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Training and assessment in functional endoscopic sinus surgery

Published online by Cambridge University Press:  16 January 2018

M Chan  and
S Carrie
M Chan*
Affiliation:
ENT Department, Health Education North East, Newcastle Upon Tyne, UK
S Carrie
Affiliation:
ENT Department, Freeman Hospital, Newcastle Upon Tyne, UK
*
Address for correspondence: Mr Michael Chan, ENT department, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK E-mail: Michaelchan@doctors.org.uk
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Abstract

Background:

Functional endoscopic sinus surgery is a common procedure performed within otolaryngology, but it carries potential for significant life-changing complications. It is therefore essential that trainees undergo adequate training. The European Working Time Directive has led to reduced operating time for the trainee surgeon. With variable access and the cost implications associated with cadaveric specimens, simulation can be an invaluable educational resource in surgical training. The current literature regarding the various simulation methodologies that have been used in functional endoscopic sinus surgery training is discussed.

Method:

A literature search was conducted using the key words ‘nasal’, ‘nasal polyps’, ‘endoscope’, ‘education and simulation’, ‘endoscopic sinus surgery’ and ‘training’.

Results:

Twelve articles were identified; of these, eight trialled the use of simulators, two utilised ovine models and two used task trainers.

Conclusion:

Simulation has shown benefit in functional endoscopic sinus surgery training; however, a robust platform accessible to ENT trainees is lacking.

Keywords

Endoscopic Surgical ProcedureNasal SurgeryTraining ProgramNasal ProcedureSimulation TrainingEducation

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 2 , February 2018 , pp. 133 - 137
Copyright
Copyright © JLO (1984) Limited 2018 

