Preferences in stapes surgery among American otological society otologists

作     者：Yuan F.Liu Avigeet Gupta Shaun A.Nguyen Paul R.Lambert Timothy T.Jung Liu Yuan F.;Gupta Avigeet;Nguyen Shaun A.;Lambert Paul R.;Jung Timothy T.

作者机构：Department of Otolaryngology-Head ond Neck SurgeryMedical University of South CarolinaCharlestonSCUSA Department of Otolaryngology-Head and Neck SurgeryLoma Linda University Medical CenterLomo LindaCAUSA 

出 版 物：《World Journal of Otorhinolaryngology-Head and Neck Surgery》 (世界耳鼻咽喉头颈外科杂志（英文）)

年 卷 期：2020年第6卷第1期

页      面：59-65页

学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学] 

主　　题：Footplate Resident training Surgical training Laser Stapes surgery Stapedotomy Surgical preference Otosclerosis Stapedectomy 

摘      要：Objective:Stapes surgery is technically challenging,yet its methodology is not *** aim to elucidate preferences in stapes surgery among American Otological Society(AOS)otologists and determine if any common practice patterns *** design:Cross-sectional study via emailed ***:Surgery *** 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 ***:Most otologists(71%)performed 2 to 5 stapes surgeries per month under general anesthesia(69%)with stapedotomy(71%)as the preferred ***(56%)used the rosette method of laser stapedotomy with manual pick debris removal for footplate *** the handheld potassium titanyl phosphate(KTP)laser(40%)or handheld carbon dioxide(CO2)laser(33%)was *** heat-activated memory hook(51%)was the preferred *** sealing method was variable,as was antibiotic use among *** 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 *** 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.