Day Case Septorhinoplasties-Our Experience

Andreea Nea; Husam Alhuwaish; Edlir Shytaj

doi:10.5152/ejra.2021.21621

Day Case Septorhinoplasties-Our Experience

Abstract

Objective: Rhinology procedures are increasingly performed as day cases worldwide as well as in our department. Our aim was to identify if our rhinology patients fulfill the day case criteria and to audit our postoperative complications. Material and Methods: A retrospective review of all septo/rhinoplasties and septal perforation repair for the last 3 years was performed. Overnight admission rate, medical and surgical complications were recorded. Results: Out of the 103 patients, only one (0.97%) needed overnight admission. The reason was medical, sinus tachycardia in a young anxious patient. Two immediate postoperative complications were recorded, self-limited epistaxis and light headedness. A self-limited epistaxis occurred day 5 post-operatively. No action was required in any of these cases. Late post-operative complications were three septal perforations (2.9%). Conclusions: Day case septo/rhinoplasties can be safely performed with a <1% overnight admission rate in well selected patients. Increasing numbers of day procedures should be the goal in all otorhinolaryngology areas.

Keywords

References

Kerimian M, Bastier P-L, Re´ ville N, et al. Feasibility study of bilateral radical ethmoidectomy in ambulatory surger. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(6):377-382.
Bhattacharyya N. Ambulatory sinus and nasal surgery in the United States: Demographics and perioperative outcomes. Laryngoscope. 2010;120(3):635-638.
Marshall A. Ear nose and throat surgery. GIRFT Programme National Specialty Report. Available at https://gettingitrightfirsttime.co.uk/wp-content/uploads/2019/12/ENT-Report-Nov19-M.pdf, accessed date August 2020.
Belleudy S, Kerimian M, Legrenzi P, et al Assessment of quality and safety in rhinologic day surgery. Eur Ann Otorhinolaryngol Head Neck Dis. 2020;S1879-7296(20):30159-30159.
de Gabory L, Sowerby LJ, DelGaudio JM, et al. International survey and consensus (ICON) on ambulatory surgery in rhinology. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(1):S49-553.
Al-Hussaini A, Walijee H, Owens D. The uptake of day-case septoplasty in England and Wales; is there a relationship between day-case rates and waiting list times? Bull R Coll Surg Engl. 2016;98(5):212-215.
Comptroller and Auditor General Special Report. Managing elective day surgery. Special report 83. 2014. Available at https://www.audit.gov.ie/en/Find-Report/Publications/2014/Special-Report-83-Managing-Elective-Day-Surgery.pdf, accessed date August 2020.
Otolaryngology head and neck surgery—A model of care for Ireland. Available at http://www.iosconference.org/assets/files/2019/Launched%20ENT%20Model.pdf, accessed date August 2020.

de Gabory L, Serrano E, Lecanu J-B, et al. French otorhinolaryngology society guidelines for day-case nasal surgery. Eur Ann Otorhinolaryngol Head Neck Dis. 2015;132(1):35-40.
Menezes AS, Guimara˜es JR, Breda M, et al. Septal and turbinate surgery: Is overnight essential? Eur Arch Otorhinolaryngol 2018;275:131-8.
Han JK, Stringer SP, Rosenfeld RM, et al. Clinical consensus statement: Septoplasty with or without inferior turbinate reduction. Otolaryngol Head Neck Surg. 2015;153(5):708-720.
Karlsson TR, Shakeel M, Supriya M, et al. Septoplasty with concomitant inferior turbinate reduction reduces the need for revision procedure. Rhinology 2015;53(1):59-65.
De Oliveira GS, Holl JL, Lindquist LA, et al. Older adults and unanticipated hospital admission within 30 days of ambulatory surgery: An analysis of 53,667 ambulatory surgical procedures. J Am Geriatr Soc. 2015;63(8):1679-1685.
Wong A, Kacker A. Incidence of unplanned admissions after sinonasal surgery: A 6-year review. Int Forum Allergy Rhinol. 2014;4(2):143-146.
Cukurova I, Cetinkaya EA, Mercan GC, et al Retrospective analysis of 697 septoplasty surgery cases: Packing versus trans-septal suturing method. Acta Otorhinolaryngol Ital. 2012;32(2):111-114.
Ramalingam V, Venkatesan R, Somasundaram S. A comparative study between septal quilting sutures without nasal packing and only nasal packing post-septal correction. Indian J Otolaryngol Head Neck Surg. 2020;72:169-174.
Gengler I, Carpentier L, Pasquesoone X, et al. Predictors of unanticipated admission within 30 days of outpatient sinonasal surgery. Rhinology 2017;55(3):274-80.
Georgalas C, Obholzer R, Martinez-Devesa P, et al. Day case septoplasty and unexpected re-admissions at a dedicated day-case unit: A 4-year audit. Ann R Coll Surg Engl. 2006;88:202-206.
Scott JR, Sowerby LJ, Rotenberg BW. Office-based rhinologic surgery: A modern experience with operative techniques under local anesthetic. Am J Rhinol Allery. 2017;31(2):135-138.
Chang MT, Jitaroon K, Nguyen T, et al. Hemodynamic changes in patients undergoing office-based sinus procedures under local anesthesia. Int Forum Allergy Rhinol. 2019;10(1):114-120.
Daabiss M. American Society of Anaesthesiologists physical status classification. Indian J Anaesth. 2011;55(2):111-115.
Castelnuovo P, Ferreli F, Khodaei I, et al. Anterior ethmoidal artery septal flap for the management of septal perforation. Arch Facial Plast Surg. 2011;13(6):411.
Da˛browska-Bien´ J, Skarz ˙yn ´ ski PH, Gwizdalska I, et al. Complications in septoplasty based on a large group of 5639 patients. Eur Arch Otorhinolaryngol. 2018;275(7):1789-1794.
Garzaro M, Dell’Era V, Riva G, et al. Endoscopic versus conventional septoplasty: Objective/subjective data on 276 patients. Eur Arch Otorhinolaryngol. 2019;276(6):1707-1711.
Kim SW, Rhee CS. Nasal septal perforation repair: Predictive factors and systematic review of the literature. Curr Opin Otolaryngol Head Neck Surg. 2012;20(1):58-65.
Setzen M, Svider PF, Pollock K. COVID-19 and rhinology: A look at the future. Am J Otolaryngol. 2020;41(3).

Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Andreea Nea This is me
0000-0001-6575-5656
Ireland

Husam Alhuwaish This is me
0000-0002-1187-7292
Ireland

Edlir Shytaj This is me
0000-0002-5437-2526
Ireland

Publication Date

August 30, 2021

Submission Date

March 30, 2021

Acceptance Date

May 14, 2021

Published in Issue

Year 2021 Volume: 4 Number: 2

DOI

https://doi.org/10.5152/ejra.2021.21621

IZ

https://izlik.org/JA32RZ86CX

Cite

RIS / Bibtex

APA

Nea, A., Alhuwaish, H., & Shytaj, E. (2021). Day Case Septorhinoplasties-Our Experience. European Journal of Rhinology and Allergy, 4(2), 48-52. https://doi.org/10.5152/ejra.2021.21621

AMA

1.Nea A, Alhuwaish H, Shytaj E. Day Case Septorhinoplasties-Our Experience. Eur J Rhinol Allergy. 2021;4(2):48-52. doi:10.5152/ejra.2021.21621

Chicago

Nea, Andreea, Husam Alhuwaish, and Edlir Shytaj. 2021. “Day Case Septorhinoplasties-Our Experience”. European Journal of Rhinology and Allergy 4 (2): 48-52. https://doi.org/10.5152/ejra.2021.21621.

EndNote

Nea A, Alhuwaish H, Shytaj E (August 1, 2021) Day Case Septorhinoplasties-Our Experience. European Journal of Rhinology and Allergy 4 2 48–52.

IEEE

[1]A. Nea, H. Alhuwaish, and E. Shytaj, “Day Case Septorhinoplasties-Our Experience”, Eur J Rhinol Allergy, vol. 4, no. 2, pp. 48–52, Aug. 2021, doi: 10.5152/ejra.2021.21621.

ISNAD

Nea, Andreea - Alhuwaish, Husam - Shytaj, Edlir. “Day Case Septorhinoplasties-Our Experience”. European Journal of Rhinology and Allergy 4/2 (August 1, 2021): 48-52. https://doi.org/10.5152/ejra.2021.21621.

JAMA

1.Nea A, Alhuwaish H, Shytaj E. Day Case Septorhinoplasties-Our Experience. Eur J Rhinol Allergy. 2021;4:48–52.

MLA

Nea, Andreea, et al. “Day Case Septorhinoplasties-Our Experience”. European Journal of Rhinology and Allergy, vol. 4, no. 2, Aug. 2021, pp. 48-52, doi:10.5152/ejra.2021.21621.

Vancouver

1.Andreea Nea, Husam Alhuwaish, Edlir Shytaj. Day Case Septorhinoplasties-Our Experience. Eur J Rhinol Allergy. 2021 Aug. 1;4(2):48-52. doi:10.5152/ejra.2021.21621