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Related Experiment Video

Updated: Jul 17, 2026

The Microscopic Transcanal Approach in Stapes Surgery Revisited
07:35

The Microscopic Transcanal Approach in Stapes Surgery Revisited

Published on: February 16, 2022

The learning curve in stapes surgery and its implication for training.

M W Yung1, J Oates

  • 1Department of Otolaryngology, The Ipswich Hospital NHS Trust, Ipswich, UK.

Advances in Oto-Rhino-Laryngology
|January 25, 2007
PubMed
Summary

The stapedotomy learning curve for two surgeons reached a plateau around 70-80 cases. A mismatch exists between stapes surgery trainers and practitioners, potentially delaying otolaryngologist training.

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Area of Science:

  • Otolaryngology
  • Surgical Education
  • Auditory Implants

Background:

  • Stapedotomy is a key surgical procedure for otosclerosis.
  • Assessing the learning curve is crucial for surgical proficiency and patient safety.
  • The current landscape of stapes surgery training in the UK requires evaluation.

Purpose of the Study:

  • To determine the learning curve for stapedotomy in two UK otolaryngologists.
  • To analyze the relationship between surgical volume and outcomes.
  • To investigate the current training and practice patterns of stapes surgeons in the UK.

Main Methods:

  • Retrospective review of the first 100 stapedotomies per surgeon.
  • Analysis of surgical success rates (air-bone gap ≤ 20 dB) plotted against case number.

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Last Updated: Jul 17, 2026

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Published on: February 16, 2022

Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
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  • A postal survey of UK otolaryngologists regarding stapes surgery incidence and training roles.

    • Main Results:

    • Both surgeons' learning curves plateaued between 70 and 80 operations.
    • Each surgeon experienced one 'dead ear' complication within their initial 15 cases.
    • A significant number of experienced stapes surgeons are not trainers, and some trainers perform limited cases.

    Conclusions:

    • The learning curve for stapedotomy suggests a need for approximately 70-80 cases to achieve proficiency.
    • There is a disconnect between stapes surgery trainers and those actively performing the procedure.
    • Declining trends in stapes surgery may prolong the time for otolaryngologists to complete their surgical learning curves.