Endoscopic transcanal myringoplasty:Is learning curve a myth?

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摘要 Objective:Toinvestigatethefeasibilityoftranscanalendoscopicmyringoplastyinthehandofyoungbeginnersurgeonswhohadjustcompletedtheresidencyprogramme.Methods:Inathreeyearperiod(August2012toAugust2015),44earsin42patientswereoperateduponbyabeginnersurgeonthroughthetranscanalendoscopicapproachinasubdistrictlevelhospitallocatedinthenorthwesternrangesoftheHimalayanregion.Results:Ofthe42patient,19weremaleand23female.Themeanagewas26.23years(range:15e47years).In40ears,completeperforationclosurewasachievedatsixmonths(successrate:90.9%).ThemeanairconductionPTApreoperativelywas40.84dBHLandimprovedto28.06dBHLpostoperatively(p<.001).ThemeanABgappreoperativelywas22.40dB,whichimprovedto9.1dBpostoperatively(p<.001).Conclusion:Endoscopictranscanalmyringoplastyissafeandreliableeveninyoungbeginners'hands.Surgeonscanconsiderendoscopicapproachearlyintheircareerswithoutthefearoflearningcurve.Thecostofendoscopicequipmentisaboutonetenthascomparedtoopenapproachunderaoperatingmicroscope,andanaddedadvantage.
机构地区 不详
出版日期 2018年03月13日(中国期刊网平台首次上网日期,不代表论文的发表时间)
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