Our Summary

This research paper talks about how a surgeon’s dominant hand affects their performance in endoscopic endonasal surgery, which is a type of surgery involving a tube-like instrument inserted into the nose. The study finds that left-handed trainee surgeons tend to encounter more challenges when learning certain surgical techniques. However, by making some changes in the operating room, these issues can be minimized for left-handed trainees, without negatively affecting right-handed ones.

FAQs

  1. How does a surgeon’s hand dominance affect ergonomics in endoscopic endonasal surgery?
  2. What challenges do left-handed trainees face in learning certain surgical techniques?
  3. How can OR adjustments optimize ergonomics for left-handed trainees without compromising others?

Doctor’s Tip

A helpful tip a doctor might give a patient about sinus surgery is to follow post-operative care instructions carefully, including taking prescribed medications, avoiding strenuous activities, and attending follow-up appointments as recommended. This can help ensure proper healing and reduce the risk of complications.

Suitable For

Patients who may be recommended for sinus surgery include those with chronic sinusitis that does not respond to other treatments, nasal polyps, deviated septum, sinus tumors, or recurrent sinus infections. Patients with severe sinus symptoms that significantly impact their quality of life may also be candidates for sinus surgery. It is important for patients to undergo a thorough evaluation by an ENT specialist to determine if sinus surgery is the best course of treatment for their specific condition.

Timeline

Before sinus surgery:

  1. Consultation with an ENT specialist to determine the need for surgery and discuss treatment options.
  2. Pre-operative testing, such as imaging scans and blood work, to assess the severity of the sinus condition.
  3. Pre-operative instructions, including dietary restrictions, medication adjustments, and anesthesia considerations.
  4. Day of surgery preparation, including fasting and arrival at the hospital or surgical center.

After sinus surgery:

  1. Recovery in the post-operative care unit, where vital signs are monitored and pain management is administered.
  2. Discharge home with post-operative instructions, including wound care, medication management, and activity restrictions.
  3. Follow-up appointments with the surgeon to monitor healing progress and address any concerns or complications.
  4. Gradual return to normal activities, including work and exercise, as advised by the surgeon.
  5. Long-term management of sinus conditions, including lifestyle changes, medication, and potential future surgeries.

What to Ask Your Doctor

  1. What specific type of sinus surgery is being recommended for my condition?
  2. What are the potential risks and complications of the surgery?
  3. How long will the recovery process take, and what can I expect in terms of pain and discomfort?
  4. Will I need to take time off work or make any lifestyle changes during the recovery period?
  5. Are there any alternative treatments or procedures that could be considered before opting for surgery?
  6. How experienced are you in performing this type of surgery, and what is your success rate?
  7. Will I need any follow-up appointments or additional treatments after the surgery?
  8. Are there any specific pre-operative instructions or precautions I should be aware of?
  9. How will my sinus surgery be impacted by your hand dominance as a left-handed surgeon?
  10. How will the surgical team and operating room be adjusted to optimize ergonomics for a left-handed surgeon during my procedure?

Reference

Authors: Spielman DB. Journal: Int Forum Allergy Rhinol. 2024 Oct;14(10):1664-1666. doi: 10.1002/alr.23396. Epub 2024 Jun 21. PMID: 39365520