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Direct cost comparison of totally endoscopic versus open ear surgery

Published online by Cambridge University Press:  11 September 2017

N Patel ,
A Mohammadi  and
N Jufas
N Patel*
Affiliation:
Kolling Deafness Research Centre, University of Sydney, Macquarie University, Australia Discipline of Surgery, Sydney Medical School, University of Sydney, Australia Sydney Endoscopic Ear Surgery (SEES) Research Group, Australia
A Mohammadi
Affiliation:
Kolling Deafness Research Centre, University of Sydney, Macquarie University, Australia
N Jufas
Affiliation:
Kolling Deafness Research Centre, University of Sydney, Macquarie University, Australia Discipline of Surgery, Sydney Medical School, University of Sydney, Australia Sydney Endoscopic Ear Surgery (SEES) Research Group, Australia
*
Address for correspondence: Dr Nirmal Patel, Kolling Deafness Research Centre, Kolling Building, Royal North Shore Hospital, St Leonards, NSW 2065, Australia E-mail: Nirmal.P.Patel@gmail.com
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Abstract

Objective:

Totally endoscopic ear surgery is a relatively new method for managing chronic ear disease. This study aimed to test the null hypothesis that open and endoscopic approaches have similar direct costs for the management of attic cholesteatoma, from an Australian private hospital setting.

Methods:

A retrospective direct cost comparison of totally endoscopic ear surgery and traditional canal wall up mastoidectomy for the management of attic cholesteatoma in a private tertiary setting was undertaken. Indirect and future costs were excluded. A direct cost comparison of anaesthetic setup and resources, operative setup and resources, and surgical time was performed between the two techniques.

Results:

Totally endoscopic ear surgery has a mean direct cost reduction of AUD$2978.89 per operation from the hospital perspective, when compared to canal wall up mastoidectomy.

Conclusion:

Totally endoscopic ear surgery is more cost-effective, from an Australian private hospital perspective, than canal wall up mastoidectomy for attic cholesteatoma.

Keywords

Costs And Cost AnalysisOtologic Surgical ProceduresEndoscopic Surgical ProceduresCholesteatoma
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 2 , February 2018 , pp. 122 - 128
Copyright
Copyright © JLO (1984) Limited 2017 

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References

1 Kozin, ED, Gulati, S, Kaplan, AB, Lehmann, AE, Remenschneider, AK, Landegger, LD et al. Systematic review of outcomes following observational and operative endoscopic middle ear surgery. Laryngoscope 2015;125:1205–14Google Scholar
2 Thomassin, JM, Inedjian, JM, Rud, C, Conciatori, J, Vilcoq, P. Otoendoscopy: application in the middle ear surgery [in French]. Rev Laryngol Otol Rhinol (Bord) 1990;111:475–7Google Scholar
3 Tarabichi, M. Endoscopic management of acquired cholesteatoma. Am J Otol 1997;18:544–9Google Scholar
4 Presutti, L, Gioacchini, FM, Alicandri-Ciufelli, M, Villari, D, Marchioni, D. Results of endoscopic middle ear surgery for cholesteatoma treatment: a systematic review. Acta Otorhinolaryngol Ital 2014;34:153–7Google Scholar
5 Smith, KA, Rudmik, L. Cost collection and analysis for health economic evaluation. Otolaryngol Head Neck Surg 2013;149:192–9Google Scholar
6 Yung, MW, Oates J. The learning curve in stapes surgery and its implication for training. In: Arnold, W, Häusler, R, eds. Otosclerosis and Stapes Surgery. Basel: Karger, 2007;361–9CrossRefGoogle ScholarPubMed
7 Buchman, CA, Chen, DA, Flannagan, P, Wilberger, JE, Maroon, JC. The learning curve for acoustic tumor surgery. Laryngoscope 1996;106:1406–11CrossRefGoogle ScholarPubMed
8 Patel, N, Shelton, C. The surgical learning curve in aural atresia surgery. Laryngoscope 2007;117:67–73 Google Scholar
9 Sheehy, JL, Patterson, ME. Intact canal wall tympanoplasty with mastoidectomy. A review of eight years’ experience. Laryngoscope 1967;77:1502–42CrossRefGoogle ScholarPubMed
10 Scott, A, De, R, Sadek, SA, Garrido, MC, Courteney-Harris, RG. Temporal bone dissection: a possible route for prion transmission? J Laryngol Otol 2001;115:374–5Google Scholar