AI Article Synopsis
- The study examined the shift towards day-surgery for middle-ear procedures in light of a French health target for 66% outpatient surgeries by 2020.
- A total of 1,368 patients were analyzed from 2014 to 2018, with specific focus on surgeries like tympanoplasty and cholesteatoma, comparing day-surgery outcomes to those requiring overnight stays.
- Results indicated a low complication rate, with only 2.5% needing to be admitted post-surgery, suggesting that major middle-ear surgeries can safely be performed as outpatient procedures under the right conditions.
Article Abstract
Aims: To study the evolution of middle-ear surgery in 2019 in relation to the French Health Authority target of 66% day-surgery by 2020.
Material And Methods: A single-center retrospective observational study included all patients undergoing otologic surgery between January 2014 and December 2018 in a university hospital center. 1064 of the 1368 patients were scheduled for outpatient surgery: 309 for otosclerosis, 355 for tympanoplasty with or without ossiculoplasty, 376 for cholesteatoma and 24 for other procedures. Two groups were constituted: day-surgery and conventional, according to hospital stay. Surgery time, follow-up duration, number of crossovers to conventional admission, number of emergency postoperative consultations, number of readmissions and data from the phone-call systematically made the day after surgery were analyzed. The main objective was to evaluate the safety of outpatient surgery for major middle-ear interventions compared to a control group managed under conventional admission during the same period.
Results: 27 patients (2.5%) required crossover, mainly due to disabling vertigo (57.7%). 53 patients (4.9%) consulted before the scheduled 8th day consultation, because of severe pain (23.5%) or dizziness (34.0%). Only 10 patients required emergency readmission.
Conclusion: Provided that the inclusion criteria are met, all major middle-ear surgery procedures can be performed as day-surgery under satisfactory safety conditions.
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| http://dx.doi.org/10.1016/j.anorl.2020.09.006 | DOI Listing |
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