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Comment & Response
April 4, 2019

Daytime Sleepiness and Surgical Skill

Author Affiliations
  • 1Section of Otorhinolaryngology, Department of Surgery and Biomedical Sciences, University of Perugia (Italy)
  • 2Department of Otolaryngology–Head & Neck Surgery, Carlo Poma Civil Hospital, Mantova, Italy
JAMA Facial Plast Surg. 2019;21(4):343-344. doi:10.1001/jamafacial.2018.2040

To the Editor We read with interest the article by Tseng et al,1 and we congratulate the authors on the originality of their study. However, besides the biases and limitations already reported by the authors, we noticed some further ambiguities that could potentially mislead readers.

First, trainees reported a normal level of daytime sleepiness (Epworth sleepiness scale ≤10)2 during the majority (90.6%) of the surgical procedures, which partially contradicts the article’s title.

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