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

Published online by Cambridge University Press:  19 May 2023

Christopher P Lenkeit ,
Christian G Fritz Open the ORCID record for Christian G Fritz [Opens in a new window] ,
Jonathan S Choi ,
Christopher A Schutt ,
Robert S Hong ,
Seilesh C Babu  and
Dennis I Bojrab 2nd
Christopher P Lenkeit
Affiliation:
Michigan Ear Institute, Farmington Hills, Michigan, USA Department of Otolaryngology – Head and Neck Surgery, McLaren Oakland, Pontiac, Michigan, USA
Christian G Fritz*
Affiliation:
Michigan Ear Institute, Farmington Hills, Michigan, USA Department of Otorhinolaryngology – Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Jonathan S Choi
Affiliation:
Michigan Ear Institute, Farmington Hills, Michigan, USA
Christopher A Schutt
Affiliation:
Michigan Ear Institute, Farmington Hills, Michigan, USA Neurotology Division, St John Providence Health System, Novi, Michigan, USA Department of Surgery, Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA
Robert S Hong
Affiliation:
Michigan Ear Institute, Farmington Hills, Michigan, USA Neurotology Division, St John Providence Health System, Novi, Michigan, USA Department of Surgery, Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA Department of Otolaryngology – Head and Neck Surgery, Wayne State University, Detroit, Michigan, USA
Seilesh C Babu
Affiliation:
Michigan Ear Institute, Farmington Hills, Michigan, USA Neurotology Division, St John Providence Health System, Novi, Michigan, USA Department of Surgery, Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA Department of Otolaryngology – Head and Neck Surgery, Wayne State University, Detroit, Michigan, USA
Dennis I Bojrab 2nd
Affiliation:
Michigan Ear Institute, Farmington Hills, Michigan, USA
*
Corresponding author: Christian G Fritz; Email: Christian.Fritz@pennmedicine.upenn.edu
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Abstract

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.

Keywords

Otologic surgical proceduresbody mass indexoperative timeotosclerosisstapes surgery
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 3 , March 2024 , pp. 258 - 264
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Christian G Fritz takes responsibility for the integrity of the content of the paper

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