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Updated: Jul 1, 2025

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
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Published on: September 22, 2023

469

Revision Rates in Cosmetic Plastic Surgery with and without Resident Involvement.

Ashley Newman1,2, Antonina R Caudill1,3, Eleanor Ball1

  • 1From the DAVinci Plastic Surgery, Washington, D.C.

Plastic and Reconstructive Surgery. Global Open
|March 14, 2024
PubMed
Summary
This summary is machine-generated.

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Involvement of otolaryngology residents in cosmetic surgery significantly increased revision rates. Enhanced facial plastic surgery training is recommended for residents to improve surgical outcomes and reduce revision procedures.

Area of Science:

  • Medical Education
  • Surgical Training
  • Otolaryngology

Background:

  • Concerns exist regarding surgical residents' preparedness for independent practice.
  • Otolaryngology demands broad expertise, making inadequate preparation costly.
  • This study evaluates the impact of postgraduate year 3 (PGY3) otolaryngology residents' participation in surgery on revision rates and operating times.

Purpose of the Study:

  • To assess the impact of PGY3 otolaryngology resident involvement in cosmetic plastic surgery on revision rates.
  • To determine if resident participation affects operating time.
  • To evaluate resident competency and indirect training costs in facial plastic surgery.

Main Methods:

  • Retrospective chart analysis of patients undergoing cosmetic plastic surgery during PGY3 otolaryngology rotations.

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  • Residents participated in specific procedures like blepharoplasties and rhinoplasties.
  • Statistical analysis included chi-squared testing, odds/risk ratios, and t-tests to compare revision rates and operating times.

    • Main Results:

    • Cosmetic surgery revision rates were 22.2% with resident involvement versus 3.6% without.
    • Resident participation increased the likelihood of revision surgery by 7.57 times.
    • Resident involvement did not significantly predict exceeding allotted operating time.

    Conclusions:

    • Cosmetic surgery revision rates are substantially higher when residents are involved.
    • Otolaryngology residents require more comprehensive training in facial plastic and reconstructive surgery.
    • The facial plastic surgery rotation was rescheduled to a later postgraduate training stage to enhance resident preparedness.