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The Microscopic Transcanal Approach in Stapes Surgery Revisited

The Microscopic Transcanal Approach in Stapes Surgery Revisited

Published on: February 16, 2022

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

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.

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