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Analysis of the Quality of Septoplasty Videos on YouTube and Validation of the IVORY-Grading-System Quality of Septoplasty Videos

Year: 2024
Type: preprint
Abstract: Objective This study aimed to analyze the educational quality of septoplasty videos on YouTube and validate the “Instructional Videos in Otorhinolaryngology by YO-IFOS-Grading-System” (IVORY-GS), the first otorhinolaryngology-specific video scoring system based on the IVORY Guidelines. Methods A search for “septoplasty,” “closed septoplasty,” and “deviated nasal septum surgery” was performed on YouTube in March 2023. Videos of surgeries on patients and cadaver dissections were included. The IVORY-GS was adjusted for septoplasty and applied to rate video quality based on criteria related to ethics, technical aspects, case presentation, surgical procedure, and organ-specific elements. Descriptive data on video characteristics was collected, including views, likes, video length, and time since publication. Statistical analyses were conducted to identify associations between video features and the IVORY-GS total score. Results Overall, 105 septoplasty videos were included. Among these, 40% demonstrated Cottle’s, while 53% followed Killian’s technique. Mean IVORY-GS total score for septoplasty videos was 25.3 (maximum 48). Video education quality was rated as moderate/high in 10%. Endoscopic versus macroscopic videos (p < 0.01) and videos published within the last 50 months versus those published earlier (p < 0.01) received significantly higher total scores. A significant correlation was found between the total score and number of likes (p = 0.02). A higher total score was a significant predictor for more likes (p = 0.02). Conclusion The analysis revealed only a small proportion of septoplasty videos available on YouTube being suitable for surgical training. The IVORY-GS has proven useful in assessing the educational value of otolaryngology-specific videos and can be beneficial for establishing a dedicated online platform for high-quality otorhinolaryngology surgery videos.
Language: English
Subfield: Health
Open Access status: green
OpenAlex ID: W4405464014
Cites: 31
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Related to: 10