Endoscopic ear surgery in Australia

Andrew K. Ma*, Alexander Saxby, Jonathan Kong, Nirmal Patel, Nicholas Jufas

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)
17 Downloads (Pure)


Background: Endoscopic ear surgery (EES) is increasingly used in otology, with a growing body of evidence to support its efficacy and safety. The purpose of this survey is to understand the prevalence of EES usage in Australia, attitudes towards EES, and barriers preventing its adoption amongst Australian otolaryngologists. Methods: Members of the Australian Society of Otolaryngology – Head & Neck Surgery (ASOHNS) were contacted to complete a survey on EES. The content of the questionnaire focused on indications for usage, case volumes, attitudes, perceptions, and barriers of EES uptake. Descriptive statistics were used to analyze the responses. Results: Sixty-five responses were received (representing 14.4% of ASOHNS members). Twenty-eight (43%) respondents reported performing EES in their practice (EES surgeon), whereas 37 (56.9%) do not perform endoscopic dissection intraoperatively (non-EES surgeon). Of the 28 EES surgeons, only 5 (17.8%) have performed over 50 EES cases. Most common indications for EES were tympanoplasty, cholesteatoma, and ossiculoplasty. Of the 37 non-EES surgeons, 17 (45.9%) use the endoscope intraoperatively to inspect without dissection. The mean duration in practice between EES and non-EES surgeons was 13.0 vs. 21.4 years (P<0.01). Twenty-two (78.6%) in the EES group have attended an EES workshop, compared to 9 (24.3%) in the non-EES group. Both groups felt positively that EES would be relevant in the future of otology (EES group: 4.8, non-EES group 4.0, on a 5-point Likert scale). Conclusions: Although the study response rate was limited, preliminary attitudes towards the adoption and use of EES are positive. Further efforts, including research and workshop development, could help improve penetrance of EES in Australia.

Original languageEnglish
Article number6
Pages (from-to)1-8
Number of pages10
JournalAustralian Journal of Otolaryngology
Issue numberMarch
Publication statusPublished - Mar 2021

Bibliographical note

Copyright the Australian Journal of Otolaryngology. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


  • Australia
  • Endoscopic ear surgery (EES)
  • Otology
  • Surgical technique
  • Survey


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