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AUDIT RESULTS

Last audit: December 17th 2025

For transparency of surgical outcomes, the below are Clinical Professor Nirmal Patel’s results from his Private patients. These data under represent the total numbers as Public hospital (Royal North Shore) data is separately grouped and audited at quarterly Morbidity Mortality meetings in the hospital.  Please note that “acceptable rates” are from pooled “Meta-analysis” research.

Tonsillectomy/ Adenoidectomy (Children 96% and Adults 4% ) 2006- present

5572
Procedures performed

Secondary bleeding requiring re operation:

0.77%

Dr Patel’s result (total of 43 out of 5,572)

<2% – Acceptable rate of complication from literature

Middle ear Ventilation tubes (Grommets) 2006 - present

4931
Procedures performed

Known symptomatic perforation rate:

0.85%

Dr Patel’s result (total of 42 out of 4931)

<3% – Acceptable rate of complication from literature

Endoscopic Ear Surgery (Perforations, Cholesteatoma, Ossicle reconstruction) 2012 - present

1870
Procedures performed

Healed ear drum rate at 6 month follow up:

Dr Patel's result

91%

Acceptable take rate

85%

Temporary facial nerve weakness rate:

0.6 %

Dr Patel’s result

<1% – Acceptable rate of complication from literature

Permanent facial nerve injury rate (does not recover):

0%

Dr Patel’s result

<1% – Acceptable rate of complication from literature

Complete hearing loss following surgery:

0%

Dr Patel’s result

<1% – Acceptable rate of complication from literature

Dural (Brain lining) injury:

0%

Dr Patel’s result

<1% – Acceptable rate of complication from literature

Laser Stapedectomy/ Stapedotomy (2005-present)

364
Procedures performed

Air Bone Gap Closure <10dB:

Dr Patel's result

92%

Acceptable rate

75%%

Facial Nerve injury rate:

0%

Dr Patel’s result

<1% – Acceptable rate of complication from literature

Permanent nerve hearing loss:

0.6 %

Dr Patel’s result (2 from 319)

<1-2% – Acceptable rate of complication from literature

Cochlear Implants (from 2005 to present)

294
Procedures performed

Facial Nerve Injury Rate:

0%

Dr Patel’s result

<1% – Acceptable rate of complication from literature

Permanent Chorda Tympani injury rate:

0.37%

Dr Patel’s result (1 from 264)

<1% – Acceptable rate of complication from literature

Explant rate:

0.68%

Dr Patel’s result (2 from 294)

<1% – Acceptable rate of complication from literature

Infection Rate requiring removal:

0.68%

Dr Patel’s result (2 from 294)

<1% – Acceptable rate of complication from literature

Septoplasty (from 2006 to present)

856
Procedures performed

Perforation rate (at 3 month FU):

0.24%

Dr Patel’s result (total of 2 out of 856)

<2% – Acceptable rate of complication from literature

Endoscopic Sinus Surgery (2006 to present)

373
Procedures performed

Eye injury:

0%

Dr Patel’s result

<1% – Acceptable rate of complication from literature

Brain lining (Dura) injury:

0%

Dr Patel’s result

<1% – Acceptable rate of complication from literature

Turbinoplasty (2006 to present)

4341
Procedures performed

Bleeding requiring reoperation:

0.5%

Dr Patel’s result (total of 22 out of 4341)

0.5%

Dr Patel’s result (total of 22 out of 4341)

<2% – Acceptable rate of complication from literature