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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
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Related Experiment Video

Updated: Apr 30, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Day-case septoplasty: a default pathway or is case selection the key?

Ali Al-Hussaini1, Hussein Walijee, Anwar Khan

  • 1Department of Otorhinolaryngology, Head and Neck Surgery, Royal Gwent Hospital, Newport, NP20 2UB, UK, alialhussaini@doctors.org.uk.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|April 30, 2014
PubMed
Summary

Day-case septoplasty is suitable for outpatient surgery, but high readmission rates, primarily due to bleeding, persist. Patient comorbidities and additional procedures increase readmission risk, necessitating careful case selection for safe day surgery.

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Area of Science:

  • Otolaryngology
  • Surgical Outcomes
  • Ambulatory Surgery

Background:

  • Septoplasty is recognized as a suitable procedure for same-day surgery.
  • Current readmission rates for day-case septoplasty often exceed recommended targets (2-3%).

Purpose of the Study:

  • To identify surgical and patient factors contributing to unexpected readmissions after day-case septoplasty.

Main Methods:

  • A retrospective analysis of 256 day-case septoplasties performed between January 2010 and December 2012.
  • Data collected included patient demographics, surgeon grade, and operative techniques.
  • Univariate analysis was used to examine factors associated with readmission.

Main Results:

  • An overall 24-hour readmission rate of 9.0% was observed, predominantly due to post-operative bleeding.
  • Factors significantly associated with readmission included the use of intranasal splints (RR 5.34), additional procedures (RR 4.96), and patient comorbidities (RR 3.37).
  • No correlation was found between readmission and patient age, gender, surgeon grade, or specific operative details.

Conclusions:

  • Day-case septoplasty may not be universally suitable, particularly for patients with comorbidities or those undergoing additional procedures.
  • Careful patient selection is crucial for optimizing the safety and efficiency of day-case septoplasty.