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Trainee–trainer outcomes in mastoid surgery: a comparative study

Published online by Cambridge University Press:  27 October 2021

MF Flynn ,
A Sheldon  and
M Bannister
MF Flynn*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Victoria Hospital, Kirkcaldy, Scotland, UK
A Sheldon
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Victoria Hospital, Kirkcaldy, Scotland, UK
M Bannister
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Victoria Hospital, Kirkcaldy, Scotland, UK
*
Author for correspondence: Mr Matthew Francis Flynn, 513 Shields Road, Pollokshields, Glasgow G41 2RF, Scotland, UK E-mail: [email protected]
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Abstract

Background

Mastoid exploration remains an advanced, mainstay operation within ENT, in which the surgical trainees’ role has been debated. This audit compares mastoid exploration outcomes between trainees and consultants.

Methods

Cortical mastoidectomy, atticotomy, atticoantrostomy, modified radical mastoidectomy, combined-approach tympanoplasty and revision mastoidectomy operations performed between 2009 and 2020 were reviewed. Complications assessed were: facial palsy, labyrinth injury, dead ear, disease recurrence and time to recurrence. The chi-square test was used to determine significant associations.

Results

A total of 118 operations were surveyed. Thirty-five per cent of procedures (n = 41) were performed by trainees under supervision, and 65 per cent (n = 77) were carried out solely by consultants. Patients from 5 per cent of trainees’ operations (n = 2) developed recurrence, compared with 7.8 per cent of consultants’ (n = 6) (p = 0.55). No other complications developed in either group.

Conclusion

The results corroborate those of other studies, indicating no significant increase in complication rate from consultants to trainees. Trainees likely completed less complicated cases. The stepwise incorporation of trainees did not compromise patient safety.

Keywords

MastoidectomyOtolaryngologyEar
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 4 , April 2022 , pp. 293 - 296
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Mr MF Flynn takes responsibility for the integrity of the content of the paper

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