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The Microscopic Transcanal Approach in Stapes Surgery Revisited
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Reporting in stapes surgery: are we following the guidelines?
1Department of Otolaryngology - Head and Neck Surgery,Royal Hallamshire Hospital,Sheffield,UK.
The Journal of Laryngology and Otology
|June 12, 2018
Summary
Stapes surgery outcomes are frequently over-reported, potentially misleading patients and hindering research. Adherence to American Academy of Otolaryngology - Head and Neck Surgery guidelines for reporting air-bone gap closure is crucial for accurate patient consent and comparative studies.
Area of Science:
- Otolaryngology
- Surgical Outcomes Research
Background:
- Accurate reporting of stapes surgery outcomes is essential for patient consent and comparative research.
- The American Academy of Otolaryngology - Head and Neck Surgery provides guidelines for reporting air-bone gap closure.
Purpose of the Study:
- To highlight the importance of reporting air-bone gap closure in stapes surgery according to established guidelines.
- To review compliance with these guidelines in recent years.
Main Methods:
- A retrospective case series of 204 adult patients undergoing stapes surgery.
- Air-bone gap closure was calculated using American Academy of Otolaryngology - Head and Neck Surgery guidelines.
- Results were re-evaluated excluding the Carhart phenomenon to assess its impact on reported success rates.
Main Results:
- Ignoring the Carhart phenomenon led to a 75% over-reporting of successful air-bone gap closure (p < 0.001).
- Over-reporting of successful outcomes was identified in 5.9% of reviewed papers.
- In 11.8% of papers, the methodology for reporting results was unclear.
Conclusions:
- Stapes surgery outcomes continue to be over-reported despite clear guidelines.
- This over-reporting can compromise the informed consent process for patients.
- Inaccurate reporting complicates the ability to conduct reliable comparative studies in otolaryngology.
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