AUDIT RESULTS

Last audit: October 21st 2019

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 “Metanalysis” research.

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

3257
Procedures performed

Secondary bleeding requiring re operation:

0.6%

Dr Patel’s result (total of 21 out of 3,257)

<2% – Acceptable rate of complication from literature

Middle ear Ventilation tubes (Grommets) 2006 - present

2953
Procedures performed

Known symptomatic perforation rate:

0.8%

Dr Patel’s result (total of 25 out of 2,953)

<3% – Acceptable rate of complication from literature

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

726
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):

0.4%

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)

196
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 196)

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

Cochlear Implants (from 2005 to present)

212
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 212)

<1% – Acceptable rate of complication from literature

Explant rate:

0.5 %

Dr Patel’s result (1 from 212)

<1% – Acceptable rate of complication from literature

Infection Rate requiring removal:

0%

Dr Patel’s result (0 from 212)

<1% – Acceptable rate of complication from literature

Septoplasty (from 2006 to present)

654
Procedures performed

Perforation rate (at 3 month FU):

0.3%

Dr Patel’s result (total of 2 out of 654)

<2% – Acceptable rate of complication from literature

Endoscopic Sinus Surgery (2006 to present)

352
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)

2097
Procedures performed

Bleeding requiring reoperation:

0.3%

Dr Patel’s result (total of 8 out of 2,097)

<2% – Acceptable rate of complication from literature