Bhargava, Eishaan Kamta1; Wakelam, Oliver1; Leach, Laura1; Masood, Ajmal1; Qayyum, Asad1
1 Department of ENT, Peterborough City Hospital, Peterborough, UK.
Introduction:
Endoscopic ear surgery (EES) is rapidly emerging as a mainstream surgical modality, with recent literature highlighting its advantages over traditional approaches. This study tests the null hypothesis that there is no difference in direct costs of total endoscopic ear surgery and microscopic ear surgery for attic cholesteatoma in a British National Health Service District General Hospital setting.
Methods:
Study Design: Retrospective cost comparison
Setting: district general hospital
Cost comparison: Direct cost comparison of anaesthetic set up, surgical set up, and surgical time between total endoscopic ear surgery and microscopic ear surgery for attic cholesteatoma.
Discussion:
Main outcome measures:Direct costs of anaesthetic set up, surgical set up, and surgical time
Results: Total endoscopic ear surgery had a significant cost saving of over £1500 per operation.
Conclusion: Total endoscopic ear surgery is more cost-effective than microscopic surgery for attic cholesteatoma in a British National Health Service District General Hospital setting.