The Direct Costs of Microsurgical Resection of Vestibular Schwannomas

Objective:
To determine and itemize surgical costs associated with the translabyrinthine (TL), retrosigmoid (RS), and middle cranial fossa (MCF) approaches for microsurgical excision of vestibular schwannoma (VS).
Study Design:
Retrospective cost analysis study.
Setting:
Tertiary referral center.
Patients:
Thirty consecutive adult patients underwent microsurgical excision of VS by either TL, RS, or MCF approach (10 per approach).
Interventions:
Microsurgical excision of VS by one of the three major approaches. Medical and financial data were collected.
Main Outcome Measures:
Total operating room time (minutes), skin-to-skin time (minutes), operating room cost ($US), and surgical supplies cost ($US).
Results:
The MCF approach was associated with the shortest skin-to-skin time (230.3 min, p 

Source: Otology and Neurotology - February 12, 2020 Category: ENT & OMF Tags: TUMORS OF THE EAR AND CRANIAL BASE Source Type: research