Stapes surgery in residency: the UFPR clinical hospital experience.
نویسندگان
چکیده
UNLABELLED 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 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. 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 prosthesis (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.
منابع مشابه
Surgical Treatment of Otosclerosis: Eight years’ Experience at the Jordan University Hospital
Introduction: To report the experience of the Jordan University Hospital with respect to the surgical treatment of otosclerosis and to compare results and complications with published studies. Materials and Methods: The medical records of all patients who underwent stapes surgery for otosclerosis at the Jordan University Hospital during the period January 2003 to December 2010 were reviewed. ...
متن کاملWhat Predicts Outstanding Orthopedic Residents among the Program?
Purpose: An oversupply of qualified applicants leads to intense competition for the limited number of first year orthopedic residency positions. Therefore program directors can be more selective in choosing their future residents. However, it is unclear if there are resident characteristics that correspond with trainee performance. Methods: We asked 1. What resident characteristics are as...
متن کاملResults of stapes surgery for otosclerosis with two kinds of prosthesis in residency training.
UNLABELLED Stapes surgery is one of the approaches indicated to treat conductive hearing loss secondary to otosclerosis. The procedures requires skill and experience from the surgeon and is part of medical residency training. AIMS To assess which type of prosthesis (Teflon or metal/steel) presents the best results in surgeries performed by residents and the incidence of complications. MATER...
متن کاملComparison of the Effectiveness of teflon piston and titanium stapes prosthesis in hearing improvement
Background & objectives: The aim of this study was to compare the effectiveness of two stapes prostheses in hearing improvement of patients undergoing stapes surgery for otosclerosis. Materials & Methods: In this retrospective and descriptive study, the charts of 291 stapedectomies performed by one surgeon (first author) from 1997 to 2011 in Imam Khomeini and Apadana hospitals of Ahvaz were...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Brazilian journal of otorhinolaryngology
دوره 73 5 شماره
صفحات -
تاریخ انتشار 2007