Phillips J S, Yung M W, Nunney I
Department of Otolaryngology,Norfolk and Norwich University Hospital,Norwich,UK.
Department of Otolaryngology,Ipswich Hospital,University of East Anglia,UK.
J Laryngol Otol. 2015 Sep;129(9):860-4. doi: 10.1017/S002221511500198X.
To determine the outcome of myringoplasty as undertaken by ENT surgeons in the UK, and to assess the current systems available for providing national outcome data.
A prospective national multicentre audit was conducted involving multiple hospitals throughout the UK. Participants consisted of ENT surgeons practising in the UK.
Data were prospectively collected over a three-year period between 1 March 2006 and 1 March 2009 using the web-based Common Otology Database. In total, 33 surgeons provided valid and complete data for 495 procedures. The overall closure rate for myringoplasty was 89.5 per cent. The average hearing gain for successful primary myringoplasties was 9.14 dB (standard deviation = 10.62). The Common Otology Database provided an effective platform for capturing outcome data.
Myringoplasty is a safe and effective procedure in the UK. With the introduction of revalidation by the General Medical Council, participation in national audits will be mandatory in the future. This study demonstrates that a web-based audit tool would be suitable for performing such audits.
确定英国耳鼻喉科外科医生进行鼓膜成形术的结果，并评估目前可用于提供全国性结果数据的系统。
在英国各地的多家医院开展了一项前瞻性全国多中心审计。参与者包括在英国执业的耳鼻喉科外科医生。
在2006年3月1日至2009年3月1日的三年期间，使用基于网络的普通耳科学数据库前瞻性收集数据。共有33名外科医生为495例手术提供了有效且完整的数据。鼓膜成形术的总体闭合率为89.5%。成功的初次鼓膜成形术平均听力增益为9.14分贝（标准差=10.62）。普通耳科学数据库为收集结果数据提供了一个有效的平台.
在英国，鼓膜成形术是一种安全有效的手术。随着英国医学总会引入再认证，未来参与全国性审计将成为强制性要求。本研究表明，基于网络的审计工具适合进行此类审计。
