Educational quality of YouTube videos on external versus endoscopic dacryocystorhinostomy surgery/ Eksternal ve endoskopik dakriyosistorinostomi cerrahisinde YouTube videolarinin egitim kalitesi

• Published in: Pamukkale Medical Journal Vol. 16; no. 1; p. 13
• Main Authors: Dikmen, Nejla Tukenmez, Dikmen, Burak
• Format: Journal Article
• Language: English
• Published: Pamukkale University 01.01.2023
• Subjects: Analysis; Educational evaluation; Internet videos; Laparoscopic surgery; Laparoscopy; Ophthalmology
• ISSN: 1309-9833
• DOI: 10.31362/patd.1098531

Purpose: To evaluate whether there is a difference in surgical training quality between endoscopic and external dacryocystorhinostomy (DCR) surgery videos on YouTube with the Laparoscopic Surgery Video Training Guide (LAP-VEGaS) video evaluation tool. Matherials and methods: A comprehensive search was carried out on YouTube, using the following terms "DCR, External Dacryocystorhinostomy, Endoscopic Dacryocystorhinostomy". Videos with 100 or more views were recorded. The number of views, age, number of likes, number of dislikes, number of comments, length, type of surgery, view ratio, like ratio, viewer interaction, and video power index were recorded. Two researchers independently assessed the videos for surgery educational quality according to LAP-VEGaS video assessment tool. Results: After exclusion criteria, 74 out of a total of 108 videos were included in the study (27: external DCR, 47: endoscopic DSR). After the LAP-VEGaS evaluation, 30 (40.5%) of the videos were found to be of high quality and 44 (59.5%) were of low quality. External DCR videos were statistically significantly more high-quality videos than endoscopic videos (p=0.046). The average LAP- VEGaS score of external DCR videos was 10.65[+ or -]2.98, and the mean LAP-VEGaS score of endoscopic DCR videos was 8.44[+ or -]3.70, and the difference between them was statistically significant (p=0.009). Videos performed by ophthalmologists are statistically significantly higher quality videos according to LAP- VEGaS video assessment tool analysis (p=0.017). Concerning the selection of low and high quality videos, there was a significant agreement between two observers (kappa score 0.775). Conclusions: Most of the DCR videos on YouTube are significantly lacking in case presentations, treatment options, and intraoperative and postoperative complications. In the future, we think that evaluating surgical videos on open access platforms such as YouTube with standard guidelines before they are published, and going through a review process may help increase the educational value of video materials. Key words: YouTube, external dacryocystorhinostomy, endoscopic dacryocystorhinostomy, nasolacrimal duct obstructions, LAP-VEGaS video assessment tool. Amac: YouTube'daki endoskopik ve eksternal dakriyosistorinostomi (DSR) cerrahi videolari arasinda cerrahi egitim kalitesinde fark olup olmadigini Laparoskopik Cerrahi Video Egitim Kilavuzu (LAP-VEGaS) video degerlendirme araci ile degerlendirmek. Gerec ve yontem: YouTube'da "DSR, Eksternal Dakriyosistorinostomi, Endoskopik Dakriyosistorinostomi" terimleri kullanilarak kapsamli bir arama yapildi. 100 veya daha fazla izlenen videolar kaydedildi. Videolarin izlenme sayisi, begeni sayisi, yorum sayisi, video uzunluklari, ameliyat sekli, ameliyati yapan cerrah, izlenme orani, begenme orani, izleyici etkilesimi ve video guc indeksi kaydedildi. Dakriyosistorinostomi konusunda deneyimli iki arastirmaci, videolari LAP-VEGaS video degerlendirme kilavuzuna gore cerrahi egitim kalitesi acisindan degerlendirdi. Bulgular: Dislama kriterlerinden sonra toplam 108 videodan 74'u calismaya dahil edildi (27: Eksternal DSR, 47: Endoskopik DSR). LAP-VEGaS degerlendirmesi sonucunda videolarin 30'unun (%40,5) yuksek kaliteli, 44'unun (%59,5) ise dusuk kaliteli videolar oldugu tespit edildi. Eksternal DSR videolari, endoskopik videolardan istatistiksel olarak anlamli derecede daha yuksek kaliteli videolar idi (p=0,046). Eksternal DSR videolarinin ortalama LAP-VEGaS skoru 10,65 [+ or -] 2,98, endoskopik DSR videolarinin ortalama LAP-VEGaS skoru 8,44 [+ or -] 3,70 idi ve aralarindaki fark istatistiksel olarak anlamliydi (p=0,009). Oftalmologlar tarafindan yayinlanan videolar, LAP-VEGaS video degerlendirme araci analizine gore istatistiksel olarak anlamli derecede daha kaliteli videolardi(p=0,017). Dusuk ve yuksek kaliteli videolarin secimiyle ilgili olarak, iki gozlemci arasinda onemli derecede uyum oldugu goruldu (kappa puani 0,775). Sonuclar: YouTube'daki populer DSR videolarindan cogu sunum, tedavi secenekleri, intraoperatif ve postoperatif komplikasyonlar acisindan onemli olcude eksiktir. Gelecekte cerrahi videolarin YouTube gibi acik erisim platformlarinda yayinlanmadan once hakem inceleme surecinden gecirilmesinin videolarin egitsel degerinin artmasina yardimci olabilecegini dusunmekteyiz. Anahtar kelimeler: YouTube, eksternal dakriyosistorinostomi, endoskopik dakriyosistorinostomi, nazolakrimal kanal tikanikliklari, LAP-VEGaS video degerlendirme araci.