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Barotrauma After Stapes SurgeryA Survey of Recommended Restrictions and Clinical Experiences

 

作者: Willard Harrill,   Herman Jenkins,   Newton Coker,  

 

期刊: The American Journal of Otology  (OVID Available online 1996)
卷期: Volume 17, issue 6  

页码: 835-846

 

ISSN:0192-9763

 

年代: 1996

 

出版商: OVID

 

关键词: Barotrauma;Stapes surgery

 

数据来源: OVID

 

摘要:

ObjectiveTo identify a consensus on the postoperative barore-strictions after stapes surgery and to examine the clinical barotrauma experience within this patient population encountered by the surveyed physicians.Data SourceA 34-item survey was developed, allowing for detailed analysis of physician demographic data, practice characteristics, surgical experience, and clinical experience with barotrauma after stapes surgery. The postoperative restrictions addressed by the survey included those for air travel, snorkeling, and scuba diving. Recommendations for the use of ventilation tubes and hyperbaric oxygen therapy were investigated as well.Study SelectionSurveys were mailed to 419 active members of the American Otological Society and the American Neurotology Society as listed in the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) 1994–1995 Conjoint Directory. A total of 284 (67.8%) surveys were returned, of which 53 were not sufficiently completed and were excluded in the statistical analysis.Data ExtractionThe demographic data and clinical experience were analyzed to determine statistical association with the postoperative recommendations using χ2or Fisher's exact tests. The kappa statistic was used as a measure of consistency between physicians' recommended restriction for a specific activity after a stapedectomy or stapedotomy.ConclusionNo consensus was demonstrated as to restrictions from activities such as air travel, snorkeling, or scuba diving. Despite this lack of consensus, no significant difference was demonstrated in the prevalence of barotrauma reported within the responding physicians' practices based on their individual recommendations for these activities.

 

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