Stapes Surgery in a Residency Training Program

Objectives: Determine parameters for successful stapedectomy and whether this procedure can be performed safely by residents in a teaching hospital. Study Design: Retrospective analysis of techniques and results for 71 stapedectomy procedures. Materials and Methods: Charts were reviewed for techniqu...

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Bibliographic Details
Published in:The Laryngoscope 1999-01, Vol.109 (1), p.52-53
Main Authors: Mathews, Shawn B., Rasgon, Barry M., Byl, Frederick M.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Clinical Competence
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Internship and Residency
Medical sciences
Otolaryngology - education
Retrospective Studies
Stapes Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the ear, the auditive nerve and the facial nerve
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Summary:Objectives: Determine parameters for successful stapedectomy and whether this procedure can be performed safely by residents in a teaching hospital. Study Design: Retrospective analysis of techniques and results for 71 stapedectomy procedures. Materials and Methods: Charts were reviewed for technique, audiological test results, complications, operative time, and anesthetic used. Results: Overall, closure of the air‐bone gap at 10 dB was achieved in 87% of patients. Use of general anesthesia and a laser‐assisted, small‐fenestra technique allowed residents to complete more operations. No severe sensorineural hearing loss was noted. Conclusions: Residents can safely and successfully perform stapes surgery using a laser‐assisted, small‐fenestra technique.
ISSN:0023-852X
1531-4995
DOI:10.1097/00005537-199901000-00011