Direct cost comparison of totally endoscopic versus open ear surgery

Nirmal Patel*, A. Mohammadi, N. Jufas

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: Totally endoscopic ear surgery is a relatively new method for managing chronic ear disease. This study aimed to test the null hypothesis that open and endoscopic approaches have similar direct costs for the management of attic cholesteatoma, from an Australian private hospital setting. Methods: A retrospective direct cost comparison of totally endoscopic ear surgery and traditional canal wall up mastoidectomy for the management of attic cholesteatoma in a private tertiary setting was undertaken. Indirect and future costs were excluded. A direct cost comparison of anaesthetic setup and resources, operative setup and resources, and surgical time was performed between the two techniques. Results: Totally endoscopic ear surgery has a mean direct cost reduction of AUD$2978.89 per operation from the hospital perspective, when compared to canal wall up mastoidectomy. Conclusion: Totally endoscopic ear surgery is more cost-effective, from an Australian private hospital perspective, than canal wall up mastoidectomy for attic cholesteatoma.

Original languageEnglish
Pages (from-to)122-128
Number of pages7
JournalJournal of Laryngology and Otology
Volume132
Issue number2
DOIs
Publication statusPublished - 1 Feb 2018

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Keywords

  • Cholesteatoma
  • Costs And Cost Analysis
  • Endoscopic Surgical Procedures
  • Otologic Surgical Procedures

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