RESUMEN
OBJECTIVE: This study aimed to examine the impact of trainee involvement in performing tympanoplasty or tympano-ossiculoplasty on outcomes. METHODS: A retrospective analysis was performed of a prospective database of all patients undergoing tympanoplasty and tympano-ossiculoplasty in a single centre during a three-year period. Patients were divided into three primary surgeon groups: consultants, fellows and residents. The outcomes of operative time, surgical complications, length of hospital stay, and air-bone gap improvement were compared among the groups. RESULTS: The study included 398 tympanoplasty and tympano-ossiculoplasty surgical procedures, 71 per cent of which were performed by junior trainees (residents). The junior trainee group was associated with a significantly longer surgical time, without adverse impact on outcomes. CONCLUSION: Trainee participation in tympanoplasty and tympano-ossiculoplasty surgery was associated with longer surgical time, but did not negatively affect the peri-operative course or hearing outcome. Therefore, resident involvement in these types of surgery is safe.
Asunto(s)
Cuerpo Médico de Hospitales/estadística & datos numéricos , Reemplazo Osicular/estadística & datos numéricos , Otolaringología/educación , Cirujanos/estadística & datos numéricos , Timpanoplastia/estadística & datos numéricos , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Tempo Operativo , Reemplazo Osicular/educación , Estudios Retrospectivos , Resultado del Tratamiento , Timpanoplastia/educaciónRESUMEN
OBJECTIVE: To report a rare case of simultaneous bilateral cochlear implantation in a five-month-old child with Usher syndrome. METHOD: Case report. RESULTS: A five-month-old boy with Usher syndrome and congenital profound bilateral deafness underwent simultaneous bilateral cochlear implantation. The decision to perform implantation in such a young child was based on his having a supportive family and the desire to foster his audiological development before his vision deteriorated. The subject experienced easily resolvable intra- and post-operative adverse events, and was first fitted with an externally worn audio processor four weeks after implantation. At 14 months of age, his audiological development was age-appropriate. CONCLUSION: Simultaneous bilateral cochlear implantation is possible, and even advisable, in children as young as five months old when performed by an experienced implantation team.
Asunto(s)
Implantación Coclear/métodos , Sordera/rehabilitación , Síndromes de Usher/rehabilitación , Umbral Auditivo , Sordera/diagnóstico , Estudios de Seguimiento , Humanos , Lactante , Masculino , Diseño de Prótesis , Prueba del Umbral de Recepción del Habla , Síndromes de Usher/diagnósticoRESUMEN
OBJECTIVE: We report deafness occurring as an extremely rare complication of influenza A caused by the H1N1 virus ('swine flu'), in two children. METHODS: Case reports and review of the literature concerning influenza A (H1N1) and acquired viral infection causing deafness. RESULTS: Two children with normal hearing developed bilateral deafness following influenza A (H1N1). The diagnosis was confirmed using polymerase chain reaction. Both patients were treated with oseltamivir. CONCLUSION: Following a review of the literature, these two patients appear to be the first reported cases of bilateral deafness following influenza A (H1N1).