Irani Shirin, Nasirmohtaram Sevil
Otorhinolaryngology Research Center, Amir-Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Otorhinolaryngology Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
J Rhinol. 2025 Mar;32(1):36-39. doi: 10.18787/jr.2024.00037. Epub 2025 Mar 21.
YouTube has become a widely used educational platform for medical trainees in endoscopic surgery. However, the quality of surgical videos on this platform remains unregulated. This study evaluates the educational quality of YouTube videos on endoscopic choanal atresia repair using a validated assessment tool.
In this descriptive cross-sectional study, 50 YouTube videos on endoscopic choanal atresia surgery were analyzed. Video quality was assessed using the LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) checklist, which evaluates content structure, procedural clarity, and outcomes reporting.
Among 108 initially identified videos, 50 met the inclusion criteria. Video quality scores ranged from 1 to 16, with a median score of 7. The most frequently included elements were step-by-step approach (96%), patient anonymity (96%), and descriptive title (76%). Procedural clarity received moderate scores overall, with only the "step-by-step approach" achieving consistent quality. Outcomes reporting was notably deficient, with 90% of videos failing to address postoperative morbidity or complications.
Most YouTube videos on endoscopic choanal atresia surgery lack the quality required for effective surgical education. As digital platforms increasingly supplement traditional training, academic institutions and specialists should prioritize creating and sharing high-quality, standardized educational content on public platforms like YouTube.
YouTube已成为医学实习生在内镜手术方面广泛使用的教育平台。然而，该平台上手术视频的质量仍未得到规范。本研究使用经过验证的评估工具，评估YouTube上关于后鼻孔闭锁修复术视频的教育质量。
在这项描述性横断面研究中，分析了50个关于内镜下后鼻孔闭锁手术的YouTube视频。使用腹腔镜手术视频教育指南（LAP-VEGaS）清单评估视频质量，该清单评估内容结构、操作清晰度和结果报告。
在最初识别的108个视频中，50个符合纳入标准。视频质量得分从1到16不等，中位数为7。最常包含的元素是逐步操作方法（96%）、患者匿名（96%）和描述性标题（76%）。操作清晰度总体得分中等，只有“逐步操作方法”达到了一致的质量。结果报告明显不足，90%的视频未提及术后发病率或并发症。
大多数关于内镜下后鼻孔闭锁手术的YouTube视频缺乏有效手术教育所需的质量。随着数字平台越来越多地补充传统培训，学术机构和专家应优先在YouTube等公共平台上创建和分享高质量、标准化的教育内容。
