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Deformity, etiology, solution, sequence (DESS): Facial analysis in rhinoplasty
Anna Frants1, Antonios N Varelas1, Alexa M Franco1
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, New York University Grossman School of Medicine, New York, NY, USA.
American Journal of Otolaryngology
|November 12, 2023
Summary
The DESS (Deformity, Etiology, Solution, Sequence) educational format significantly improved resident comfort and skills in rhinoplasty surgical planning. This systematic approach enhances pre-operative evaluation and intraoperative strategy development for aspiring facial plastic surgeons.
Area of Science:
- Plastic Surgery Education
- Surgical Training Methodologies
- Otolaryngology Residency Programs
Background:
- Rhinoplasty is a complex surgical procedure requiring extensive training.
- Residents often face limited exposure and lack standardized methods for rhinoplasty planning during residency.
- A need exists for structured educational tools to improve resident proficiency in rhinoplasty.
Purpose of the Study:
- To introduce and evaluate a novel educational format, the DESS (Deformity, Etiology, Solution, Sequence) method.
- To assess the impact of the DESS format on resident comfort with surgical evaluation and planning for rhinoplasty.
- To enhance pre-operative assessment and intraoperative planning skills among otolaryngology residents.
Main Methods:
- A qualitative study was conducted at a tertiary academic institution.
- Three consecutive otolaryngology residency classes participated.
- A 9-item questionnaire assessed resident comfort levels before and after utilizing the DESS format during their facial plastics rotation.
Main Results:
- Ten out of twelve surveyed residents responded, reporting significant improvements.
- Residents showed enhanced comfort in facial nasal analysis, deformity identification, and surgical planning.
- The DESS method was highly rated, with residents attributing success to its systematic educational approach (average score 4.8/5.0).
Conclusions:
- Systematic approaches are crucial for teaching and mastering the art of rhinoplasty.
- The DESS methodology significantly improves resident comfort in facial nasal analysis and surgical preparation.
- This novel educational format provides a vital framework for resident training in rhinoplasty.
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