Septal and turbinate surgery: is overnight essential?

Menezes, Ana Sousa; Guimarães, Joana; Breda, M; Vieira, V.; Dias, Luís

doi:10.1007/s00405-017-4813-3

Cited by 12 publications

(4 citation statements)

References 15 publications

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“…Studies have established the safety of many otolaryngologic procedures in the outpatient setting, including thyroidectomies, sinonasal surgeries, adenotonsillectomies, and pediatric procedures . Parotidectomies, like thyroidectomies, were once only performed in the inpatient setting but are now commonly conducted as ambulatory procedures.…”

Section: Introductionmentioning

confidence: 99%

Outpatient versus inpatient parotidectomy: Comparison of postoperative complication rates

et al. 2018

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Objectives Parotidectomies have become a common outpatient procedure, but their impact on postoperative complications as compared to inpatient procedures has not been evaluated in a multi‐institutional study. Study Design The aim of this retrospective analysis was to evaluate the differences in outcomes using a standardized cohort of patients undergoing outpatient or inpatient parotidectomies. Methods The National Surgical Quality Improvement Program database was queried for parotidectomies between 2005 and 2014. Univariate analyses were conducted to compare the outpatient and inpatient cohorts. A propensity‐matching algorithm was used to ensure equal distribution of demographics and preoperative comorbidities. Results Among the 4,368 parotidectomies examined, 2,915 (66.7%) were outpatient and 1,453 (33.3%) were inpatient. In the unmatched analysis, the inpatient group had higher rates of smokers (P = < 0.001), hypertension (P = 0.003), and disseminated cancer (P = 0.014). The outpatient group had higher rates of patients under age 40 years (P = 0.015), females (P = 0.016), and American Society of Anesthesiology class 1 and 2 (P = < 0.001). The total work relative value units (RVUs) were 17.01 ± 3.44 for the inpatient cohort and 16.19 ± 3.70 for the outpatient cohort (P = < 0.001). Following propensity matching, 1,352 cases were selected for each cohort, with no significant differences in comorbidities. Total work RVU after matching was 16.90 ± 3.47 for the inpatient group and 16.75 ± 3.44 for the outpatient group (P = .235). The matched inpatient cohort had increased rates of surgical complications (3.1% vs. 1.8%, P = 0.033), pneumonia (0.5% vs. 0.0%, P = 0.016), and overall complications (4.5% vs. 2.6%, P = 0.009). Conclusion Outpatient parotidectomies are associated with similar as well as decreased complication rates as compared to inpatient parotidectomies. Level of Evidence 4 Laryngoscope, 129:655–661, 2019

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Section: Introductionmentioning

confidence: 99%

Outpatient versus inpatient parotidectomy: Comparison of postoperative complication rates

et al. 2018

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“…In 2014, of nearly 17.2 million scheduled procedures that took place in the hospital setting, 57.8% occurred in an ambulatory facility 4 . Within otolaryngology, outpatient procedures have been shown to increase patient satisfaction and reduce health care costs without compromising patient safety 5‐15 …”

Section: Introductionmentioning

confidence: 99%

“…4 Within otolaryngology, outpatient procedures have been shown to increase patient satisfaction and reduce health care costs without compromising patient safety. [5][6][7][8][9][10][11][12][13][14][15] In an effort to provide health care that is both costconscious and of high quality, it is important that head and neck surgeons use scrutiny when deciding whether a patient would benefit from inpatient management. Until the early 1990s, parotidectomy had been performed primarily as an inpatient procedure due to the number of potential postoperative complications.…”

Section: Introductionmentioning

confidence: 99%

Outpatient vs inpatient parotidectomy: Systematic review and meta‐analysis

et al. 2020

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The primary aim of this study was to conduct a systematic review and meta-analysis to compare complications between outpatient vs inpatient parotidectomy. A systematic review was performed to identify patients undergoing either outpatient or inpatient partodiectomy, in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, using PUBMED, SCOPUS, CINAHL, and the Cochrane library. Risk of bias was assessed using the Newcastle-Ottawa Scale. Postoperative complications (hematoma, seroma/sialocele, salivary fistula formation, Frey syndrome, surgical site infection [SSI]) were compared. Our search yielded 4958 nonduplicate articles, of which 13 studies were ultimately included (11 retrospective cohort, 2 prospective cohort), encompassing a total of 1323 patients (outpatient 46.33% vs inpatient 53.67%). There was no significant difference in total complications, hematoma, seroma, salivary fistula, or SSI rates between outpatient and inpatient groups. No significant difference in total complications was found between outpatient and inpatient groups when stratified by surgical approach (partial/superficial and total parotidectomy). Our findings suggest outpatient parotidectomy may be as safe as inpatient parotidectomy in appropriately selected patients.

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“…In 2005, a 250-bed hospital in Italy had 69% of their septoplasties performed as ambulatory procedures 4 . A more recent report from Portugal demonstrated that 77% of the septoplasties were undertaken as outpatient procedures 5 . In Taiwan however, most septoplasties with concomitant inferior turbinectomy are still performed as in-patient procedures.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Septoplasty with Inferior Turbinectomy as an In-patient or Out-patient Procedure

Chen

Huang

2019

Sci Rep

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The study aimed to compare the surgical outcomes of septoplasty with inferior turbinectomy between in-patient and out-patient groups. A total of 152 patients who underwent septoplasty with inferior turbinectomy between May 2012 and February 2013 were retrospectively reviewed and divided into in-patient group and out-patient group. The two groups were compared in three aspects: (i) consumption of medical resources, including National Health Insurance payments, patient surcharges, and total surgical expenses; (ii) prognostic indicators; and (iii) post-operative complications. There were no statistically significant differences between the prognostic indicators or post-operative complications in the 2 study groups except for “duration of nasal decongestant use”. The in-patient group had higher medical resource consumption in all categories. In conclusion, septoplasty with inferior turbinectomy can be performed cost-effectively as an out-patient procedure with satisfactory quality and adequate safety.

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Septal and turbinate surgery: is overnight essential?

Cited by 12 publications

References 15 publications

Outpatient versus inpatient parotidectomy: Comparison of postoperative complication rates

Outpatient versus inpatient parotidectomy: Comparison of postoperative complication rates

Outpatient vs inpatient parotidectomy: Systematic review and meta‐analysis

Outcome of Septoplasty with Inferior Turbinectomy as an In-patient or Out-patient Procedure

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