Preferences in stapes surgery among American otological society otologists

Objective: Stapes surgery is technically challenging, yet its methodology is not standardized. We aim to elucidate preferences in stapes surgery among American Otological Society (AOS) otologists and determine if any common practice patterns exist. Study design: Cross-sectional study via emailed que...

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Autores principales:	Yuan F. Liu, Avigeet Gupta, Shaun A. Nguyen, Paul R. Lambert, Timothy T. Jung
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2020
Materias:	Footplate Resident training Surgical training Laser Stapes surgery Stapedotomy Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/66019b29bd964ffc9a2979194a3a45b2
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spelling	oai:doaj.org-article:66019b29bd964ffc9a2979194a3a45b22021-12-02T13:39:09ZPreferences in stapes surgery among American otological society otologists2095-881110.1016/j.wjorl.2019.12.001https://doaj.org/article/66019b29bd964ffc9a2979194a3a45b22020-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881120300123https://doaj.org/toc/2095-8811Objective: Stapes surgery is technically challenging, yet its methodology is not standardized. We aim to elucidate preferences in stapes surgery among American Otological Society (AOS) otologists and determine if any common practice patterns exist. Study design: Cross-sectional study via emailed questionnaire. Setting: Surgery centers. Subjects and methods: Members of the AOS were an emailed a survey to quantify variables including surgical volume, anesthetic preference, laser use, type of procedure, footplate sealing technique, antibiotic use, and trainee participation. Results: Most otologists (71%) performed 2 to 5 stapes surgeries per month under general anesthesia (69%) with stapedotomy (71%) as the preferred procedure. Most (56%) used the rosette method of laser stapedotomy with manual pick debris removal for footplate fenestration. Either the handheld potassium titanyl phosphate (KTP) laser (40%) or handheld carbon dioxide (CO2) laser (33%) was used. The heat-activated memory hook (51%) was the preferred prosthesis. Footplate sealing method was variable, as was antibiotic use among respondents. Trainee participation was limited, as 42% of otologists allowed residents to place the prosthesis, and fewer allowed residents to crimp the prosthesis, and laser or drill the footplate. Surgeons with higher surgical volume (≥ 6 surgeries per month) demonstrated the following statistically significant correlations: footplate fenestration with laser in a rosette pattern and pick for debris removal (rs = −0.365, P = 0.014) and trainee participation with fellows only (rs = 0.341, P = 0.022). Conclusions: Trends in various surgical decisions showed a lack of consensus in all aspects of stapes surgery.Yuan F. LiuAvigeet GuptaShaun A. NguyenPaul R. LambertTimothy T. JungKeAi Communications Co., Ltd.articleFootplateResident trainingSurgical trainingLaserStapes surgeryStapedotomyOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 6, Iss 1, Pp 59-65 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Footplate Resident training Surgical training Laser Stapes surgery Stapedotomy Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Footplate Resident training Surgical training Laser Stapes surgery Stapedotomy Otorhinolaryngology RF1-547 Surgery RD1-811 Yuan F. Liu Avigeet Gupta Shaun A. Nguyen Paul R. Lambert Timothy T. Jung Preferences in stapes surgery among American otological society otologists
description	Objective: Stapes surgery is technically challenging, yet its methodology is not standardized. We aim to elucidate preferences in stapes surgery among American Otological Society (AOS) otologists and determine if any common practice patterns exist. Study design: Cross-sectional study via emailed questionnaire. Setting: Surgery centers. Subjects and methods: Members of the AOS were an emailed a survey to quantify variables including surgical volume, anesthetic preference, laser use, type of procedure, footplate sealing technique, antibiotic use, and trainee participation. Results: Most otologists (71%) performed 2 to 5 stapes surgeries per month under general anesthesia (69%) with stapedotomy (71%) as the preferred procedure. Most (56%) used the rosette method of laser stapedotomy with manual pick debris removal for footplate fenestration. Either the handheld potassium titanyl phosphate (KTP) laser (40%) or handheld carbon dioxide (CO2) laser (33%) was used. The heat-activated memory hook (51%) was the preferred prosthesis. Footplate sealing method was variable, as was antibiotic use among respondents. Trainee participation was limited, as 42% of otologists allowed residents to place the prosthesis, and fewer allowed residents to crimp the prosthesis, and laser or drill the footplate. Surgeons with higher surgical volume (≥ 6 surgeries per month) demonstrated the following statistically significant correlations: footplate fenestration with laser in a rosette pattern and pick for debris removal (rs = −0.365, P = 0.014) and trainee participation with fellows only (rs = 0.341, P = 0.022). Conclusions: Trends in various surgical decisions showed a lack of consensus in all aspects of stapes surgery.
format	article
author	Yuan F. Liu Avigeet Gupta Shaun A. Nguyen Paul R. Lambert Timothy T. Jung
author_facet	Yuan F. Liu Avigeet Gupta Shaun A. Nguyen Paul R. Lambert Timothy T. Jung
author_sort	Yuan F. Liu
title	Preferences in stapes surgery among American otological society otologists
title_short	Preferences in stapes surgery among American otological society otologists
title_full	Preferences in stapes surgery among American otological society otologists
title_fullStr	Preferences in stapes surgery among American otological society otologists
title_full_unstemmed	Preferences in stapes surgery among American otological society otologists
title_sort	preferences in stapes surgery among american otological society otologists
publisher	KeAi Communications Co., Ltd.
publishDate	2020
url	https://doaj.org/article/66019b29bd964ffc9a2979194a3a45b2
work_keys_str_mv	AT yuanfliu preferencesinstapessurgeryamongamericanotologicalsocietyotologists AT avigeetgupta preferencesinstapessurgeryamongamericanotologicalsocietyotologists AT shaunanguyen preferencesinstapessurgeryamongamericanotologicalsocietyotologists AT paulrlambert preferencesinstapessurgeryamongamericanotologicalsocietyotologists AT timothytjung preferencesinstapessurgeryamongamericanotologicalsocietyotologists
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Preferences in stapes surgery among American otological society otologists

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