Evolution of the Outpatient Otologic Surgery Activity: Our Experience

Introduction: Otologic surgery is particularly suitable for outpatient surgery, which accounts for more than 50% of all surgeries performed in North America. Our aim was to report our experience to identify the benefits and limitations of outpatient otologic surgery in our context. Materials and methods: We conducted an observational, descriptive and retrospective study from January 2022 to December 2023, including 41 patients at the Gabriel Toure University Hospital in Bamako. We included cases of myringoplasty and antro-atticotomies. Results: The extreme ages of our patients are between 02 and 60 years old with an average of 29.5 years. Males accounted for 37.5% and 62.5% females. Myringoplasty affected the left and right sides in the same proportion (28.1%) and was bilateral in 14 cases (43.8%). As for antro-atticotomy, it concerned the right side in 06 cases and the left side in 03 cases. The average operating time was 30 minutes for myringoplasty and 50 minutes for antro-atticotomy. The main complications recorded were dizziness and vomiting in the immediate postoperative period and were encountered in 03 patients. All our patients were discharged the same day with a monitoring time of between 03 and 6 hours. No readmission has been carried out. Conclusion: when the selection criteria are met, outpatient otological surgery could be an essential element for an effective use of fairly limited resources in our context.