Economic Implications of Head and Neck Oncologic Surgery

Economic impact of a head and neck oncologic surgeon: the case mix index.

BACKGROUND Head and neck oncologic surgery is a time-consuming specialty that requires extensive resources and manpower. Case mix index (CMI) is used in evaluating the complexity and economic impact of surgeons. Head and neck oncologic surgeons generate significant revenue for hospitals, yet compensation is relatively low. METHODS Retrospective review of a tertiary hospital's case mix data fo...

The influence of reconstructive modality on cost of care in head and neck oncologic surgery.

OBJECTIVE To determine the differential costs of 3 reconstructive modalities in patients undergoing head and neck oncologic surgery. DESIGN Cost-identification analysis. SETTING Academic tertiary care medical center. METHODS Retrospective review of 104 major head and neck resections involving primary tumors of the upper aerodigestive tract requiring a tracheotomy (primary hospital dischar...

Head and Neck Surgery

Contamination of the surgical field in head and neck oncologic surgery.

BACKGROUND The purpose of this study was to determine the timing and type of surgical field contamination in 50 consecutive resections for advanced head and neck cancer with same-stage tissue reconstruction and to analyze the relationship between contamination and the surgical site infection. METHODS Swabs from the surgical field and from surgical drapes close to the field were taken every 2 ...

Antibiotic prophylaxis in head and neck oncologic surgery: the role of gram-negative coverage.

Many studies have elucidated the risk factors associated with peri-operative infection following head and neck cancer surgery (HNS), the implications of infection for total treatment cost, and the clinical benefits of successful antimicrobial prophylaxis. The most appropriate antibiotic use is achieved by focusing on patients with clean, contaminated wounds. Thereafter, the usefulness of an ant...