Management of otosclerosis in the UK.
The last 30 years has seen a gradual change in the management of otosclerosis. The aim of this study is to evaluate the current practice among British otolaryngology consultants using a questionnaire, and to compare it with the practice reported in a survey 8 years ago. A total of 353 valid responses (64.5%) were available for analysis. The overall trend is towards centralization, with a reduction in the number of surgeons undertaking stapes surgery (49.9%). The majority of consultants (81.3%) who undertake stapes surgery would operate for a unilateral conductive loss and 75.1% would undertake bilateral stapes surgery. Stapedotomy is the operation of choice (82%), with a few consultants performing partial or rarely total stapedectomies. Postoperative restrictions and follow-up times vary widely amongst surgeons, with the senior surgeons tending to be more conservative than the younger consultants.
Raut
V V
VV
Department of Otolaryngology, Belfast City Hospital, Queens University, Belfast, UK. rautvivek@hotmail.com
Toner
J G
JG
Kerr
A G
AG
Stevenson
M
M
D003253:Consultants; D006801:Humans; D010036:Otolaryngology; D010040:Otosclerosis / Q000601:surgery*; D010818:Practice Patterns, Physicians'; D011795:Surveys and Questionnaires; D006113:United Kingdom