{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T09:42:31Z","timestamp":1651225351741},"reference-count":30,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T00:00:00Z","timestamp":1635292800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215121003285_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Mastoid exploration remains an advanced, mainstay operation within ENT, in which the surgical trainees\u2019 role has been debated. This audit compares mastoid exploration outcomes between trainees and consultants.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121003285_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Cortical mastoidectomy, atticotomy, atticoantrostomy, modified radical mastoidectomy, combined-approach tympanoplasty and revision mastoidectomy operations performed between 2009 and 2020 were reviewed. Complications assessed were: facial palsy, labyrinth injury, dead ear, disease recurrence and time to recurrence. The chi-square test was used to determine significant associations.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121003285_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>A total of 118 operations were surveyed. Thirty-five per cent of procedures (<jats:italic>n<\/jats:italic> = 41) were performed by trainees under supervision, and 65 per cent (<jats:italic>n<\/jats:italic> = 77) were carried out solely by consultants. Patients from 5 per cent of trainees\u2019 operations (<jats:italic>n<\/jats:italic> = 2) developed recurrence, compared with 7.8 per cent of consultants\u2019 (<jats:italic>n<\/jats:italic> = 6) (<jats:italic>p<\/jats:italic> = 0.55). No other complications developed in either group.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121003285_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>The results corroborate those of other studies, indicating no significant increase in complication rate from consultants to trainees. Trainees likely completed less complicated cases. The stepwise incorporation of trainees did not compromise patient safety.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215121003285","type":"journal-article","created":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T08:37:24Z","timestamp":1635323844000},"page":"293-296","source":"Crossref","is-referenced-by-count":0,"title":["Trainee\u2013trainer outcomes in mastoid surgery: a comparative study"],"prefix":"10.1017","volume":"136","author":[{"given":"MF","family":"Flynn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Sheldon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Bannister","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,10,27]]},"reference":[{"key":"S0022215121003285_ref20","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2006.047241"},{"key":"S0022215121003285_ref6","doi-asserted-by":"publisher","DOI":"10.1258\/002221504323219491"},{"key":"S0022215121003285_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wjorl.2017.08.001"},{"key":"S0022215121003285_ref3","doi-asserted-by":"publisher","DOI":"10.7162\/S1809-97772013000200009"},{"key":"S0022215121003285_ref10","first-page":"16","article-title":"Supervised surgical trainees can perform pancreatic resections safely","volume":"44","author":"Praseedom","year":"1999","journal-title":"J R Coll Surg Edinb"},{"key":"S0022215121003285_ref22","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13646"},{"key":"S0022215121003285_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-9457(00)00021-X"},{"key":"S0022215121003285_ref23","unstructured":"23 Certification Guidelines For Otolaryngology. 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