Stapes surgery in residency - the ufpr clinical hospital experience

Surgery of the stapedius remains the established treatment for otosclerosis. Recent publications have showed that success in surgeries done by residents have decreased and hearing results are worse than those obtained by experienced otologic surgeons. Aim: To evaluate the experience of the otorhinol...

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Published inBrazilian journal of otorhinolaryngology Vol. 73; no. 5; pp. 647 - 653
Main Authors Caldart, Adriano Ulisses, Terruel, Igor, Júnior, Dair Jocely Enge, Kurogi, Adriana Sayuri, Buschle, Maurício, Mocellin, Marcos
Format Journal Article
LanguageEnglish
Published Brazil Elsevier Editora Ltda 01.09.2007
Elsevier
Subjects
Adolescent
Adult
Aged
Audiometry, Pure-Tone
Auditory Threshold
Clinical Competence - statistics & numerical data
Female
Follow-Up Studies
hearing loss
Humans
Internship and Residency
Male
Middle Aged
Original
Ossicular Prosthesis
otosclerosis
Otosclerosis - surgery
Retrospective Studies
stapes surgery
Stapes Surgery - education
Treatment Outcome
stapes surgery
otosclerosis
hearing loss
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Abstract Surgery of the stapedius remains the established treatment for otosclerosis. Recent publications have showed that success in surgeries done by residents have decreased and hearing results are worse than those obtained by experienced otologic surgeons. Aim: To evaluate the experience of the otorhinolaryngology unit, Parana University, relative to stapes surgery done in the residency training program. Material and method: A retrospective study of 114 stapes surgeries done in the past 9 years in 96 patients. Audiometric results were analysed according to the Commitee on Hearing and Equilibrium guidelines and the Amsterdam Hearing Evaluation Plots. The improvement of the airway postoperative gap and thresholds were taken into account. Results: 96 patients were included, most of them female adults (67.7%) and white (93.7%). Stapedectomy was done in 50.9% of cases, mostly under local anesthesia and sedation (96.5%), using mostly the Teflon prothesis (37.7%). The surgical success rate was 50.88%, there was an 11.4% complication rate. Conclusion: Postoperative hearing gains considered as surgical success were inferior to published results in the literature, done by experienced surgeons.
AbstractList Surgery of the stapedius remains the established treatment for otosclerosis. Recent publications have showed that success in surgeries done by residents have decreased and hearing results are worse than those obtained by experienced otologic surgeons. To evaluate the experience of the otorhinolaryngology unit, Parana University, relative to stapes surgery done in the residency training program. A retrospective study of 114 stapes surgeries done in the past 9 years in 96 patients. Audiometric results were analysed according to the Committee on Hearing and Equilibrium guidelines and the Amsterdam Hearing Evaluation Plots. The improvement of the airway postoperative gap and thresholds were taken into account. 96 patients were included, most of them female adults (67.7%) and white (93.7%). Stapedectomy was done in 50.9% of cases, mostly under local anesthesia and sedation (96.5%), using mostly the Teflon prosthesis (37.7%). The surgical success rate was 50.88%, there was an 11.4% complication rate. Postoperative hearing gains considered as surgical success were inferior to published results in the literature, done by experienced surgeons.
Surgery of the stapedius remains the established treatment for otosclerosis. Recent publications have showed that success in surgeries done by residents have decreased and hearing results are worse than those obtained by experienced otologic surgeons. Aim: To evaluate the experience of the otorhinolaryngology unit, Parana University, relative to stapes surgery done in the residency training program. Material and method: A retrospective study of 114 stapes surgeries done in the past 9 years in 96 patients. Audiometric results were analysed according to the Commitee on Hearing and Equilibrium guidelines and the Amsterdam Hearing Evaluation Plots. The improvement of the airway postoperative gap and thresholds were taken into account. Results: 96 patients were included, most of them female adults (67.7%) and white (93.7%). Stapedectomy was done in 50.9% of cases, mostly under local anesthesia and sedation (96.5%), using mostly the Teflon prothesis (37.7%). The surgical success rate was 50.88%, there was an 11.4% complication rate. Conclusion: Postoperative hearing gains considered as surgical success were inferior to published results in the literature, done by experienced surgeons.
