This study was presented as a poster presentation at SLEEP 2011, the 25th Annual Meeting of the Associated Professional Sleep Societies, LLC (APSS), Minneapolis, Minnesota, U.S.A, June 6–8, 2011.
Trends in otolaryngology residency training in the surgical treatment of obstructive sleep apnea
Article first published online: 19 SEP 2013
Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.
Volume 124, Issue 2, pages 579–582, February 2014
How to Cite
Sim, M. W. and Stanley, J. J. (2014), Trends in otolaryngology residency training in the surgical treatment of obstructive sleep apnea. The Laryngoscope, 124: 579–582. doi: 10.1002/lary.24325
This study was conducted at the University of Michigan Health System. The authors have no funding, financial relationships, or conflicts of interest to disclose.
- Issue published online: 21 JAN 2014
- Article first published online: 19 SEP 2013
- Accepted manuscript online: 30 JUL 2013 09:56AM EST
- Manuscript Revised: 3 JUL 2013
- Manuscript Accepted: 3 JUL 2013
- Obstructive sleep apnea;
- multilevel surgery;
- residency training;
- resident education;
- practice patterns
Most patients with obstructive sleep apnea (OSA) have multilevel obstruction. Improved outcomes with multilevel surgery compared to isolated palatal surgery have been well documented. Despite this, surgical practice patterns in the United States have been slow to change. The purpose of this study was to evaluate whether current practice patterns are a reflection of limited surgical residency training in hypopharyngeal procedures.
Cross-sectional Internet survey.
Program directors from 103 accredited U.S. otolaryngology residency programs were surveyed regarding past (2000, 2005) and more recent (2010) resident surgical competency in operative techniques for treatment of OSA.
Of the 48 survey respondents, 85%, 90%, and 100% reported resident surgical competency for oropharyngeal procedures in 2000, 2005, and 2010, respectively. Uvulopalatopharyngoplasty and tonsillectomy were the most common procedures reported in all 3 years. In contrast, 63%, 71%, and 83% reported resident surgical competency for hypopharyngeal procedures in 2000, 2005, and 2010. Lingual tonsillectomy was the most common procedure in all 3 years.
Surgical practice patterns in the United States do not reflect current practice recommendations for treatment of OSA, which emphasize multilevel surgery. Limited surgical residency training in hypopharyngeal procedures may be a contributing factor, although there appears to be an increasing trend in resident competency. Improvement in the scope of resident surgical training for treatment of OSA may lead to improved surgical outcomes.
Level of Evidence
3b. Laryngoscope, 124:579–582, 2014