Abstract
SummarySurgery 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.
Highlights
Otosclerosis, called otospongiosis, is a hereditary disease, more frequently found among women, in the rate of 2:1, in the age range between 20 and 40 years of age, and in Caucasians
This paper aims at assessing the experience of the otorhinolaryngology service in performing stapes surgery in the training program for resident physicians, defining the epidemiological profile of patients, the type of anesthesia, the technique employed, the type of prosthesis used, postoperative complications and audiologic results regarding the procedures performed by the residents
Of the 27 resident physicians belonging to the service, 23 participated in the stapes surgeries held during the time of the study, always under direct supervision of at least one preceptor
Summary
Otosclerosis, called otospongiosis, is a hereditary disease, more frequently found among women, in the rate of 2:1, in the age range between 20 and 40 years of age, and in Caucasians. It is very rare in African-descendants and very little frequent in the Asian population[1,2]. Stapes surgery has become an established treatment for conductive hearing loss secondary to otosclerosis. It is a delicate microsurgery, relatively simple when performed by experienced and trained surgeons. The procedure is usually very successful, bringing about an improvement in hearing
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