Preoperative Criteria Predict Operative Time Variability Within Tympanoplasty Procedures
| Autor: | Peter W. Kahng, Sarah Y. Bessen, James E. Saunders, Isabelle L. Magro, Karissa L. LeClair |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Operative Time Perforation (oil well) Cholesteatoma Tympanoplasty medicine.disease Facial nerve Sensory Systems Surgery Treatment Outcome Otorhinolaryngology Ambulatory medicine Humans Current Procedural Terminology Operative time Neurology (clinical) business Body mass index Retrospective Studies |
| Zdroj: | Otology & Neurotology. 42:e1049-e1055 |
| ISSN: | 1537-4505 1531-7129 |
| Popis: | OBJECTIVE To identify preoperative patient and surgical parameters that predict operative time variability within tympanoplasty current procedural terminology (CPT) codes. STUDY DESIGN Retrospective. SETTING Tertiary referral center. PATIENTS One hundred twenty eight patients who underwent tympanoplasty (CPT code 69631) or tympanoplasty with ossicular chain reconstruction (69633) by a single surgeon over 3 years. INTERVENTIONS Procedures were preoperatively assigned a complexity modifier: Level 1 (small or posterior perforation able to be repaired via transcanal approach), Level 2 (large perforation or other factor requiring postauricular approach), or Level 3 (cholesteatoma or severe infection). MAIN OUTCOME MEASURES Total in-room time (nonoperative time plus actual operative time). RESULTS Consideration of preoperative parameters including surgical complexity, surgical facility, use of facial nerve monitoring, laser usage, resident involvement, revision surgery, and underlying patient characteristics (American Society of Anesthesiologists [ASA] score, body mass index [BMI]) accounted for up to 69% of surgical time variance. Across both CPT codes, surgical complexity levels accurately stratified operative times (p |
| Databáze: | OpenAIRE |
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