S B Mathews1, B M Rasgon, F M Byl. 1. Department of Head and Neck Surgery, Kaiser Permanente Medical Center, Oakland, California 94611-5693, USA.
Abstract
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.
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.
Authors: Christopher Razavi; Deepa Galaiya; Seena Vafaee; Rui Yin; John P Carey; Russell H Taylor; Francis X Creighton Journal: Laryngoscope Investig Otolaryngol Date: 2021-09-01