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Major ear surgery in a paediatric day care unit

Published online by Cambridge University Press:  08 March 2006

R. G. Rowlands ,
R. Harris ,
J. Hern  and
J. R. Knight
R. G. Rowlands
Affiliation:
Department of Otolaryngology, Mayday University Hospital and St George’s Hospital, London, UK.
R. Harris
Affiliation:
Department of Otolaryngology, Mayday University Hospital and St George’s Hospital, London, UK.
J. Hern
Affiliation:
Department of Otolaryngology, Mayday University Hospital and St George’s Hospital, London, UK.
J. R. Knight
Affiliation:
Department of Otolaryngology, Mayday University Hospital and St George’s Hospital, London, UK.
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Abstract

Abstract Traditionally major ear surgery in children has been regarded as an in-patient procedure. Evidence from the USA for adults, however, concludes that it is both safe and effective to perform many major ear procedures as day cases. We have been carrying out major ear operations on children as day cases routinely for six years in a dedicated children’s day unit and examined our data to find out whether it was both safe and feasible to perform major ear surgery in children on a day-case basis. As our main outcome measure we used the rate of unplanned admissions.

We found that the unplanned admission rate for surgery, excluding mastoid surgery, was 6.7 per cent and that procedures such as myringoplasty, ossiculoplasty, bilateral pinnaplasty, meatoplasty and tympanotomy with excision of cholesteatoma, were eminently suitable for day surgery.

Keywords

Ambulatory Surgical ProceduresEar, MiddleChild
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 116 , Issue 10 , October 2002 , pp. 791 - 793
Copyright
© Royal Society of Medicine Press Limited 2002

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