades. We aim to assess whether a 1-day cardiothoracic surgical skills conference could increase interest into the speciality. Methods Participants included in the study had to be medical students or junior doctors. Out of 57 delegates that attended the conference, 52 were enrolled in the study, and completed the pre-conference and post-conference questionnaires. Three introductory lectures were delivered by consultants in cardiothoracic surgery or cardiology in the morning, followed by three practical surgical workshops. We assessed demographics, confidence in and knowledge of procedures, and the change in participants’ interest in the speciality pre- and post-conference. This study was conducted at St George’s University of London. Results The interest to pursue a career in cardiothoracic surgery increased by 23% post-conference ( p = .035). Confidence and knowledge in all procedures taught improved significantly after the conference ( p < .05), with the highest increase seen in anastomosis of vessels ( p < .0001). Preclinical students made up 57.7% of participants, majority of whom had not seen more than three surgical procedures. Conclusion Our conference has shown to increase interest in cardiothoracic surgery and improve exposure to surgical skills, especially to those in early years of medical school. The surgical workshops improved student confidence and knowledge in procedures used within the field and the use of animal tissue improved participant experience. Further research is needed at other medical schools to assess whether a change in surgical skills teaching should be made to medical school curriculums.

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Pilot study on microvascular anastomosis: performance and future educational prospects

Cited by 3 publications

References 12 publications

Long-term outcomes and quality of life following parotidectomy for benign disease

Long-term outcomes and quality of life following parotidectomy for benign disease

Hemodynamics of vascular shunts: trends, challenges, and prospects

Does early exposure to cardiothoracic surgery increase interest in the specialty?

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