Stapes surgery in a residency training program.

Abstract

Determine parameters for successful stapedectomy and whether this procedure can be performed safely by residents in a teaching hospital. Retrospective analysis of techniques and results for 71 stapedectomy procedures. Charts were reviewed for technique, audiological test results, complications, operative time, and anesthetic used. 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. Residents can safely and successfully perform stapes surgery using a laser-assisted, small-fenestra technique.