AUDIT RESULTS

Last audit: January 13th 2021

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

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

3565
Procedures performed

Secondary bleeding requiring re operation:

0.6%

Dr Patel’s result (total of 23 out of 3,565)

<2% – Acceptable rate of complication from literature

Middle ear Ventilation tubes (Grommets) 2006 - present

3210
Procedures performed

Known symptomatic perforation rate:

0.9%

Dr Patel’s result (total of 29 out of 3,210)

<3% – Acceptable rate of complication from literature

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

911
Procedures performed

Healed ear drum rate at 6 month follow up:

Dr Patel's result

91%

Acceptable take rate

85%

Temporary facial nerve injury rate (recovered in 24 hours from local anaesthetic):

0.7 %

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)

222
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:

0.5 %

Dr Patel’s result (1 from 222)

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

Cochlear Implants (from 2005 to present)

224
Procedures performed

Facial Nerve Injury Rate:

0%

Dr Patel’s result

<1% – Acceptable rate of complication from literature

Permanent Chorda Tympani injury rate:

0.5%

Dr Patel’s result (1 from 224)

<1% – Acceptable rate of complication from literature

Explant rate:

0.5 %

Dr Patel’s result (1 from 224)

<1% – Acceptable rate of complication from literature

Infection Rate requiring removal:

0%

Dr Patel’s result (0 from 224)

<1% – Acceptable rate of complication from literature

Septoplasty (from 2006 to present)

690
Procedures performed

Perforation rate (at 3 month FU):

0.3%

Dr Patel’s result (total of 2 out of 690)

<2% – Acceptable rate of complication from literature

Endoscopic Sinus Surgery (2006 to present)

327
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)

2380
Procedures performed

Bleeding requiring reoperation:

0.5%

Dr Patel’s result (total of 11 out of 2,380)

<2% – Acceptable rate of complication from literature