Day Case Rhinoplasty

Banfield, G.; McKiernan, David; Hinton, A. E.

doi:10.1136/jramc-146-03-11

Cited by 4 publications

(4 citation statements)

References 7 publications

(6 reference statements)

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“…In this respect, the overall admission rate of 3.4 per cent, is considered borderline, according to the Royal College of Surgeons guidelines which have a set a target of two to three per cent readmission rate for day-case procedures, 1 and it is higher than a published rate of 0.7 per cent out of 10.000 general surgical, orthopaedic and gynaecological procedures. 8 However, it compares favourably with septoplasty performed as a day case (quoted admission rates of 5.4 per cent, 3 10.5 per cent 5 and ve per cent 4 ) while a retrospective day-case rhinoplasty study reports a rate of 12 per cent of unplanned admissions. It must be taken into account that the one patient who was admitted did not require any assessing day case septorhinoplasty: a prospective audit study using patient-based indices further intervention or packing and was discharged the following day.…”

Section: Discussionmentioning

confidence: 97%

“…Rhinoplasty is a procedure that is being performed routinely as a day case or even under local anaesthetic with sedation in the USA; however, in the UK it is generally considered an in-patient procedure. One series of patients having undergone day-case rhinoplasty 5 was recently published, but no prospective studies have been performed yet, and as such it can be considered as a new procedure in the UK. Whenever a new intervention is introduced, we feel that it is important to explore and record patients' experiences, as well as record objective results; this is the aim of outcome studies.…”

Section: Introductionmentioning

confidence: 99%

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Assessing day-case septorhinoplasty: prospective audit study using patient-based indices

et al. 2002

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The objective of this study was to evaluate the safety, efficacy and acceptability to patients of day-case septorhinoplasty. Twenty-nine patients undergoing elective septorhinoplasty in a dedicated teaching hospital day-case unit were asked to complete day surgery questionnaires (DSQ) at six weeks post-operatively. Details of surgery performed, demographic data, readmission rates and complications were collected prospectively. No major complications were recorded. One patient had to be admitted for overnight observation following post-operative bleeding. The DSQ showed that the great majority of patients were satisfied from the day-case setting (satisfaction score 81). This preliminary study showed that day surgery septorhinoplasty was acceptable to the patient and was associated with a very low re-admission rate. We believe that in carefully selected young healthy patients it is an acceptable alternative to an in-patient procedure.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Assessing day-case septorhinoplasty: prospective audit study using patient-based indices

et al. 2002

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“…Other rhinology day case surgery published apart from septoplasty includes work done by Danielsen [10] who described out-patient endoscopic ethmoidectomy without complications. Banfield, et al [11] and Georgalas, et al [12] published on day case rhinoplasty and septorhinoplasty and reported an admission rate of 15% and 3% respectively. The re-admission rates associated with day-case septoplasty, mainly due to bleeding, ranged from 2% [9], 5% [13], 8.8% [14] to 11.4% [15].…”

Section: Discussionmentioning

confidence: 99%

Patients' Satisfaction with Day Case Nasal and Sinus Surgery at Manukau Superclinic

Shakeel¹,

Min²,

Sena³

et al. 2022

J Head Neck Surg

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Over the years, there has been a number of publications looking at the feasibility and patient satisfaction undergoing surgery as a day case or an overnight stay. Generally, day surgery is preferred by patients when practical [2-8].Although certain operations, such as tonsillectomy [2,4-6] and septal surgery, have been well-published, limited published literature exists on patients' satisfaction following the day

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“…Banfield et al 18 and Georgalas et al 19 described rhinoplasty admission rates of 15% and 3%, respectively, with Danielsen 20 having described day-case functional endoscopic sinus surgery without complication. Again, our experience confirms these procedures as practicable for a daycase approach.…”

Section: Discussionmentioning

confidence: 99%

Ear, Nose and Throat Day-Case Surgery at a District General Hospital

Pézier

Stimpson

Kanegaonkar

et al. 2009

annals

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INTRODUCTION In 2000, The NHS Plan in the UK set a target of 75% for all surgical activity to be performed as day-cases. We aim to assess day-case turnover for ENT procedures and, in particular, day-case rates for adult and paediatric otological procedures together with re-admissions within 72 h as a proxy measure of safety. PATIENTS AND METHODS Retrospective collection of data (procedure and length of stay) from the computerised theatre system (Galaxy) and Patient Information Management System (PIMS) of all elective patients operated over one calendar year. The setting was a district general hospital ENT department in South East England. All ENT operations are performed with the exception of oncological head and neck procedures and complex skull-base surgery. RESULTS Overall, 2538 elective operations were performed during the study period. A total of 1535 elective adult procedures were performed with 74% (1137 of 1535) performed as day-cases. Of 1003 paediatric operations, 73% (730 of 1003) were day-cases. Concerning otological procedures, 93.4% (311 of 333) of paediatric procedures were day-cases. For adults, we divided the procedures into major and minor, achieving day-case rates of 88% (93 of 101) and 91% (85 of 93), respectively. The overall day-case rate for otological procedures was 91% (528 of 580). Re-admission rates overall were 0.7% (11 of 1535) for adults and 0.9% (9 of 1003) for paediatric procedures. The most common procedure for re-admission was tonsillectomy accounting for 56% of all adult re-admissions and 78% of paediatric re-admissions. The were no deaths following day-case procedures. DISCUSSION ENT surgery is well-suited to a day-case approach. UK Government targets are attainable when considering routine ENT surgery. Day-case rates for otology in excess of targets are possible even when considering major ear surgery.

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Day Case Rhinoplasty

Cited by 4 publications

References 7 publications

Assessing day-case septorhinoplasty: prospective audit study using patient-based indices

Assessing day-case septorhinoplasty: prospective audit study using patient-based indices

Patients' Satisfaction with Day Case Nasal and Sinus Surgery at Manukau Superclinic

Ear, Nose and Throat Day-Case Surgery at a District General Hospital

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