CJO - Abstract - Day-case major ear surgery: is it viable?

The Journal of Laryngology & Otology (2006), 120 : 5-9 Cambridge University Press

Copyright © 2005 JLO (1984) Limited

doi:10.1017/S0022215105004299

Published online by Cambridge University Press 25 Nov 2005

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The Journal of Laryngology & Otology (2006), 120:1:5-9 Cambridge University Press
Copyright © 2005 JLO (1984) Limited
doi:10.1017/S0022215105004299

Main Articles

Day-case major ear surgery: is it viable?

Abdul A Qureshi ^a1^a2^c1 , Nigel D Padgham ^a3 and Dan Jiang ^a4
^a1 Department of ENT, Head and Neck Surgery, Royal National Throat, Nose and Ear Hospital (RNTNE), London
^a2 Harold Wood Hospital, Harold Wood, Essex rotation, Romford, Essex
^a3 Head and Neck Directorate, William Harvey Hospital, Ashford, London, UK
^a4 Department of Otolaryngology, Head and Neck Surgery, Romford, Essex, Guy's Hospital, London, UK

Article author query

qureshi aa [Medline] [Google Scholar]

padgham nd [Medline] [Google Scholar]

jiang d [Medline] [Google Scholar]

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.

(Accepted July 18 2005)

Key Words: Ambulatory Surgical Procedures; Otolaryngology; Ear; Treatment Outcome.

Correspondence:
^c1 Address for correspondence: Dr A A Qureshi, 44 Holland Road, East Ham, London E6 2EW, UK. E-mail: aa_qur@yahoo.co.uk