Rahal Akram, Charron Marie-Pierre
1 Université de Montréal, Montréal, Québec, Canada.
2 Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada.
Otolaryngol Head Neck Surg. 2017 Apr;156(4):774-776. doi: 10.1177/0194599816686946. Epub 2017 Mar 21.
Teaching and learning septoplasty is challenging due to the limited and intermittent visualization of the surgical site by the resident and the mentor. Our objective was to develop and test the surgical tools required to achieve optimal visualization of the surgical field during septal surgery without having to modify the way conventional septoplasty is performed. A flexible high-definition endoscope is mounted on a modified 50-mm nasal speculum. This allows real-time visualization of all steps of the surgery on the video monitor. The residents can follow all intranasal surgical steps on the monitor while the surgeon is operating. In the same way, the mentor can guide the resident through the surgery and provide more appropriate feedback. All steps of the septal surgery can be recorded for later educational use. Video-assisted septoplasty will help surgeons teach septal surgery more efficiently.
由于住院医师和带教老师对手术部位的可视化有限且不连续，鼻中隔成形术的教学具有挑战性。我们的目标是开发并测试在鼻中隔手术期间实现手术视野最佳可视化所需的手术工具，而无需改变传统鼻中隔成形术的操作方式。将一个柔性高清内窥镜安装在改良的50毫米鼻窥镜上。这使得能够在视频监视器上实时可视化手术的所有步骤。在外科医生手术时，住院医师可以在监视器上跟随所有鼻内手术步骤。同样，带教老师可以在手术过程中指导住院医师并提供更恰当的反馈。鼻中隔手术的所有步骤都可以记录下来供以后的教学使用。视频辅助鼻中隔成形术将有助于外科医生更有效地教授鼻中隔手术。
