Endoscopic Sinus Surgery in a Residency Training Program

Abstract

Endoscopic sinus surgery is becoming an increasingly popular mode of treatment of chronic sinus disease. To evaluate the safety and efficacy of a structured teaching program and resident performance of endoscopic sinus surgery, 100 consecutive patients were reviewed. These patients represented the initial 50 procedures as primary endoscopic surgeon for two otolaryngology residents. There were no major complications and six minor complications. A cadaver “sinusology lab” and perioperative office use of the nasal endoscope enhance learning, increase user confidence, and prepare the resident for surgery. The use of a beam splitter, camera, and video monitor during surgery allows for immediate feedback and graduated operative experience. The results of this study demonstrate that endoscopic sinus surgery can be taught safely when such a format is followed.