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References

1 Luong, A, Marple, BF. Sinus surgery: indications and techniques. Clin Rev Allergy Immunol 2006;30:217–22CrossRefGoogle ScholarPubMed
2 Arora, H, Uribe, J, Ralph, W, Zeltsan, M, Cuellar, H, Gallagher, A et al. Assessment of construct validity of the endoscopic sinus surgery simulator. Arch Otolaryngol Head Neck Surg 2005;131:217–21CrossRefGoogle ScholarPubMed
3 Ramadan, HH, Allen, GC. Complications of endoscopic sinus surgery in a residency training program. Laryngoscope 1995;105:376–9CrossRefGoogle Scholar
4 Patel, AM, Still, TE, Vaughan, W. Medicolegal issues in endoscopic sinus surgery. Otolaryngol Clin North Am 2010;43:905–14CrossRefGoogle ScholarPubMed
5 Tan, BK, Chandra, RK. Postoperative prevention and treatment of complications after sinus surgery. Otolaryngol Clin North Am 2010;43:769–79CrossRefGoogle ScholarPubMed
6 McFerran, DJ, Grant, HR, Ingrams, DR, Fife, DG. Endoscopic sinus surgery: are junior doctors being properly trained? Ann R Coll Surg Engl 1998;80:359–63Google ScholarPubMed
7 Otolaryngology. The Intercollegiate Surgical Curriciulum. In: https://www.iscp.ac.uk/static/public/syllabus/syllabus_oto_2017 [10 October 2017]Google Scholar
8 Donaldson, L. Safer medical practice: machines, manikins and polo mints. In: 150 Years of the Annual Report of the Chief Medical Officer: On the State of Public Health 2008. London: Department of Health, 2009;49–55 Google Scholar
9 Pothier, DD, Toll, EC, Grant, DG, Giddings, CE. Trends in operative training opportunities for junior and senior trainees in otolaryngology. Clin Otolaryngol 2009;34:179–84CrossRefGoogle ScholarPubMed
10 Abou-Elhamd, KE, Al-Sultan, AI, Rashad, UM. Simulation in ENT medical education. J Laryngol Otol 2010;124:237–41CrossRefGoogle ScholarPubMed
11 Aggarwal, R, Ward, J, Balasundaram, I, Sains, P, Athanasiou, T, Darzi, A. Proving the effectiveness of virtual reality simulation for training in laparoscopic surgery. Ann Surg 2007;246:771–9CrossRefGoogle ScholarPubMed
12 Ahlberg, G, Enochsson, L, Gallagher, AG, Hedman, L, Hogman, C, McClusky, DA 3rd et al. Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Am J Surg 2007;193:797–804 CrossRefGoogle ScholarPubMed
13 Dharmawardana, N, Ruthenbeck, G, Woods, C, Elmiyeh, B, Diment, L, Ooi, EH et al. Validation of virtual-reality-based simulations for endoscopic sinus surgery. Clin Otolaryngol 2015;40:569–79CrossRefGoogle ScholarPubMed
14 Edmond, CV Jr. Impact of the endoscopic sinus surgical simulator on operating room performance. Laryngoscope 2002;112:1148–58CrossRefGoogle ScholarPubMed
15 Fortes, B, Balsalobre, L, Weber, R, Stamm, R, Stamm, A, Oto, F et al. Endoscopic sinus surgery dissection courses using a real simulator: the benefits of this training. Braz J Otorhinolaryngol 2016;82:26–32 CrossRefGoogle ScholarPubMed
16 Fried, MP, Sadoughi, B, Weghorst, SJ, Zeltsan, M, Cuellar, H, Uribe, JI et al. Construct validity of the endoscopic sinus surgery simulator: II. Assessment of discriminant validity and expert benchmarking. Arch Otolaryngol Head Neck Surg 2007;133:350–7CrossRefGoogle ScholarPubMed
17 Ogino-Nishimura, E, Nakagawa, T, Sakamoto, T, Ito, J. An endoscopic endonasal surgery training model using quail eggs. Laryngoscope 2012;122:2154–7CrossRefGoogle ScholarPubMed
18 Rudman, DT, Stredney, D, Sessanna, D, Yagel, R, Crawfis, R, Heskamp, D et al. Functional endoscopic sinus surgery training simulator. Laryngoscope 1998;108:1643–7CrossRefGoogle ScholarPubMed
19 Varshney, R, Frenkiel, S, Nguyen, LH, Young, M, Del Maestro, R, Zeitouni, A et al. The McGill simulator for endoscopic sinus surgery (MSESS): a validation study. J Otolaryngol Head Neck Surg 2014;43:40 CrossRefGoogle ScholarPubMed
20 Steehler, MK, Chu, EE, Na, H, Pfisterer, MJ, Hesham, HN, Malekzadeh, S. Teaching and assessing endoscopic sinus surgery skills on a validated low-cost task trainer. Laryngoscope 2013;123:841–4CrossRefGoogle ScholarPubMed
21 Steehler, MK, Pfisterer, MJ, Na, H, Hesham, HN, Pehlivanova, M, Malekzadeh, S. Face, content, and construct validity of a low-cost sinus surgery task trainer. Otolaryngol Head Neck Surg 2012;146:504–9CrossRefGoogle ScholarPubMed
22 Malekzadeh, S, Pfisterer, MJ, Wilson, B, Na, H, Steehler, MK. A novel low-cost sinus surgery task trainer. Otolaryngol Head Neck Surg 2011;145:530–3CrossRefGoogle ScholarPubMed
23 Awad, Z, Taghi, A, Sethukumar, P, Tolley, NS. Construct validity of the ovine model in endoscopic sinus surgery training. Laryngoscope 2015;125:539–43CrossRefGoogle ScholarPubMed
24 Delgado-Vargas, B, Romero-Salazar, AL, Reyes Burneo, PM, Vasquez Hincapie, C, de Los Santos Granado, G, Del Castillo Lopez, R et al. Evaluation of resident's training for endoscopic sinus surgery using a sheep's head. Eur Arch Otorhinolaryngol 2016;273:2085–9CrossRefGoogle ScholarPubMed
25 Arora, A, Lau, LY, Awad, Z, Darzi, A, Singh, A, Tolley, N. Virtual reality simulation training in otolaryngology. Int J Surg 2014;12:87–94 CrossRefGoogle ScholarPubMed
26 Fried, MP, Satava, R, Weghorst, S, Gallagher, A, Sasaki, C, Ross, D et al. The use of surgical simulators to reduce errors. In: Henriksen, K, Battles, JB, Marks, ES, Lewin, DI, eds. Advances in Patient Safety: From Research to Implementation (Volume 4: Programs, Tools, and Products). Rockville, MD: Agency for Healthcare Research and Quality (US), 2005;165–77Google Scholar
27 Wiet, GJ, Stredney, D, Wan, D. Training and simulation in otolaryngology. Otolaryngol Clin North Am 2011;44:1333–50, viii–ixCrossRefGoogle ScholarPubMed
28 Tolsdorff, B, Pommert, A, Hohne, KH, Petersik, A, Pflesser, B, Tiede, U et al. Virtual reality: a new paranasal sinus surgery simulator. Laryngoscope 2010;120:420–6CrossRefGoogle ScholarPubMed
29 Nogueira, JF, Stamm, AC, Lyra, M, Balieiro, FO, Leao, FS. Building a real endoscopic sinus and skull-base surgery simulator. Otolaryngol Head Neck Surg 2008;139:727–8CrossRefGoogle ScholarPubMed