With the Incidence of Otosclerosis Declining, Should Stapedectomy Remain a Key-Indicator Case for Otolaryngology Residents?

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Douglas J TottenMatthew L Carlson

Abstract

Stapedectomy remains a joint key-indicator case with ossiculoplasty for otolaryngology residents in the United States. Yet, residents consistently report feeling inadequately prepared to perform stapes surgery following graduation. Applying recently described age- and sex-standardized incidence rates of surgically confirmed cases of otosclerosis to the US populace, upper and lower estimates of residents' case exposure to stapedectomy can be approximated. With this, uppermost projections estimate 6484 new cases of stapes surgery are performed annually nationwide. With approximately 1424 otolaryngology residents nationally, the average case exposure is 7.8 stapedectomies throughout their training, with upper and lower estimates of 17.1 and 4.2 cases, respectively. As such, proficiency in stapedectomy is no longer a realistic expectation for US graduating residents. This reality supports the removal of "stapedectomy" from the list of 14 key-indicator case requirements, leaving ossiculoplasty as its own key-indicator case, thereby reinforcing true competence in this fundamental procedure for the graduating otolaryngologist.

References

Mar 1, 1990·Archives of Otolaryngology--head & Neck Surgery·J P Harris, E Osborne
Jun 1, 1967·The Annals of Otology, Rhinology, and Laryngology·F AltmannJ P Macduff
Apr 11, 2008·The Laryngoscope·Michael J Ruckenstein, Jeffrey P Staab
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Nov 16, 2017·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Phillip MontagueBrian Kellermeyer
May 2, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·John P MarinelliMatthew L Carlson
Aug 28, 2019·Laryngoscope Investigative Otolaryngology·Daniel C O'BrienMichele M Carr
May 20, 2020·World Journal of Otorhinolaryngology - Head and Neck Surgery·Yuan F LiuTimothy T Jung
Sep 15, 2020·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·John P MarinelliMatthew L Carlson

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