耳鼻喉科的左撇子，谁是对的？

IF 1.6 4区医学 Q2 OTORHINOLARYNGOLOGY Laryngoscope Investigative Otolaryngology Pub Date : 2024-05-15 DOI:10.1002/lio2.1264

Ahmed Alhussien MBBS, Ahlam Alamri MBBS, Abdulrahman Almjhad MD, Abdulrahman AlHumaizi, Saad Alsaleh MBBS, FRCSC

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摘要

目的本研究旨在确定耳鼻咽喉头颈外科（ORLHN）从业人员中左撇子（LH）的普遍程度，调查灵巧性对左撇子学员的影响，并找出他们培训中的常见模式，以改善培训体验。方法通过电子邮件向沙特耳鼻咽喉科学会会员匿名发放网络调查问卷。调查对象包括 ORLHN 主治顾问、经委员会认证的注册医师和在读住院医师。调查由三个部分组成：第一部分重点关注主治顾问在培训 LH 人员方面的经验，第二部分调查鼻科医师采用的常见操作，第三部分探讨 LH 学员报告的经验和影响。结果该研究包括 174 名参与者，发现其中 LH 患病率为 13.2%。鼻科医生的建议不尽相同，50%的鼻科医生建议学员站在床的左侧，用左手拿瞄准镜，而另一半鼻科医生则提出了其他要求。此外，94.4% 的学员没有参加过专门为 LH 学员开设的课程。在左撇子受训者中，分别有 57% 和 41% 的人表示在学习和进行功能性内窥镜鼻窦手术和内窥镜鼻中隔成形术等特定侧手手术时遇到困难，经常试图换用非惯用手，并因其侧手姿势而感到处于不利地位。结论左撇子给外科专业的左撇子受训者及其培训师带来了挑战，尤其是在 ORLHN 中，特定的定位和器械对进入理想的手术区域至关重要。尽管存在这些挑战，但对 LH 人员的支持仍然不足。我们建议鼓励左撇子受训者公开披露并讨论他们的左撇子问题，为他们提供导师，建立标准化的手术室设置和技术，提供适当的器械，并在满足他们的需求方面表现出灵活性。证据等级 5 级。

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Left-handedness in otolaryngology, who is right?

Objectives

This study aimed to ascertain the prevalence of left-handedness (LH) among otolaryngology—head and neck surgery (ORLHN) practitioners, investigate dexterity's impact on LH trainees, and identify common patterns in their training to improve the training experience.

Methods

A web-based survey was distributed anonymously via email to members of the Saudi Otorhinolaryngology Society. The survey targeted ORLHN attending consultants, board-certified registrars, and current residents. It consisted of three sections: the first focused on the experience of attending consultants in training LH individuals, the second investigated common maneuvers employed by rhinologists, and the third explored the experiences and impacts reported by LH trainees.

Results

The study included 174 participants, and found a 13.2% LH prevalence among them. Rhinologists showed disparities, with 50% advising trainees to stand on the left side of the bed and use their left hand for the scope, whereas the other half asked otherwise. Additionally, 94.4% of the participants had not encountered any courses specifically tailored for LH trainees. Among LH trainees, 57% and 41% reported difficulties in learning and performing side-specific procedures such as functional endoscopic sinus surgery and endoscopic septoplasty, respectively, often attempting to switch to their nondominant hand, and feeling disadvantaged due to their laterality.

Conclusions

Left-handedness presents challenges for both LH trainees and their trainers in surgical specialties, particularly in ORLHN, in which specific positioning and instruments are crucial to gain access to the desired surgical field. Despite these challenges, there is insufficient support for LH individuals. We recommend encouraging LH trainees to openly disclose and discuss their left-handedness, provide them with mentors, establish standardized operating room setups and techniques, supply appropriate instruments, and demonstrate flexibility in accommodating their needs.