Resident training in head and neck flap reconstruction in U.S. academic otolaryngology programmes

The Journal of Laryngology and Otology
M Bhaya, G Har-El

Abstract

The main objective of this study was to assess resident training in head and neck flap reconstruction, and to determine the confidence of graduating residents in performing these flaps independently. Questionnaires were distributed to otolaryngology residents graduating in 1997. Respondents recorded the number of pedicled and free flap procedures they performed, or assisted with, and indicated flaps they felt confident about performing independently. Pectoralis major myocutaneous (PMMC) (n = 560, mean 6.59) and radial forearm (RF) (66, 0.78) were the most common pedicled and free flaps performed. There was a significant difference (p = 0.0002, Mann-Whitney U test) between median confidence for pedicled (44.5 per cent) and free flaps (two per cent). Ten of the 17 flaps showed a significant Pearson correlation (p < 0.05) between number of procedures performed and confidence in performing them independently. Of the pedicled flaps, latissimus dorsi (LD) showed good correlation (r = 0.67), PMMC showed low correlation (r = 0.19) and other pedicled flaps fair correlation. Of the free flaps, LD (r = 0.64) and fibula (r = 0.50) showed good correlation and rectus abdominis and RF fair correlation. There was a fair inverse correlation (r ...Continue Reading

Citations

Dec 24, 2003·World Journal of Surgical Oncology·Eray CopcuYücel Oztan
Jun 4, 2014·Head & Neck·Zhen GooiJeremy D Richmon
Dec 21, 2018·The Laryngoscope·Andrew T DayJeremy D Richmon
Jan 5, 2007·The Laryngoscope·Urjeet A PatelRichard E Hayden
Dec 14, 2018·National Journal of Maxillofacial Surgery·Ranganath RatnagiriG S N Raju
Nov 26, 2015·The Journal of Craniofacial Surgery·Tahrir N Aldelaimi, Afrah A Khalil
May 22, 2010·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Ioannis George-Akrivos Michaelidis, Ioannis Michael Hatzistefanou

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