[Pre- and Postoperative Standards in Ear Surgery - Internal Survey by the ADANO Otology Working Group]

Perioperative care in ear surgery plays a central role in treatment success. However, significant differences in clinical standards may exist, especially in the absence of evidence-based guidelines. Given the increasing complexity of otologic procedures and the importance of high-quality postoperative care, standardizing measures is essential to minimize complications and improve outcomes.Thirty multiple-choice questions on pre-, peri-, and postoperative standards at participants' clinics were distributed via an online survey to members of the Otology Section of the German-speaking Association of Audiologists, Neurotologists, and Otologists (ADANO).Responses from 14 participants revealed considerable heterogeneity in perioperative care. Differences were particularly evident in the use of ear packing, administration of antibiotics and glucocorticoids, and postoperative behavioral recommendations (e.g., physical activity, protection from noise and water). Postoperative follow-up examinations such as the Weber tuning fork test or nystagmus assessment are applied relatively uniformly.The results highlight current inhomogeneity in perioperative care in ear surgery, even among specialized centers. The survey outlines current practices as expert opinion but lacks high-level evidence. Few high-quality studies systematically investigate the discussed standards, indicating a clear need for clinical research. Extending the survey to international otologic centers and experts would also be of interest.