Scholarlink

<p>Airway surgery is a high-stakes discipline within Otolaryngology characterized by a demanding learning curve (LC). This study analyzes surgical challenges and critical factors influencing the LC in complex airway interventions. A prospective consecutive case series of 68 patients (age: 2&#xa0;months–66&#xa0;years) was conducted in Pune, India (2022–2025). Cases included subglottic stenosis (35%), tracheal stenosis (22%), and laryngomalacia (22%). LC was assessed by tracking chronological outcomes from "naïve confidence" to mastery. The overall success rate was 63%. A significant disparity existed between endoscopic (90%) and open surgical approaches (63%). The LC followed a sigmoidal trajectory: Naïve Confidence: Technical optimism but high difficulty and early complications. Discouragingly Realistic: Realization of complexity, shift to mentorship, and team-based care. Mastery: Proficiency stabilization and improved "shared airway" management. Decannulation success was 80% for laryngomalacia, 70% for subglottic stenosis, and 83% for tracheal stenosis. Mastery requires recognizing the unique demands of the pediatric airway and the role of multidisciplinary teams. Structured mentorship and understanding technological limitations are essential to optimize the learning process. Decannulation remains the definitive metric of success.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

The Learning Curve and Surgical Challenges in Airway Surgery: An Analysis of 68 Consecutive Cases

  • 期刊论文

  • 发表日期：

    2026年6月30日

查看全文
  • Prasun Mishra,
  • Shivani Dixit,
  • Rakhee Raghavan,
  • Aniruddha Sinha

摘要

Airway surgery is a high-stakes discipline within Otolaryngology characterized by a demanding learning curve (LC). This study analyzes surgical challenges and critical factors influencing the LC in complex airway interventions. A prospective consecutive case series of 68 patients (age: 2 months–66 years) was conducted in Pune, India (2022–2025). Cases included subglottic stenosis (35%), tracheal stenosis (22%), and laryngomalacia (22%). LC was assessed by tracking chronological outcomes from "naïve confidence" to mastery. The overall success rate was 63%. A significant disparity existed between endoscopic (90%) and open surgical approaches (63%). The LC followed a sigmoidal trajectory: Naïve Confidence: Technical optimism but high difficulty and early complications. Discouragingly Realistic: Realization of complexity, shift to mentorship, and team-based care. Mastery: Proficiency stabilization and improved "shared airway" management. Decannulation success was 80% for laryngomalacia, 70% for subglottic stenosis, and 83% for tracheal stenosis. Mastery requires recognizing the unique demands of the pediatric airway and the role of multidisciplinary teams. Structured mentorship and understanding technological limitations are essential to optimize the learning process. Decannulation remains the definitive metric of success.