Surgery of the stapedius remains the established treatment for otosclerosis. Recent publications have showed that success in surgeries done by residents have decreased and hearing results are worse than those obtained by experienced otologic surgeons. Aim: To evaluate the experience of the otorhinolaryngology unit, Parana University, relative to stapes surgery done in the residency training program. Material and method: A retrospective study of 114 stapes surgeries done in the past 9 years in 96 patients. Audiometric results were analysed according to the Commitee on Hearing and Equilibrium guidelines and the Amsterdam Hearing Evaluation Plots. The improvement of the airway postoperative gap and thresholds were taken into account. Results: 96 patients were included, most of them female adults (67.7%) and white (93.7%). Stapedectomy was done in 50.9% of cases, mostly under local anesthesia and sedation (96.5%), using mostly the Teflon prothesis (37.7%). The surgical success rate was 50.88%, there was an 11.4% complication rate. Conclusion: Postoperative hearing gains considered as surgical success were inferior to published results in the literature, done by experienced surgeons.
UNLABELLEDSurgery of the stapedius remains the established treatment for otosclerosis. Recent publications have showed that success in surgeries done by residents have decreased and hearing results are worse than those obtained by experienced otologic surgeons. AIMTo evaluate the experience of the otorhinolaryngology unit, Parana University, relative to stapes surgery done in the residency training program. MATERIAL AND METHODA retrospective study of 114 stapes surgeries done in the past 9 years in 96 patients. Audiometric results were analysed according to the Committee on Hearing and Equilibrium guidelines and the Amsterdam Hearing Evaluation Plots. The improvement of the airway postoperative gap and thresholds were taken into account. RESULTS96 patients were included, most of them female adults (67.7%) and white (93.7%). Stapedectomy was done in 50.9% of cases, mostly under local anesthesia and sedation (96.5%), using mostly the Teflon prosthesis (37.7%). The surgical success rate was 50.88%, there was an 11.4% complication rate. CONCLUSIONPostoperative hearing gains considered as surgical success were inferior to published results in the literature, done by experienced surgeons.
Author Terruel, Igor
Júnior, Dair Jocely Enge
Mocellin, Marcos
Caldart, Adriano Ulisses
Buschle, Maurício
Kurogi, Adriana Sayuri
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/18094806$$D View this record in MEDLINE/PubMed
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CitedBy_id crossref_primary_10_1007_s00405_017_4572_1
crossref_primary_10_1002_lio2_646
crossref_primary_10_1177_0194599818815144
crossref_primary_10_1016_j_otc_2017_11_016
Cites_doi 10.1177/019459988309100307
10.1097/00005537-199901000-00011
10.1067/mhn.2001.111601
10.3109/01421599009006645
10.1017/S0022215100108655
10.1046/j.1365-2273.1998.0165q.x
10.1288/00005537-198406000-00007
10.1002/lary.5541011205
10.1001/archotol.1997.01900020059008
10.1016/S0196-0709(85)80017-X
10.1067/mhn.2001.111600
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Issue 5
Keywords stapes surgery
otosclerosis
hearing loss
Language English
License http://creativecommons.org/licenses/by/4.0
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References Frías, Caballero, Osorio (bib22) 2000; 51
Mair (bib3) 1989; 103
Burns, Lambert (bib15) 1996; 17
De Bruijn, Tange, Dreschler, Efficacy of evaluation of audiometric results after stapes surgery in otosclerosis (bib14) 2001; 124
Mathews, Rasgon, Byl (bib10) 1999; 109
Costa, Cruz, Oliveira (bib2) 1994
De Bruijn, Tange, Dreschler (bib13) 2001; 124
Levin, Fabian, Stahle (bib4) 1988; 9
De Bruijn, Tange, Dreschler (bib20) 1999; 20
Backous, Coker, Jenkins (bib5) 1993; 14
Hughes (bib7) 1991; 101
Warmerdam (bib11) 1998; 23
Campos, Costa (bib1) 2002
Manu, Lane, Mathews (bib19) 1990; 12
Handley, Hicks (bib6) 1990; 11
Shapira, Ophir, Marshak (bib8) 1985; 6
Chandler, Rodriguez-Torro (bib18) 1983; 91
Sedwick, Louden, Shelton (bib21) 1997; 123
Monsell, Balkany, Gates (bib12) 1995; 113
Monsell (10.1016/S1808-8694(15)30125-7_bib12) 1995; 113
Sedwick (10.1016/S1808-8694(15)30125-7_bib21) 1997; 123
Burns (10.1016/S1808-8694(15)30125-7_bib15) 1996; 17
Frías (10.1016/S1808-8694(15)30125-7_bib22) 2000; 51
Hughes (10.1016/S1808-8694(15)30125-7_bib7) 1991; 101
De Bruijn (10.1016/S1808-8694(15)30125-7_bib14) 2001; 124
Chandler (10.1016/S1808-8694(15)30125-7_bib18) 1983; 91
Handley (10.1016/S1808-8694(15)30125-7_bib6) 1990; 11
