Hybrid Operating Room Applications in Otolaryngology: A Seven-Year Single-Center Experience with Image-Guided and...

Area of Science:

• Otolaryngology
• Medical Technology
• Surgical Innovation

Background:

• Hybrid operating rooms integrate advanced imaging, endovascular capabilities, and multidisciplinary resources.
• Their application in otolaryngology is not well-defined.
• This study examines hybrid operating room utilization in otolaryngology.

Purpose of the Study:

• To evaluate patterns of hybrid operating room use in otolaryngology.
• To identify key clinical indications and multidisciplinary involvement.
• To assess perioperative resource utilization.

Main Methods:

• Retrospective single-center study of otolaryngologic procedures (Oct 2018 - Dec 2025).
• Analysis of patient demographics, operative sites, hybrid room applications, multidisciplinary collaboration, blood loss, ICU admission, and hospital stay.
• 55 procedures were analyzed.

Main Results:

• Computed tomography-based navigation was the primary application (~75%), focusing on sinonasal, nasopharyngeal, and skull base regions.
• Angiography and endovascular interventions were the second most common use.
• Multidisciplinary involvement (cardiovascular surgery, interventional radiology) occurred in ~25% of cases.
• Image-guided procedures had lower blood loss (20 mL) and shorter hospital stays (3 days).
• Complex cases requiring advanced hybrid capabilities showed increased ICU admissions and longer hospitalizations.

Conclusions:

• Hybrid operating rooms offer a flexible platform for image-guided, vascular, and multidisciplinary otolaryngologic procedures.
• These rooms are utilized for complex, high-acuity cases.
• Resource utilization varies with procedural complexity and patient risk factors.