Chandler J R, Rodriguez-Torro O E
Otolaryngol Head Neck Surg. 1983 Jun;91(3):239-45. doi: 10.1177/019459988309100307.
The rapidly dwindling number of patients with otosclerosis suitable for surgery has made a severe impact on this aspect of training and experience in our medical centers. Results secured in the past and expected in the future are now difficult to achieve. This trend has been analyzed with particular reference to the experience in the last 3 years at the University of Miami--Jackson Memorial Hospital--Veterans Administration Hospital Medical Center. The analysis of results and complications also compared patients operated on by residents vs. faculty. Hearing loss as a consequence of improperly performed stapes surgery or complications thereof can seldom be salvaged. Stapes surgery should be performed in medical centers and community hospitals only by designated "stapes surgeons."
适合手术的耳硬化症患者数量迅速减少，这对我们医疗中心在这方面的培训和经验产生了严重影响。过去取得的以及未来预期的结果如今都难以实现。已结合迈阿密大学——杰克逊纪念医院——退伍军人管理局医院医疗中心过去3年的经验对这一趋势进行了分析。对结果和并发症的分析还比较了住院医师和教员实施手术的患者情况。因镫骨手术操作不当或其并发症导致的听力损失很少能得到挽救。镫骨手术应仅由指定的“镫骨外科医生”在医疗中心和社区医院进行。