Shapira (10.1016/S1808-8694(15)30125-7_bib8) 1985; 6
Costa (10.1016/S1808-8694(15)30125-7_bib2) 1994
Coker (10.1016/S1808-8694(15)30125-7_bib17) 1988; 97
Mathews (10.1016/S1808-8694(15)30125-7_bib10) 1999; 109
Manu (10.1016/S1808-8694(15)30125-7_bib19) 1990; 12
Engel (10.1016/S1808-8694(15)30125-7_bib9) 1984; 94
Mair (10.1016/S1808-8694(15)30125-7_bib3) 1989; 103
Levin (10.1016/S1808-8694(15)30125-7_bib4) 1988; 9
Vernick (10.1016/S1808-8694(15)30125-7_bib16) 1986; 95
Campos (10.1016/S1808-8694(15)30125-7_bib1) 2002
De Bruijn (10.1016/S1808-8694(15)30125-7_bib13) 2001; 124
De Bruijn (10.1016/S1808-8694(15)30125-7_bib20) 1999; 20
Backous (10.1016/S1808-8694(15)30125-7_bib5) 1993; 14
Warmerdam (10.1016/S1808-8694(15)30125-7_bib11) 1998; 23
References_xml – volume: 20
  start-page: 573
  year: 1999
  end-page: 580
  ident: bib20
  article-title: Comparison of stapes protheses: A retrospective analysis of individual audiometric results obtained after stapedotomy by implantation of a gold and a teflon piston
  publication-title: Am J Otol
  contributor:
    fullname: Dreschler
– volume: 101
  start-page: 1280
  year: 1991
  end-page: 1284
  ident: bib7
  article-title: The learning curve in stapes surgery
  publication-title: Laryngoscope
  contributor:
    fullname: Hughes
– volume: 17
  start-page: 210
  year: 1996
  end-page: 213
  ident: bib15
  article-title: Stapedectomy in residency training
  publication-title: Am J Otolaryngol
  contributor:
    fullname: Lambert
– volume: 51
  start-page: 199
  year: 2000
  end-page: 206
  ident: bib22
  article-title: Cirurgia de la otosclerosis: resultados auditivos y complicaciones
  publication-title: Acta Otorrinolaring Esp
  contributor:
    fullname: Osorio
– volume: 124
  start-page: 84
  year: 2001
  end-page: 89
  ident: bib13
  article-title: Efficacy of evaluation of audiometric results after stapes surgery in otosclerosis II. A method for reporting results from individual cases
  publication-title: Otolaryngol Head Neck Surg
  contributor:
    fullname: Dreschler
– volume: 103
  start-page: 259
  year: 1989
  end-page: 262
  ident: bib3
  article-title: Occasional stapes surgery - a Norwegian experience
  publication-title: J Laryngol Otol
  contributor:
    fullname: Mair
– volume: 91
  start-page: 239
  year: 1983
  end-page: 245
  ident: bib18
  article-title: Changing patterns of otosclerosis surgery in teaching institutions
  publication-title: Otolaryngol Head Neck Surg
  contributor:
    fullname: Rodriguez-Torro
– volume: 113
  start-page: 798
  year: 1995
  end-page: 808
  ident: bib12
  article-title: Commite of Hearing and Equilibrium guidelines for evaluation of results of treatment of conductive hearing loss
  publication-title: Otolaryngol Head Neck Surg
  contributor:
    fullname: Gates
– volume: 23
  start-page: 379
  year: 1998
  end-page: 380
  ident: bib11
  article-title: Ten-year report on stapes surgery at the Academic Hospital Leiden, 1987-1996
  publication-title: Clin Otolaryngol Aug
  contributor:
    fullname: Warmerdam
– year: 1994
  ident: bib2
  publication-title: Otorrinolaringologia: Princípios e prática
  contributor:
    fullname: Oliveira
– volume: 9
  start-page: 299
  year: 1988
  end-page: 301
  ident: bib4
  article-title: Incidence of otosclerosis
  publication-title: Ann J Otol
  contributor:
    fullname: Stahle
– volume: 12
  start-page: 367
  year: 1990
  end-page: 369
  ident: bib19
  article-title: How much practice makes perfect? A quantitative measure of the experience needed to achieve procedural competence
  publication-title: Med teach
  contributor:
    fullname: Mathews
– volume: 14
  start-page: 451
  year: 1993
  end-page: 454
  ident: bib5
  article-title: Prospective study of resident-performed stapedectomy
  publication-title: Am J Otol
  contributor:
    fullname: Jenkins
– volume: 124
  start-page: 76
  year: 2001
  end-page: 83
  ident: bib14
  article-title: The effects of using different audiologic parameters and criteria on success rates
  publication-title: Otolaryngol Head Neck Surg
  contributor:
    fullname: Efficacy of evaluation of audiometric results after stapes surgery in otosclerosis
– year: 2002
  ident: bib1
  publication-title: Tratado de Otorrinolaringologia. Volume II e V
  contributor:
    fullname: Costa
– volume: 6
  start-page: 388
  year: 1985
  end-page: 391
  ident: bib8
  article-title: Success of stapedectomy performed by residents
  publication-title: Am J Otolaryngol Sep
  contributor:
    fullname: Marshak
– volume: 123
  start-page: 177
  year: 1997
  end-page: 180
  ident: bib21
  article-title: Stapedectomy vs. Stapedotomy: do you really need a laser? Arch.
