Application of Enhanced Recovery After Surgery in Perioperative Period of Tympanoplasty and Mastoidectomy

• Published in: Ear, nose, & throat journal nose, & throat journal, 2021-12, Vol.100 (10_suppl), p.1045S-1049S
• Main Authors: Tan, Jing-Qian, Chen, Yu-Bin, Wang, Wei-Hao, Zhou, Shao-Li, Zhou, Qi-Lin, Li, Peng
• Format: Article
• Language: English
• Subjects: Adult; Chronic Disease; Enhanced Recovery After Surgery; Female; Hospital Costs - statistics & numerical data; Humans; Length of Stay - statistics & numerical data; Male; Mastoidectomy - rehabilitation; Middle Aged; Otitis Media, Suppurative - rehabilitation; Otitis Media, Suppurative - surgery; Perioperative Care - methods; Perioperative Period; Postoperative Complications - epidemiology; Postoperative Complications - prevention & control; Treatment Outcome; Tympanoplasty - rehabilitation; Young Adult
• ISSN: 0145-5613; 1942-7522
• DOI: 10.1177/0145561320928222

Introduction: Enhanced recovery after surgery (ERAS) protocols are a series of perioperative care to optimize preoperative preparation, prevent postoperative complications, minimize stress, and speedup recovery. Tympanoplasty and mastoidectomy are common surgical procedures for chronic suppurative otitis media. Objective: To compare the efficacy and safety between ERAS and conventional recovery after surgery in the perioperative period of chronic suppurative otitis media. Methods: From April 2018 to February 2019, a total of 84 patients scheduled for tympanoplasty and/or mastoidectomy due to chronic suppurative otitis media were involved and randomly divided into the ERAS group and the control group. The patients’ preoperative anxiety, postoperative pain, and comfort level were determined by comparing the results of Self-Rating Anxiety Scale (SAS), Visual Analog Scale (VAS) and General Comfort Questionnaire (GCQ). The postoperative complications, postoperative hospital stay, and hospitalization cost were calculated. Results: The ERAS group showed a lower SAS score (30 [28-31.5] vs 35 [30-43], P < .05], a higher GCQ score (88 [84-100] vs 83 [78.25-92.25], P < .05), and a lower VAS score (0 [0-0] vs 1 [0-2], P < .05] after surgery. No significant difference (P > .05) was observed between the ERAS group and the control group in postoperative complications, postoperative hospitalization time, and hospitalization cost, respectively. Conclusion: Enhanced recovery after surgery can reduce pain and improve comfort in the perioperative period of chronic suppurative otitis media.