The Learning Curve in Skull Base Surgery Part 1-From Historical-Philosophical Concepts to Microsurgical Lab Training

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorISOLAN, Gustavo Rassier
dc.contributor.authorMONTEIRO, Jander
dc.contributor.authorVAZ, Marco Antonio Schlindwein
dc.contributor.authorLAVINSKY, Joel
dc.contributor.authorARAUJO, Ricardo Lopes de
dc.contributor.authorSANTIS, Giuseppe
dc.contributor.authorFIGUEIREDO, Eberval Gadelha
dc.contributor.authorBUFFON, Viviane
dc.contributor.authorRIBAS FILHO, Carmem Australia Paredes
dc.contributor.authorRIBAS FILHO, Jurandir Marcondes
dc.contributor.authorMALAFAIA, Osvaldo
dc.date.accessioned2023-02-23T14:55:09Z
dc.date.available2023-02-23T14:55:09Z
dc.date.issued2022
dc.description.abstractThe learning curve reflects surgeons' experience in managing several patients with the same disease. In skull base surgery, the professional's place on the curve could be related to the number of times the same procedure was performed. Where does curve begin? What amount of training is necessary prior to its application in surgical settings? What were the results of the first few skull base tumor surgeries performed by a surgeon who goes on to produce excellent results, and how is reflected in the start of their learning curve? The only way for neurosurgeons to improve their results from the start is with prior training in the microsurgery laboratory. This learning technique is essential to maximize the chance of success of a neurosurgical procedures, minimizing the morbidity rate to which patients are subjected by less experienced neurosurgeons. This article is divided in two parts, and its purpose is to show how training in the microsurgical laboratory fits into the construction of knowledge about skull base surgery, based on authors' experience and reflections. This first part discusses the technical, psychological, and philosophical aspects of medical knowledge, primarily addressing those training in skull base surgery, the principles of some selected philosophical currents, and their influence on the development of current medical knowledge.eng
dc.description.indexWoS
dc.identifier.citationBRAZILIAN NEUROSURGERY-ARQUIVOS BRASILEIROS DE NEUROCIRURGIA, v.41, n.4, p.E340-E347, 2022
dc.identifier.doi10.1055/s-0042-1758220
dc.identifier.eissn2359-5922
dc.identifier.issn0103-5355
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/51530
dc.language.isoeng
dc.publisherGEORG THIEME VERLAG KGeng
dc.relation.ispartofBrazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia
dc.rightsopenAccesseng
dc.rights.holderCopyright GEORG THIEME VERLAG KGeng
dc.subjectskull-baseeng
dc.subjectlearning curveeng
dc.subjectmicrosurgical laboratoryeng
dc.subject.otherschwannomas acoustic neuromaseng
dc.subject.otherevidence-based guidelineseng
dc.subject.otherfacial-nerveeng
dc.subject.othermanagementeng
dc.subject.otherpreservationeng
dc.subject.otherhearingeng
dc.subject.wosSurgeryeng
dc.titleThe Learning Curve in Skull Base Surgery Part 1-From Historical-Philosophical Concepts to Microsurgical Lab Trainingeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalISOLAN, Gustavo Rassier:Ctr Adv Neurol & Neurosurg CEANNE, Porto Alegre, RS, Brazil; Evangel Mackenzie Univ Parana, Curitiba, Parana, Brazil; Ctr Neurotol & Acoust Neuroma CNNA, Porto Alegre, RS, Brazil
hcfmusp.author.externalMONTEIRO, Jander:Ctr Adv Neurol & Neurosurg CEANNE, Porto Alegre, RS, Brazil
hcfmusp.author.externalVAZ, Marco Antonio Schlindwein:Ctr Adv Neurol & Neurosurg CEANNE, Porto Alegre, RS, Brazil
hcfmusp.author.externalLAVINSKY, Joel:Ctr Adv Neurol & Neurosurg CEANNE, Porto Alegre, RS, Brazil; Ctr Neurotol & Acoust Neuroma CNNA, Porto Alegre, RS, Brazil; Lavinsky Clin, Porto Alegre, RS, Brazil
hcfmusp.author.externalARAUJO, Ricardo Lopes de:Weill Cornell Med Coll, Dept Neurol Surg, Lab Surg Innovat Skull Base Microneurosurg, New York, NY USA
hcfmusp.author.externalSANTIS, Giuseppe:Ctr Adv Neurol & Neurosurg CEANNE, Porto Alegre, RS, Brazil
hcfmusp.author.externalBUFFON, Viviane:Ctr Adv Neurol & Neurosurg CEANNE, Porto Alegre, RS, Brazil; Evangel Mackenzie Univ Parana, Curitiba, Parana, Brazil
hcfmusp.author.externalRIBAS FILHO, Carmem Australia Paredes:Evangel Mackenzie Univ Parana, Curitiba, Parana, Brazil
hcfmusp.author.externalRIBAS FILHO, Jurandir Marcondes:Evangel Mackenzie Univ Parana, Curitiba, Parana, Brazil
hcfmusp.author.externalMALAFAIA, Osvaldo:Evangel Mackenzie Univ Parana, Curitiba, Parana, Brazil
hcfmusp.contributor.author-fmusphcEBERVAL GADELHA FIGUEIREDO
hcfmusp.description.beginpageE340
hcfmusp.description.endpageE347
hcfmusp.description.issue4
hcfmusp.description.volume41
hcfmusp.origemWOS
hcfmusp.origem.wosWOS:000899799500006
hcfmusp.publisher.citySTUTTGARTeng
hcfmusp.publisher.countryGERMANYeng
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