  publication-title: Otolaryngol Head Neck Surg
  contributor:
    fullname: Shelton
– volume: 11
  start-page: 128
  year: 1990
  end-page: 130
  ident: bib6
  article-title: Stapedectomy in residency - the UAB experience
  publication-title: Am J Otol
  contributor:
    fullname: Hicks
– volume: 109
  start-page: 52
  year: 1999
  end-page: 53
  ident: bib10
  article-title: Stapes surgery in a residency training program
  publication-title: Laryngoscope Jan
  contributor:
    fullname: Byl
– volume: 91
  start-page: 239
  year: 1983
  ident: 10.1016/S1808-8694(15)30125-7_bib18
  article-title: Changing patterns of otosclerosis surgery in teaching institutions
  publication-title: Otolaryngol Head Neck Surg
  doi: 10.1177/019459988309100307
  contributor:
    fullname: Chandler
– volume: 51
  start-page: 199
  issue: 3
  year: 2000
  ident: 10.1016/S1808-8694(15)30125-7_bib22
  article-title: Cirurgia de la otosclerosis: resultados auditivos y complicaciones
  publication-title: Acta Otorrinolaring Esp
  contributor:
    fullname: Frías
– volume: 20
  start-page: 573
  issue: 5
  year: 1999
  ident: 10.1016/S1808-8694(15)30125-7_bib20
  article-title: Comparison of stapes protheses: A retrospective analysis of individual audiometric results obtained after stapedotomy by implantation of a gold and a teflon piston
  publication-title: Am J Otol
  contributor:
    fullname: De Bruijn
– volume: 97
  start-page: 109
  year: 1988
  ident: 10.1016/S1808-8694(15)30125-7_bib17
  article-title: Stapedectomy trends for the residents
  publication-title: Ann Otol
  contributor:
    fullname: Coker
– volume: 109
  start-page: 52
  issue: 1
  year: 1999
  ident: 10.1016/S1808-8694(15)30125-7_bib10
  article-title: Stapes surgery in a residency training program
  publication-title: Laryngoscope Jan
  doi: 10.1097/00005537-199901000-00011
  contributor:
    fullname: Mathews
– volume: 11
  start-page: 128
  issue: 2
  year: 1990
  ident: 10.1016/S1808-8694(15)30125-7_bib6
  article-title: Stapedectomy in residency - the UAB experience
  publication-title: Am J Otol
  contributor:
    fullname: Handley
– volume: 124
  start-page: 76
  issue: 1
  year: 2001
  ident: 10.1016/S1808-8694(15)30125-7_bib14
  article-title: The effects of using different audiologic parameters and criteria on success rates
  publication-title: Otolaryngol Head Neck Surg
  doi: 10.1067/mhn.2001.111601
  contributor:
    fullname: De Bruijn
– volume: 113
  start-page: 798
  year: 1995
  ident: 10.1016/S1808-8694(15)30125-7_bib12
  article-title: Commite of Hearing and Equilibrium guidelines for evaluation of results of treatment of conductive hearing loss
  publication-title: Otolaryngol Head Neck Surg
  contributor:
    fullname: Monsell
– volume: 12
  start-page: 367
  year: 1990
  ident: 10.1016/S1808-8694(15)30125-7_bib19
  article-title: How much practice makes perfect? A quantitative measure of the experience needed to achieve procedural competence
  publication-title: Med teach
  doi: 10.3109/01421599009006645
  contributor:
    fullname: Manu
– volume: 103
  start-page: 259
  year: 1989
  ident: 10.1016/S1808-8694(15)30125-7_bib3
  article-title: Occasional stapes surgery - a Norwegian experience
  publication-title: J Laryngol Otol
  doi: 10.1017/S0022215100108655
  contributor:
    fullname: Mair
– volume: 9
  start-page: 299
  issue: 4
  year: 1988
  ident: 10.1016/S1808-8694(15)30125-7_bib4
  article-title: Incidence of otosclerosis
  publication-title: Ann J Otol
  contributor:
    fullname: Levin
– year: 2002
  ident: 10.1016/S1808-8694(15)30125-7_bib1
  contributor:
    fullname: Campos
– year: 1994
  ident: 10.1016/S1808-8694(15)30125-7_bib2
  contributor:
    fullname: Costa
– volume: 23
