Last audit: June 23rd 2023
For transparency of surgical outcomes, the below are Clinical 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
4803
Procedures performed
Secondary bleeding requiring re operation:
0.66%
Dr Patel’s result (total of 32 out of 4,803)
<2% – Acceptable rate of complication from literature
Middle ear Ventilation tubes (Grommets) 2006 - present
4173
Procedures performed
Known symptomatic perforation rate:
0.76%
Dr Patel’s result (total of 32 out of 4173)
<3% – Acceptable rate of complication from literature
Endoscopic Ear Surgery (Perforations, Cholesteatoma, Ossicle reconstruction) 2012 - present
1504
Procedures performed
Healed ear drum rate at 6 month follow up:
Temporary facial nerve injury rate (recovered in 24 hours from local anaesthetic):
0.5 %
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)
319
Procedures performed
Air Bone Gap Closure <10dB:
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)
264
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:
0.37 %
Dr Patel’s result (1 from 264)
<1% – Acceptable rate of complication from literature
Infection Rate requiring removal:
0.37%
Dr Patel’s result (1 from 264)
<1% – Acceptable rate of complication from literature
Septoplasty (from 2006 to present)
819
Procedures performed
Perforation rate (at 3 month FU):
0.24%
Dr Patel’s result (total of 2 out of 819)
<2% – Acceptable rate of complication from literature
Endoscopic Sinus Surgery (2006 to present)
362
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)
3634
Procedures performed
Bleeding requiring reoperation:
0.6%
Dr Patel’s result (total of 22 out of 3634)
<2% – Acceptable rate of complication from literature