Abstract:
BACKGROUND:The aim of this multicentre study was to systematically analyse the strengths and weaknesses in the surgical training for endoscopic sinus surgery (ESS) and identify measures that may improve training. METHODOLOGY:Using a structured questionnaire, 133 participants of ESS courses in seven centres in Germany, Switzerland and Australia were asked about their experiences during their dissection courses and how they perceived their course could be improved. RESULTS:Gaining confidence in handling of instruments and endoscopes was only a problem for participants with little experience in ESS. The majority of the participants, independent from their level of training, considered infundibulotomy and anterior ethmoidectomy as the easiest dissection steps, whilst surgery of the frontal sinus posed a considerable challenge for many surgeons even those with a higher level of training. Participants with and without ESS experience thought that emphasis on anatomy was the most important improvement that could be made during their surgical training. Virtually all participants stated that the course improved their anatomical knowledge, their surgical skills and their confidence when performing ESS. CONCLUSIONS:ESS dissection courses are considered beneficial by surgical trainees. Participants felt that more emphasis on sinus anatomy in conjunction with private study is essential to maximize their skills in surgical dissection. For beginners with ESS, an infundibulotomy and anterior ethmoidectomy were thought to be the best initial procedures to help develop endoscopic surgical skills.
journal_name
Rhinologyjournal_title
Rhinologyauthors
Braun T,Betz CS,Ledderose GJ,Havel M,Stelter K,Kuhnel T,Strauss G,Waschke J,Kirchner T,Briner HR,Simmen D,Caversaccio M,Wormald PJ,Jones N,Leunig Adoi
10.4193/Rhino11.266subject
Has Abstractpub_date
2012-09-01 00:00:00pages
246-54issue
3eissn
0300-0729issn
1996-8604pii
1101journal_volume
50pub_type
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