Erschienen in:
27.10.2016 | Head and Neck
Multicenter prospective micro-costing study evaluating mandibular free-flap reconstruction
verfasst von:
Olivier Dassonville, Alexandre Bozec, Yann Château, Emile Reyt, Bernard Devauchelle, Marie-Yolande Louis, Pierre Breton, Morbize Julieron, Jacques Yachouh, Yann Mallet, Jérôme Sarini, Gilles Dolivet, Renaud Schiappa, Jocelyn Gal, Marie-Helene Orlanducci, Gilles Poissonnet, Emmanuel Chamorey
Erschienen in:
European Archives of Oto-Rhino-Laryngology
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Ausgabe 2/2017
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Abstract
Free-flap mandibular reconstruction is a highly specialized procedure associated with severe complications necessitating re-interventions and re-hospitalizations. This surgery is expensive in terms of health workers’ time, equipment, medical devices and drugs. Our main objective was to assess the direct hospital cost generated by osseocutaneous free-flap surgery in a multicentric prospective micro-costing study. Direct medical costs evaluated from a hospital perspective were assessed using a micro-costing method from the first consultation with the surgeon until the patient returns home, thus confirming the success or failure of the free-flap procedure. The mean total cost for free-flap intervention was 34,009€ (5151–119,604€), the most expensive item being the duration of hospital bed occupation, representing 30–90% of the total cost. In the event of complications, the mean cost increased by 77.3%, due primarily to hospitalization in ICU and the conventional unit. This surgery is effective and provides good results but remains highly complex and costly.