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Updated: May 13, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Revision nasal surgery after septoplasty: trainees versus trainers
Therese R Karlsson1, M Shakeel, A Al-Adhami
1Department of Otolaryngology-Head and Neck Surgery, Aberdeen Royal Infirmary, University of Aberdeen, Ward 45, Aberdeen, AB25 2ZN, UK, therese.karlsson.06@aberdeen.ac.uk.
Summary
Surgeon experience, from junior trainees to consultants, does not significantly impact septoplasty success rates, as measured by revision surgery. Patients undergoing septoplasty are not disadvantaged when operated on by trainees.
Area of Science:
- Otolaryngology
- Surgical Outcomes
- Medical Education
Background:
- Septoplasty is a common otolaryngology procedure.
- Assessing surgical success, including revision rates, is crucial for patient care and training evaluation.
- The impact of surgeon experience on septoplasty outcomes requires further investigation.
Purpose of the Study:
- To investigate the relationship between the primary surgeon's grade and the revision nasal surgery rate following septoplasty.
- To determine if patient outcomes, specifically the need for revision surgery, differ based on surgeon experience level.
Main Methods:
- Retrospective review of hospital records for 2,168 patients undergoing septoplasty (with or without inferior turbinate reduction) between 1998 and 2010.
- Surgeons were categorized into four groups: junior trainee, senior trainee, staff grade, and consultant.
- Data collected included demographics, primary and revision surgery details, surgeon grade, and hospital stay duration.
Main Results:
- The revision rate for junior trainees (Group A) was 4.4%, compared to 3.2% for consultants (Group D).
- This difference in revision rates between junior trainees and consultants was not statistically significant.
- Hospital stay duration was also comparable between junior trainees (1.54 nights) and consultants (1.47 nights), with no significant difference.
Conclusions:
- The grade of the primary surgeon does not appear to significantly influence the need for revision nasal surgery after septoplasty.
- Patients undergoing septoplasty are not disadvantaged when operated on by trainees compared to experienced consultants.
- This suggests that otolaryngology trainees can achieve comparable surgical outcomes to consultants in septoplasty procedures.
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