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Task performance in stapedotomy: comparison between surgeons of different experience levels.

Publication ,  Journal Article
Rothbaum, DL; Roy, J; Hager, GD; Taylor, RH; Whitcomb, LL; Francis, HW; Niparko, JK
Published in: Otolaryngol Head Neck Surg
January 2003

OBJECTIVES: Two steps in stapedotomy are particularly challenging: (1) micropick fenestration of the stapes footplate (SF) and (2) crimping of the stapes prosthesis (SP) to the incus. We conducted trials to determine if experience correlates with differences in performance for these tasks. METHODS: In a surgical model of stapedotomy, performance was measured for 3 experienced and 3 novice surgeons. For fenestration, we measured ability to target the fenestration and force applied to the SF. For crimping, we measured crimp quality, movement of the SP during crimping, and force applied to the SF. RESULTS: Experienced surgeons demonstrated significantly better ability to target the fenestration and, during crimping, caused less SP movement and a significantly lower rate of SP dislodgment. CONCLUSIONS: Clear differences in task performance are measurable between more and less experienced surgeons during critical steps of stapedotomy. CLINICAL SIGNIFICANCE: The observed differences in task performance may contribute to an understanding of maneuvers that increase the risk of inadequate prosthesis placement and cochlear trauma-factors likely responsible for variable hearing results with strapedotomy.

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Published In

Otolaryngol Head Neck Surg

DOI

ISSN

0194-5998

Publication Date

January 2003

Volume

128

Issue

1

Start / End Page

71 / 77

Location

England

Related Subject Headings

  • Task Performance and Analysis
  • Statistics, Nonparametric
  • Stapes Surgery
  • Sensitivity and Specificity
  • Probability
  • Practice Patterns, Physicians'
  • Otorhinolaryngology
  • Otologic Surgical Procedures
  • Ossicular Prosthesis
  • Models, Anatomic
 

Citation

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Rothbaum, D. L., Roy, J., Hager, G. D., Taylor, R. H., Whitcomb, L. L., Francis, H. W., & Niparko, J. K. (2003). Task performance in stapedotomy: comparison between surgeons of different experience levels. Otolaryngol Head Neck Surg, 128(1), 71–77. https://doi.org/10.1067/mhn.2003.13
Rothbaum, Daniel L., Jaydeep Roy, Gregory D. Hager, Russell H. Taylor, Louis L. Whitcomb, Howard W. Francis, and John K. Niparko. “Task performance in stapedotomy: comparison between surgeons of different experience levels.Otolaryngol Head Neck Surg 128, no. 1 (January 2003): 71–77. https://doi.org/10.1067/mhn.2003.13.
Rothbaum DL, Roy J, Hager GD, Taylor RH, Whitcomb LL, Francis HW, et al. Task performance in stapedotomy: comparison between surgeons of different experience levels. Otolaryngol Head Neck Surg. 2003 Jan;128(1):71–7.
Rothbaum, Daniel L., et al. “Task performance in stapedotomy: comparison between surgeons of different experience levels.Otolaryngol Head Neck Surg, vol. 128, no. 1, Jan. 2003, pp. 71–77. Pubmed, doi:10.1067/mhn.2003.13.
Rothbaum DL, Roy J, Hager GD, Taylor RH, Whitcomb LL, Francis HW, Niparko JK. Task performance in stapedotomy: comparison between surgeons of different experience levels. Otolaryngol Head Neck Surg. 2003 Jan;128(1):71–77.
Journal cover image

Published In

Otolaryngol Head Neck Surg

DOI

ISSN

0194-5998

Publication Date

January 2003

Volume

128

Issue

1

Start / End Page

71 / 77

Location

England

Related Subject Headings

  • Task Performance and Analysis
  • Statistics, Nonparametric
  • Stapes Surgery
  • Sensitivity and Specificity
  • Probability
  • Practice Patterns, Physicians'
  • Otorhinolaryngology
  • Otologic Surgical Procedures
  • Ossicular Prosthesis
  • Models, Anatomic