Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-27T22:58:49.404Z Has data issue: false hasContentIssue false

A confidential comparative audit of stapedectomies: results of the Royal College of Surgeons of England Comparative Audit of ENT Surgery 1994

Published online by Cambridge University Press:  29 June 2007

P. Harkness*
Affiliation:
Members of the ENT Audit Committee, Royal College of Surgeons of England
P. Brown
Affiliation:
Members of the ENT Audit Committee, Royal College of Surgeons of England
S. Fowler
Affiliation:
The Comparative Audit Service. Royal College of Surgeons of England.
H. Grant
Affiliation:
Members of the ENT Audit Committee, Royal College of Surgeons of England
J. Topham*
Affiliation:
Chairman of the ENT Audit Committee, Royal College of Surgeons of England
*
Address for correspondence: Mr P. A. Harkness, F.R.C.S. and Mr J. H. Topham, F.R.C.S., Comparative Audit Services, Royal College of Surgeons of England, 35/43 Lincoln's Inn Fields, London WC2A 3PN.
Address for correspondence: Mr P. A. Harkness, F.R.C.S. and Mr J. H. Topham, F.R.C.S., Comparative Audit Services, Royal College of Surgeons of England, 35/43 Lincoln's Inn Fields, London WC2A 3PN.

Abstract

This paper presents the results of a national confidential comparative audit of stapedectomy: 185 operations by 28 consultants over a two-year period were retrospectively analysed. This included 10 revision procedures. Small fenestra stapedectomies accounted for 63 per cent of the total. Thirty-nine per cent of consultants operated on the second ear. Of the 168 stapedectomies in which the hearing change was known at six months, 87 per cent achieved improved hearing, eight per cent had no change and five per cent were worse. The overall complication rate was 30 per cent with a ‘dead ear’ rate of two per cent.

Type
Audit Articles
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kaplan, J., Shambaugh, G. E. Jr., (1961) Status of stapes surgery. Archives of Otology 74: 522.CrossRefGoogle ScholarPubMed
Leighton, S. E. J., Robson, A. K., Freeland, A. P. (1991) Audit of stapedectomy results in a teaching hospital. Clinical Otolaryngology 16: 488.CrossRefGoogle ScholarPubMed
Morrison, A. W. (1962) Otosclerosis British Medical Journal 1: 1804.CrossRefGoogle Scholar
Morrison, A. W. (1987) Scott-Brown's Diseases of the Ear, Nose and Throat, 4th Edition, (Ballantyne, J., Groves, J., eds.), Butterworths London.Google Scholar
Shea, J. J. Jr., (1985) Stapedectomy techniques and results. American Journal of Otology 6: 61.Google ScholarPubMed
Smyth, G. D. L., Hassard, T. H. (1978) Eighteen years' experience in stapedectomy. The case for the small fenestra operation. Annals of Otology 87 (suppl. 49): 514.Google ScholarPubMed
Smyth, G. D. L., Hassard, T. H., El Kordy, A. F. A. (1980) Long-term hearing results after stapedectomy. Journal of Laryngology and Otology 94: 1097.CrossRefGoogle Scholar