{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:30:02Z","timestamp":1747150202567,"version":"3.40.5"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T00:00:00Z","timestamp":1557187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["2T32DC000040\u201021"],"award-info":[{"award-number":["2T32DC000040\u201021"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To examine the risk and prevalence of accidental intraoperative injury reported during head and neck surgeries and the associated outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cross\u2010sectional analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An analysis utilizing the Nationwide Readmissions Database, 2010 to 2014. Adult patients with a reported accidental intraoperative injury were compared to controls without such injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 173 cases and 105,659 controls were included. Most cases were reported in surgeries of the mouth\/tonsils (29.4%) and maxillofacial bones\/mandible (22.5%). The remaining cases were reported in surgeries of the pharynx\/larynx (17.5%), nose\/paranasal sinuses (15.4%), salivary glands and ducts (6.2%), thyroid\/parathyroid (5.2%), and ear (3.8%). The multivariate logistic regression model demonstrated that surgeries of the pharynx\/larynx were associated with the highest risk of injuries compared to other site surgeries (odds ratio [OR]: 2.51, 95% confidence interval [CI]: 1.49, 4.25, <jats:italic>P<\/jats:italic> &lt; .001]. Concomitant neck dissection was also independently associated with the risk of injury (OR: 4.07, 95% CI: 2.05, 8.09, <jats:italic>P<\/jats:italic> &lt; .001]. Compared to controls, cases were not associated with an increased risk of mortality (<jats:italic>P<\/jats:italic> = .63) or readmission (<jats:italic>P<\/jats:italic> = .29); however, those cases had a significantly longer hospital stay on average by 3.64 \u00b1 0.95 days\/case (<jats:italic>P<\/jats:italic> &lt; .001) and a higher cost of treatment on average by $13,478 \u00b1 119.42\/case (<jats:italic>P<\/jats:italic> &lt; .001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study reports on the prevalence and outcomes of accidental intraoperative injuries reported in head and neck surgeries. The prevalence is relatively low, and the annual trend appears stable; however, it is associated with a significant burden on the health system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA<\/jats:p><jats:p><jats:italic>Laryngoscope<\/jats:italic>, 130:918\u2013924, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28035","type":"journal-article","created":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T21:30:32Z","timestamp":1557264632000},"page":"918-924","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A national overview of surgical misadventures in head and neck surgery: \u201cOh No, You Cut It\u201d"],"prefix":"10.1002","volume":"130","author":[{"given":"Zaid","family":"Al\u2010Qurayshi","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Randolph","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Harvard Medical School  Boston Massachusetts"},{"name":"Division of Thyroid and Parathyroid Endocrine Surgery Massachusetts Eye and Ear Infirmary, Surgical Oncology, Massachusetts General Hospital  Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jarrett","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Owen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5895-4403","authenticated-orcid":false,"given":"Emad","family":"Kandil","sequence":"additional","affiliation":[{"name":"Department of Surgery Tulane University School of Medicine  New Orleans Louisiana U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2007.023622"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199102073240605"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2015.12.040"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.2011.100408"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2002.003822"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.4317\/jced.51438"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25748"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24117"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215111002039"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2005.01.007"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/8362874"},{"key":"e_1_2_6_13_1","unstructured":"Healthcare Cost and Utilization Project. 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