Our Summary

This study looked at how having a trainee surgeon involved in certain types of ear surgery (tympanoplasty and tympano-ossiculoplasty) affected the outcome. The researchers observed all patients who had these types of surgeries at one medical center over three years. They divided the patients based on who the main surgeon was: an experienced surgeon (consultant), a slightly less experienced surgeon (fellow), or a trainee surgeon (resident).

They looked at how long the surgery took, any complications during surgery, how long the patient stayed in the hospital, and how much the patient’s hearing improved. They found that when trainee surgeons were involved, the surgeries took longer. However, this did not lead to more complications, longer hospital stays, or less improvement in hearing.

In other words, trainee surgeons were able to perform these surgeries safely, even if they took a bit longer. This is important because it shows that trainee surgeons can gain experience in these procedures without negatively affecting patient outcomes.

FAQs

  1. Does the involvement of trainees in tympanoplasty or tympano-ossiculoplasty surgeries impact the outcome?
  2. Does the surgical time change depending on the level of surgeon’s experience in tympanoplasty and tympano-ossiculoplasty surgeries?
  3. Is it safe for residents to participate in tympanoplasty and tympano-ossiculoplasty surgeries?

Doctor’s Tip

A helpful tip a doctor might tell a patient about tympanoplasty is to expect that the surgery may take longer if performed by a junior trainee, such as a resident. However, this should not negatively impact the overall outcome of the surgery or the patient’s hearing improvement. It is important for patients to trust in the expertise and training of the medical team performing the procedure.

Suitable For

Patients who are typically recommended for tympanoplasty are those who have chronic ear infections, perforations of the eardrum, hearing loss, or issues with the middle ear bones (ossicles). Tympanoplasty may also be recommended for patients who have experienced trauma to the ear or who have congenital abnormalities affecting the ear.

Timeline

Before tympanoplasty:

  • Patient will typically have a history of chronic ear infections, hearing loss, or perforated eardrum
  • Patient will undergo a thorough physical examination and hearing tests to determine the extent of the problem
  • ENT specialist will discuss the procedure, potential risks, and expected outcomes with the patient
  • Patient will undergo pre-operative testing and medical evaluation to ensure they are a suitable candidate for surgery

After tympanoplasty:

  • Patient will have a follow-up appointment with the surgeon to check on healing and remove any packing or stitches
  • Patient will be instructed on post-operative care, including keeping the ear dry and avoiding activities that could damage the eardrum
  • Patient may experience temporary hearing loss or discomfort as the ear heals
  • Patient will have regular follow-up appointments to monitor healing and assess hearing improvement
  • Patient will gradually return to normal activities as directed by the surgeon, with full recovery expected within a few weeks to months.

What to Ask Your Doctor

  1. What is tympanoplasty and why do I need it?
  2. What are the risks and potential complications associated with tympanoplasty?
  3. How experienced is the surgeon who will be performing my tympanoplasty?
  4. How long will the surgery take and what is the expected recovery time?
  5. What type of anesthesia will be used during the procedure?
  6. Will I need to stay in the hospital overnight after the surgery?
  7. What can I expect in terms of post-operative pain and discomfort?
  8. How soon after the surgery will I be able to resume normal activities?
  9. What are the chances of the surgery being successful in improving my hearing?
  10. Are there any alternative treatment options to consider before proceeding with tympanoplasty?

Reference

Authors: Alzhrani F, Aldueb R, Alosaimi K, Islam T, Almuhawas F, Alsanosi A. Journal: J Laryngol Otol. 2020 Mar;134(3):213-218. doi: 10.1017/S0022215120000584. PMID: 32172694