Safety of tympanoplasty and ossiculoplasty performed by otorhinolaryngology trainees. Issue 3 (March 2020)

• Record Type: Journal Article
• Authors: Alzhrani, F; Aldueb, R; Alosaimi, K; Islam, T; Almuhawas, F; Alsanosi, A
• Is Part Of: Journal of laryngology & otology. Volume 134:Issue 3(2020)
• Page Start: 213
• Page End: 218
• Publication Date: 2020-03
• Subjects: Residency, -- Surgical Time, -- Tympanoplasty, -- Outcome Assessment; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S0022215120000584
• Languages: English
• ISSNs: 0022-2151

Abstract

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.