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Stapes surgery in a residency training program

S B Mathews¹, B M Rasgon, F M Byl

¹Department of Head and Neck Surgery, Kaiser Permanente Medical Center, Oakland, California 94611-5693, USA.

The Laryngoscope

|January 23, 1999

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This study shows that residents can safely perform stapedectomy, a surgery for hearing loss, achieving successful outcomes. A laser-assisted, small-fenestra technique with general anesthesia is recommended for optimal results in otologic surgery training.

Area of Science:

Otolaryngology
Surgical Education
Audiology

Background:

Stapedectomy is a surgical procedure to restore hearing in patients with otosclerosis.
Training residents in otologic surgery requires evaluating procedure safety and success rates.

Purpose of the Study:

To identify key parameters for successful stapedectomy.
To assess the safety and efficacy of stapedectomy performed by surgical residents.

Main Methods:

Retrospective analysis of 71 stapedectomy cases.
Review of operative techniques, audiological outcomes, complications, operative time, and anesthesia types.

Main Results:

87% of patients achieved closure of the air-bone gap to within 10 dB.

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Laser-assisted, small-fenestra technique and general anesthesia correlated with improved resident performance.

No instances of severe sensorineural hearing loss were reported.

Conclusions:

Residents can safely and effectively perform stapedectomy.
The laser-assisted, small-fenestra technique is a suitable method for resident training in stapes surgery.