Quantifying the effect of shoulder size on operation duration : an analysis of stapes surgery outcomes

OBJECTIVE: To investigate the effect of body mass index on hearing outcomes, operative time and complication rates following stapes surgery.

METHOD: This is a five-year retrospective review of 402 charts from a single tertiary otology referral centre from 2015 to 2020.

RESULTS: When the patient's shoulder was adjacent to the surgeon's dominant hand, the average operative time of 40 minutes increased to 70 minutes because of a significant positive association between higher body mass index and longer operative times (normal body mass index group (<25 kg/m2) r = 0.273, p = 0.032; overweight body mass index group (25-30 kg/m2) r = 0.265, p = 0.019). Operative times were not significantly longer upon comparison of low and high body mass index groups without stratification by laterality (54.9 ± 19.6 minutes vs 57.8 ± 19.2 minutes, p = 0.127).

CONCLUSION: There is a clinically significant relationship between body mass index and operating times. This may be due to access limitations imposed by shoulder size.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:138

Enthalten in:

The Journal of laryngology and otology - 138(2024), 3 vom: 01. Feb., Seite 258-264

Sprache:

Englisch

Beteiligte Personen:

Lenkeit, Christopher P [VerfasserIn]
Fritz, Christian G [VerfasserIn]
Choi, Jonathan S [VerfasserIn]
Schutt, Christopher A [VerfasserIn]
Hong, Robert S [VerfasserIn]
Babu, Seilesh C [VerfasserIn]
Bojrab, Dennis I [VerfasserIn]

Links:

Volltext

Themen:

Body mass index
Journal Article
Operative time
Otologic surgical procedures
Otosclerosis
Stapes surgery

Anmerkungen:

Date Completed 19.02.2024

Date Revised 19.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1017/S0022215123000890

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM357059735