Implementation and results of a surgical training programme for chronic suppurative otitis media in Cambodia

The Journal of Laryngology and Otology
A K K SmithM F Bhutta

Abstract

Chronic suppurative otitis media is a massive public health problem in numerous low- and middle-income countries. Unfortunately, few low- and middle-income countries can offer surgical therapy. A six-month long programme in Cambodia focused on training local surgeons in type I tympanoplasty was instigated. Qualitative educational and quantitative surgical outcomes were evaluated in the 12 months following programme completion. A four-month long training programme in mastoidectomy and homograft ossiculoplasty was subsequently implemented, and the preliminary surgical and educational outcomes were reported. A total of 124 patients underwent tympanoplasty by the locally trained surgeons. Tympanic membrane closure at six weeks post-operation was 88.5 per cent. Pure tone audiometry at three months showed that 80.9 per cent of patients had improved hearing, with a mean gain of 17.1 dB. The trained surgeons reported high confidence in performing tympanoplasty. Early outcomes suggest the local surgeons can perform mastoidectomy and ossiculoplasty as safely as overseas-trained surgeons, with reported surgeon confidence reflecting these positive outcomes. The training programme has demonstrated success, as measured by surgeon confidence ...Continue Reading

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Citations

Feb 13, 2019·The Journal of Laryngology and Otology·Mahmood BhuttaMatthew Clark
Oct 28, 2019·Bulletin of the World Health Organization·Mahmood F BhuttaKelvin Kong
Feb 23, 2021·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Patrick BowersMahmood F Bhutta

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