Day Care Ear Surgery: Our Experience of 4 Years

Khan, Mubarak Muhamed; Parab, Sapna Ramkrishna

doi:10.1007/s12070-011-0303-x

Cited by 19 publications

(17 citation statements)

References 6 publications

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“…It is known that adequate pain relief and PONV are important for discharge and that they prevent readmissions in day-care ear surgery. [ 20 ] With this background evidence, we wanted to observe if adequate pain relief with multimodal analgesics reduced vertigo in patients undergoing middle ear surgery. As this was a secondary outcome in the current study, studies evaluating this aspect as primary outcome may be planned in the future.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of analgesic efficacy of superficial cervical plexus block in patients undergoing modified radical mastoidectomy: A randomised controlled trial

Ahuja¹,

Deepika²,

Thapa³

et al. 2021

Indian Journal of Anaesthesia

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Background and Aims: Intravenous analgesics and local infiltration are used for postoperative analgesia in patients undergoing mastoidectomy. No randomised controlled trial (RCT) has so far determined response rates of pain reduction after ultrasound-guided superficial cervical plexus block (SCPB) in adult patients undergoing modified radical mastoidectomy. Methods: This double-blind RCT was conducted in 30 adult patients of the American Society of Anesthesiologists (ASA) grade I/II undergoing modified radical mastoidectomy. The primary outcome was a reduction in the visual analogue scale (VAS) score. Secondary outcomes were postoperative diclofenac consumption, haemodynamics, and occurrence of any adverse events. All patients received general anaesthesia. At the end of the surgery, patients were randomised to either Group ‘Block’ ( n = 15) ultrasound guided SCPB with 5 mL ropivacaine 0.5% or Group ‘No block’ ( n = 15). All patients received intravenous (IV) paracetamol 1 g every 6 hourly and rescue analgesic IV diclofenac 75 mg if VAS score >4. Results: Patients in Group ‘Block’ reported lower VAS score at rest versus Group ‘No block’ at 1 h postoperatively ( P = 0.012). VAS score on movement was lower in patients of Group ‘Block’ compared to Group ‘No block’ at 1 h ( P = 0.010), 4 h ( P = 0.035), 8 h ( P = 0.027), and 12 h (* P = 0.003) postoperatively. Diclofenac consumption was lower in patients of Group ‘Block’ ( P = 0.041). No adverse effects were reported. Conclusion: Postoperative ultrasound-guided SCPB produced higher response rates in terms of reduction in VAS score in patients undergoing modified radical mastoidectomy.

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Section: Discussionmentioning

confidence: 99%

Evaluation of analgesic efficacy of superficial cervical plexus block in patients undergoing modified radical mastoidectomy: A randomised controlled trial

Ahuja¹,

Deepika²,

Thapa³

et al. 2021

Indian Journal of Anaesthesia

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“…All patients who had undergone tympanoplasty were readmitted due to pain due to a tight bandage. The incidence of readmission due to pain was subsequently decreased using bandages with adequate pressure [19]. A study on 2,538 elective operations indicated that the readmission rate for tonsillectomy was 2.6% in adults and 3.3% in children.…”

Section: Discussion:-mentioning

confidence: 99%

A Retrospective Review of Otorhinolaryngology, and Head and Neck Day Case Surgery Readmission Rates and Complications.

Ghafouri¹,

AbdullahAqeel²,

Abusafia³

et al. 2017

IJAR

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Objective: Day case surgery is now an integral part of otolaryngology and has low readmission rates worldwide. Strict guidelines for day case surgeries have been developed to meet the demands of governments and the public. However, there are limited studies in Saudi Arabia regarding this day case surgeries. The aim of our study was thus to fill this gap and to evaluate readmission rates for otorhinolaryngology, and head and neck day case surgeries in Jeddah, Saudi Arabia. Methods: We conducted a retrospective study on 2,944 patients who had undergone otorhinolaryngology, or head and neck day case surgeries at in King Fahad Armed Forces Hospital in Jeddah, Saudi Arabia between January 2011 and February 2016. Data regarding date of first admission, date of the procedure, type of procedure, date of readmission, cause of readmission, and type of management used were gathered. Results: The readmission rate in our study was 3.2% (94/2,944 patients). The most common procedure was adenotonsillectomy (39.9%, 1,176/2,944 patients). Adenotonsillectomy also has the highest readmission rate (44.7%, 42/94 patients). Conservative (paracetamol and antibiotics) management was the most common type of management used in readmitted patients that had undergone adenotonsillectomy (70% of patients, 66/94). Conclusion: Based on our results, otorhinolaryngology, and head and neck day case surgeries can be safely performed, as long as the clinicians strictly adhere to ear, nose, and throat day case guidelines, the day case anaesthesia protocol, and guidelines from day care nurses.

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“…When endaural incision is taken, the tragal cartilage is harvested via the vertical limb of the Lempert's endaural incision. The tragal cartilage perichondrium graft is sliced [1,[5][6][7][8][9][10][11] with Slice !t Ò (Dr. Khan's Creations, India) to 0.5 mm…”

Section: Tragal Cartilage Harvest and Graft Preparationmentioning

confidence: 99%

Minimal Invasive Endoscopic Ear Surgery: A Two Handed Technique

Parab

Khan²

2018

Indian J Otolaryngol Head Neck Surg

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To evaluate the surgical outcome of two handed technique of endoscopic ear surgery with endoscope holder. Retrospective Non Randomized Clinical Study. A total of 547 endoscope holder (Justtach) assisted ear surgeries (331 cartilage tympanoplasties and 216 cholesteatoma surgeries) were operated with Justtach from July 2013 to April 2016 with a follow up period ranging from 12 to 45 months to evaluate its feasibility and results with the technique. The design of the endoscope holder, Justtach is described along with its functioning and maneuvering techniques. In the endoscopic tympanoplasty group, at 1 year follow up, the graft uptake was seen in 323 ears with three residual perforation and 5 recurrent perforations giving a success rate of 97.58%. At the 2 years follow up, the graft uptake was in 322 ears with 6 recurrent perforations and 3 residual perforations with a success rate of 97.28%. Whereas in case of endoscopic cholesteatoma surgery, there was residual cholesteatoma in 5 and recurrent in 6 out of 216 cases. The study reports the successful application and use of endoscope holder in two handed technique of endoscopic ear surgery.Level of Evidence Level 4.

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Day Care Ear Surgery: Our Experience of 4 Years

Cited by 19 publications

References 6 publications

Evaluation of analgesic efficacy of superficial cervical plexus block in patients undergoing modified radical mastoidectomy: A randomised controlled trial

Evaluation of analgesic efficacy of superficial cervical plexus block in patients undergoing modified radical mastoidectomy: A randomised controlled trial

A Retrospective Review of Otorhinolaryngology, and Head and Neck Day Case Surgery Readmission Rates and Complications.

Minimal Invasive Endoscopic Ear Surgery: A Two Handed Technique

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