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Day-case major ear surgery: is it viable?

Published online by Cambridge University Press:  25 November 2005

Abdul A Qureshi ,
Nigel D Padgham  and
Dan Jiang
Abdul A Qureshi
Affiliation:
Department of ENT, Head and Neck Surgery, Royal National Throat, Nose and Ear Hospital (RNTNE), London Harold Wood Hospital, Harold Wood, Essex rotation, Romford, Essex
Nigel D Padgham
Affiliation:
Head and Neck Directorate, William Harvey Hospital, Ashford, London, UK
Dan Jiang
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Romford, Essex, Guy's Hospital, London, UK
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Abstract

Introduction: At present there is a strong emphasis on carrying out more elective day-case surgery. This paper presents a series of major ear cases performed on a day-case basis.

 Method: This is a retrospective review of outcome. Surgery was performed over 10 years at the Queen Elizabeth Queen Mother Hospital (part of the East Kent NHS Trust, UK).

 Results: Over 10 years 253 major ear cases were performed. The unplanned admission rate for overnight stay was 2.8 per cent and the rate of short-period transfers to in-patient wards (for less than a six-hour stay) was 2 per cent.

 Conclusions: Our experience shows that major ear surgery, including mastoidectomy, is safe on a day-case basis in all age groups. With the advent of new anaesthetic agents recovery is faster, and modern anti-emetic cover for post-operative nausea and vomiting makes nearly all such major ear surgery feasible as day-case procedures.

Keywords

Ambulatory Surgical ProceduresOtolaryngologyEarTreatment Outcome
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 1 , January 2006 , pp. 5 - 9
Copyright
2005 JLO (1984) Limited

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