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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Frontal Sinus Surgery Simulation in Continuing Education for Practicing Otolaryngologists.

Mackenzie Latour1, Elizabeth Bryan2, Peter John Wormald3

  • 1Department of Otolaryngology/Head and Neck Surgery, Louisiana State University Health Shreveport, Shreveport, LA, USA.

The Annals of Otology, Rhinology, and Laryngology
|December 31, 2025
PubMed
Summary

High-fidelity simulation training for frontal sinus surgery (FSS) significantly reduced surgical deterrents and improved confidence in otolaryngologists. This continuing medical education approach supports lifelong learning and recalibrates risk perception for experienced surgeons.

Keywords:
continuing medical educationendoscopic sinus surgeryfrontal sinus surgerysimulation trainingsurgical educationsurgical simulation

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Area of Science:

  • Otolaryngology
  • Surgical Education
  • Medical Simulation

Background:

  • Continuing medical education (CME) is crucial for surgical skill maintenance.
  • Frontal sinus surgery (FSS) presents specific challenges and risks.
  • High-fidelity simulation offers a controlled environment for surgical training.

Purpose of the Study:

  • To evaluate the effectiveness of high-fidelity simulation training in FSS.
  • To assess the impact of simulation on surgical deterrents and confidence.
  • To determine if simulation benefits surgeons regardless of experience level.

Main Methods:

  • A within-subject study design was employed during a CME-accredited FSS simulation course.
  • Participants completed pre- and post-course surveys on FSS deterrents.
  • Paired statistical analyses and correlational analyses were used to assess changes and relationships.

Main Results:

  • Twenty-eight otolaryngologists participated, with an average of 14 years in practice.
  • Simulation significantly reduced overall deterrence by 1.27 points (P < .05).
  • Apprehension regarding skull base injury and technical difficulty showed the greatest improvement; confidence increased.

Conclusions:

  • Simulation-based CME effectively reduces modifiable deterrents in FSS.
  • Simulation enhances confidence and supports lifelong surgical learning for practicing otolaryngologists.
  • This training modality is a valuable adjunct for experienced surgeons to refine judgment and perception.