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Safety of tympanoplasty and ossiculoplasty performed by otorhinolaryngology trainees

Published online by Cambridge University Press:  16 March 2020

F Alzhrani ,
R Aldueb ,
K Alosaimi ,
T Islam ,
F Almuhawas  and
A Alsanosi
F Alzhrani*
Affiliation:
King Abdullah Ear Specialist Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia
R Aldueb
Affiliation:
Department of Surgery, Security Forces Hospital, Riyadh, Saudi Arabia
K Alosaimi
Affiliation:
Department of Surgery, King Saud Medical City, Riyadh, Saudi Arabia
T Islam
Affiliation:
College of Medicine and Research Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia
F Almuhawas
Affiliation:
King Abdullah Ear Specialist Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia
A Alsanosi
Affiliation:
King Abdullah Ear Specialist Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia
*
Author for correspondence: Dr Farid Alzhrani, King Abdullah Ear Specialist Center, College of Medicine, King Saud University, PO Box 245, Riyadh11411, Saudi Arabia E-mail: faalzhrani@ksu.edu.sa Fax: +966 11 477 5524
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Abstract

Objective

This study aimed to examine the impact of trainee involvement in performing tympanoplasty or tympano-ossiculoplasty on outcomes.

Methods

A retrospective analysis was performed of a prospective database of all patients undergoing tympanoplasty and tympano-ossiculoplasty in a single centre during a three-year period. Patients were divided into three primary surgeon groups: consultants, fellows and residents. The outcomes of operative time, surgical complications, length of hospital stay, and air–bone gap improvement were compared among the groups.

Results

The study included 398 tympanoplasty and tympano-ossiculoplasty surgical procedures, 71 per cent of which were performed by junior trainees (residents). The junior trainee group was associated with a significantly longer surgical time, without adverse impact on outcomes.

Conclusion

Trainee participation in tympanoplasty and tympano-ossiculoplasty surgery was associated with longer surgical time, but did not negatively affect the peri-operative course or hearing outcome. Therefore, resident involvement in these types of surgery is safe.

Keywords

ResidencySurgical TimeTympanoplastyOutcome Assessment
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 3 , March 2020 , pp. 213 - 218
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Dr F Alzhrani takes responsibility for the integrity of the content of the paper

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