Alhussien Ahmed, Alamri Ahlam, Almjhad Abdulrahman, AlHumaizi Abdulrahman, Alsaleh Saad
Otolaryngology-Head and Neck Surgery Department College of Medicine, King Saud University Riyadh Saudi Arabia.
Otolaryngology-Head and Neck Surgery Department King Fahad Specialist Hospital Tabuk Saudi Arabia.
Laryngoscope Investig Otolaryngol. 2024 May 15;9(3):e1264. doi: 10.1002/lio2.1264. eCollection 2024 Jun.
This study aimed to ascertain the prevalence of left-handedness (LH) among otolaryngology-head and neck surgery (ORLHN) practitioners, investigate dexterity's impact on LH trainees, and identify common patterns in their training to improve the training experience.
A web-based survey was distributed anonymously via email to members of the Saudi Otorhinolaryngology Society. The survey targeted ORLHN attending consultants, board-certified registrars, and current residents. It consisted of three sections: the first focused on the experience of attending consultants in training LH individuals, the second investigated common maneuvers employed by rhinologists, and the third explored the experiences and impacts reported by LH trainees.
The study included 174 participants, and found a 13.2% LH prevalence among them. Rhinologists showed disparities, with 50% advising trainees to stand on the left side of the bed and use their left hand for the scope, whereas the other half asked otherwise. Additionally, 94.4% of the participants had not encountered any courses specifically tailored for LH trainees. Among LH trainees, 57% and 41% reported difficulties in learning and performing side-specific procedures such as functional endoscopic sinus surgery and endoscopic septoplasty, respectively, often attempting to switch to their nondominant hand, and feeling disadvantaged due to their laterality.
Left-handedness presents challenges for both LH trainees and their trainers in surgical specialties, particularly in ORLHN, in which specific positioning and instruments are crucial to gain access to the desired surgical field. Despite these challenges, there is insufficient support for LH individuals. We recommend encouraging LH trainees to openly disclose and discuss their left-handedness, provide them with mentors, establish standardized operating room setups and techniques, supply appropriate instruments, and demonstrate flexibility in accommodating their needs.
Level 5.
本研究旨在确定耳鼻喉头颈外科（ORLHN）从业者中左利手（LH）的患病率，调查灵巧性对左利手实习生的影响，并确定他们培训中的常见模式以改善培训体验。
通过电子邮件向沙特耳鼻喉科学会成员匿名分发基于网络的调查问卷。该调查针对ORLHN的主治顾问、获得委员会认证的住院医师和现任住院医生。它由三个部分组成：第一部分侧重于主治顾问培训左利手个体的经验，第二部分调查鼻科医生常用的操作，第三部分探讨左利手实习生报告的经验和影响。
该研究包括174名参与者，发现其中左利手患病率为13.2%。鼻科医生存在差异，50%的人建议实习生站在床的左侧并使用左手操作内镜，而另一半则要求相反。此外，94.4%的参与者没有遇到过专门为左利手实习生量身定制的课程。在左利手实习生中，分别有57%和41%的人报告在学习和执行特定侧别的手术程序（如功能性内镜鼻窦手术和内镜鼻中隔成形术）时遇到困难，他们经常试图改用非优势手，并因自己的利手而感到处于劣势。
在外科专业中，尤其是在ORLHN中，左利手给左利手实习生及其培训师都带来了挑战，在该领域中特定的定位和器械对于进入所需手术区域至关重要。尽管存在这些挑战，但对左利手个体的支持不足。我们建议鼓励左利手实习生公开披露并讨论他们的左利手情况，为他们提供导师，建立标准化的手术室设置和技术，提供合适的器械，并在满足他们的需求方面表现出灵活性。
5级。
