Abstract
The study aimed to compare the surgical outcomes of septoplasty with inferior turbinectomy between in-patient and out-patient groups. A total of 152 patients who underwent septoplasty with inferior turbinectomy between May 2012 and February 2013 were retrospectively reviewed and divided into in-patient group and out-patient group. The two groups were compared in three aspects: (i) consumption of medical resources, including National Health Insurance payments, patient surcharges, and total surgical expenses; (ii) prognostic indicators; and (iii) post-operative complications. There were no statistically significant differences between the prognostic indicators or post-operative complications in the 2 study groups except for “duration of nasal decongestant use”. The in-patient group had higher medical resource consumption in all categories. In conclusion, septoplasty with inferior turbinectomy can be performed cost-effectively as an out-patient procedure with satisfactory quality and adequate safety.
Highlights
The study aimed to compare the surgical outcomes of septoplasty with inferior turbinectomy between in-patient and out-patient groups
There are a number of possible approaches to conduct a septoplasty, most surgeons utilize a similar technique that includes submucosal resection of the cartilaginous nasal septum (SMR), controlled osteotomy of bony nasal septum, and concomitant inferior turbinectomy
In Taiwan most septoplasties with concomitant inferior turbinectomy are still performed as in-patient procedures
Summary
The study aimed to compare the surgical outcomes of septoplasty with inferior turbinectomy between in-patient and out-patient groups. There are a number of possible approaches to conduct a septoplasty, most surgeons utilize a similar technique that includes submucosal resection of the cartilaginous nasal septum (SMR), controlled osteotomy of bony nasal septum, and concomitant inferior turbinectomy. This kind of surgery can be performed as either an ambulatory or an in-patient procedure. Under the hypothesis that septoplasty with inferior turbinectomy would be a good candidate for day-case surgery without compromising patient safety or clinical outcome, this retrospective study is to compare the prognosis, complications, and expense associated with this surgery as an in-patient or out-patient procedure
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