  start-page: 379
  issue: 4
  year: 1998
  ident: 10.1016/S1808-8694(15)30125-7_bib11
  article-title: Ten-year report on stapes surgery at the Academic Hospital Leiden, 1987-1996
  publication-title: Clin Otolaryngol Aug
  doi: 10.1046/j.1365-2273.1998.0165q.x
  contributor:
    fullname: Warmerdam
– volume: 94
  start-page: 768
  year: 1984
  ident: 10.1016/S1808-8694(15)30125-7_bib9
  article-title: Stapedectomy in residency training
  publication-title: Laryngoscope
  doi: 10.1288/00005537-198406000-00007
  contributor:
    fullname: Engel
– volume: 95
  start-page: 477
  year: 1986
  ident: 10.1016/S1808-8694(15)30125-7_bib16
  article-title: Stapedectomy results in a residency training program
  publication-title: Ann Otol
  contributor:
    fullname: Vernick
– volume: 101
  start-page: 1280
  year: 1991
  ident: 10.1016/S1808-8694(15)30125-7_bib7
  article-title: The learning curve in stapes surgery
  publication-title: Laryngoscope
  doi: 10.1002/lary.5541011205
  contributor:
    fullname: Hughes
– volume: 123
  start-page: 177
  year: 1997
  ident: 10.1016/S1808-8694(15)30125-7_bib21
  article-title: Stapedectomy vs. Stapedotomy: do you really need a laser? Arch.
  publication-title: Otolaryngol Head Neck Surg
  doi: 10.1001/archotol.1997.01900020059008
  contributor:
    fullname: Sedwick
– volume: 6
  start-page: 388
  issue: 5
  year: 1985
  ident: 10.1016/S1808-8694(15)30125-7_bib8
  article-title: Success of stapedectomy performed by residents
  publication-title: Am J Otolaryngol Sep
  doi: 10.1016/S0196-0709(85)80017-X
  contributor:
    fullname: Shapira
– volume: 14
  start-page: 451
  issue: 5
  year: 1993
  ident: 10.1016/S1808-8694(15)30125-7_bib5
  article-title: Prospective study of resident-performed stapedectomy
  publication-title: Am J Otol
  contributor:
    fullname: Backous
– volume: 17
  start-page: 210
  issue: 2
  year: 1996
  ident: 10.1016/S1808-8694(15)30125-7_bib15
  article-title: Stapedectomy in residency training
  publication-title: Am J Otolaryngol
  contributor:
    fullname: Burns
– volume: 124
  start-page: 84
  issue: 1
  year: 2001
  ident: 10.1016/S1808-8694(15)30125-7_bib13
  article-title: Efficacy of evaluation of audiometric results after stapes surgery in otosclerosis II. A method for reporting results from individual cases
  publication-title: Otolaryngol Head Neck Surg
  doi: 10.1067/mhn.2001.111600
  contributor:
    fullname: De Bruijn
SSID ssj0067075
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Snippet Surgery of the stapedius remains the established treatment for otosclerosis. Recent publications have showed that success in surgeries done by residents have...
UNLABELLEDSurgery of the stapedius remains the established treatment for otosclerosis. Recent publications have showed that success in surgeries done by...
SourceID pubmedcentral
proquest
crossref
pubmed
elsevier
SourceType Open Access Repository
Aggregation Database
Index Database
Publisher
StartPage 647
SubjectTerms Adolescent
Adult
Aged
Audiometry, Pure-Tone
Auditory Threshold
Clinical Competence - statistics & numerical data
Female
Follow-Up Studies
hearing loss
Humans
Internship and Residency
Male
Middle Aged
Original
Ossicular Prosthesis
otosclerosis
Otosclerosis - surgery
Retrospective Studies
stapes surgery
Stapes Surgery - education
Treatment Outcome
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Title Stapes surgery in residency - the ufpr clinical hospital experience
URI https://dx.doi.org/10.1016/S1808-8694(15)30125-7
https://www.ncbi.nlm.nih.gov/pubmed/18094806
https://search.proquest.com/docview/69080490
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Volume 73
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