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1 results

  • Safety of tympanoplasty and ossiculoplasty performed by otorhinolaryngology trainees

  • F Alzhrani, R Aldueb, K Alosaimi, T Islam, F Almuhawas, A Alsanosi
  • Journal:
    The Journal of Laryngology & Otology / Volume 134 / Issue 3 / March 2020
    Published online by Cambridge University Press:
    16 March 2020, pp. 213-218
    Print publication:
    March 2020
  • 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.