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Complications of endoscopic sinus surgery in a residency training program
J B Kinsella1, K H Calhoun, J J Bradfield
1Department of Otolaryngology, Head and Neck Surgery, University of Texas Medical Branch, Galveston, USA.
The Laryngoscope
|October 1, 1995
Summary
Endoscopic sinus surgery (ESS) can be safely performed by otolaryngology residents. A review of 193 cases showed a 22% complication rate, with synechiae being the most common minor issue.
Area of Science:
- Otolaryngology
- Surgical Education
- Patient Safety
Background:
- Endoscopic sinus surgery (ESS) is a standard part of otolaryngology training.
- Technical challenges of ESS raise concerns about patient safety during resident learning curves.
Purpose of the Study:
- To evaluate the safety and complication rates of ESS performed by otolaryngology residents under faculty supervision.
Main Methods:
- Retrospective review of 193 ESS cases performed by residents between 1987 and 1992.
- Analysis of complication rates, including major and minor complications like synechiae.
- Assessment of correlations between specific surgical procedures (ethmoidectomy, turbinate reduction) and complications.
Main Results:
- Overall complication rate was 22%, with one major complication.
- Synechiae constituted 50% of minor complications.
- No correlation found between turbinate reduction and synechiae; posterior ethmoidectomy did not significantly increase complications.
Conclusions:
- ESS can be safely performed by otolaryngology residents within structured, supervised training programs.
- Careful supervision and training are crucial for minimizing complications during resident ESS procedures.