Stapedectomy as an outpatient procedure.

Department of Otolaryngology, Marmara University School of Medicine, Istanbul, Turkey.
The Journal of otolaryngology (Impact Factor: 0.5). 01/1990; 18(7):384-5.
Source: PubMed


Many ENT surgeons are accustomed to perform stapedectomy in a hospital setting. We present our results with 19 patients on whom stapedectomies were performed in an outpatient setting. In respect of hearing gain and complications, our results are not significantly different from the results of those series of stapedectomies performed in hospital. Thus, we believe that stapedectomy can be performed as an outpatient procedure.

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    ABSTRACT: A prospective study was undertaken to determine whether stapedectomy can safely be performed in an outpatient setting. Twenty patients with otosclerosis amenable to surgical treatment were divided into two groups; those in the hospitalized group were admitted the day before surgery and discharged 24 hours after the procedure. The patients in the ambulatory group were admitted on the day surgery was scheduled and released 1 or 2 hours after the procedure. We analyzed the intensity and duration of postoperative vertigo, and the hearing gain obtained, studying the speech frequencies(500 to 2000 Hz) separately from the high frequencies (4000 to 8000 Hz). No significant difference was found at 1, 3, and 6 months of follow-up in any of the parameters studied, concluding that small-fenestra stapedectomy can safely be performed as an outpatient procedure.
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    ABSTRACT: Day case surgery is increasing and a large proportion of procedures in otolaryngology are already being performed as day cases. There is less experience in otologic surgery and the reports are specially referred to chronic otitis media. A retrospective study of stapedectomy as a day-case procedure is presented in this report. The inclusion criteria: anaesthesic risk: ASA I, II or III; if the patient has a chronic disease it must be well controlled; they must not have postoperative hemorrhagic history; the patient must be accompanied by an adult the first 24 hours postsurgery; must have a vehicle; distance to hospital must not be more than an hour and they must have a telephone. Between October 1998 and December 2002 71 ambulatory stapedectomies were performed in our institution. 91.2% were discharged home the same day of the procedure. Audiological findings obtained six months after surgery that: 87.5% of the patients have an air-bone Uda of 10 dB or less.
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