Willis R
Cabrini Medical Centre, Melbourne, Victoria, Australia.
Ann Acad Med Singap. 1991 Sep;20(5):680-5.
Surgical technics for bypassing ankylosis of the stapes in the management of otosclerosis gradually evolved; modifications were prompted by problems which were revealed by the ongoing audits carried out by earlier surgeons. Auditing of performance must remain an integral part of any otologist's work. The natural history of otosclerosis should be taken into account so that a patient may be fully informed of treatment alternatives available. Stapedectomy will remain a most effective operation which can be recommended with confidence, provided the surgeon has acquired the skill to perform it properly. It is now accepted that many ear, nose and throat surgeons are neither physically nor temperamentally capable of this task and should not perform stapedectomy.
在耳硬化症治疗中，绕过镫骨强直的手术技术逐渐发展；早期外科医生进行的持续审计所揭示的问题促使了这些改进。对手术效果的审计必须始终是任何耳科医生工作的一个组成部分。应考虑耳硬化症的自然病程，以便让患者充分了解可用的治疗选择。只要外科医生掌握了正确实施镫骨切除术的技能，那么镫骨切除术仍将是一项最有效的手术，可放心推荐。现在人们公认，许多耳鼻喉科医生在身体上或性格上都不具备完成这项任务的能力，不应进行镫骨切除术。
