Objectives: Determine parameters for successful stapedectomy and whether th
is procedure can be performed safely by residents in a teaching hospital. S
tudy Design: Retrospective analysis of techniques and results for 71 staped
ectomy procedures. Materials and Methods: Charts mere reviewed for techniqu
e, audiological test results, complications, operative time, and anesthetic
used. Results: Overall, closure of the air-bone gap at 10 dB was achieved
in 87% of patients. Use of general anesthesia and a laser-assisted, small-f
enestra technique allowed residents to complete more operations, No severe
sensorineural hearing loss was noted, Conclusions: Residents can safely and
successfully perform stapes surgery using a laser-assisted, small-fenestra
technique.