{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T14:12:01Z","timestamp":1777558321850,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T00:00:00Z","timestamp":1571788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Determine rates and reasons for unplanned revisits after ambulatory otologic surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cross\u2010sectional analysis of State Ambulatory Surgery Databases of California, Florida, Iowa, and New York was performed for years 2010 and 2011. Ambulatory adult otology surgical procedures were linked to ambulatory, emergency, and inpatient databases for revisit encounters occurring within 30\u2009days. The numbers of revisits and associated diagnoses were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 16,709 ambulatory otologic cases were extracted (mean age, 50.3\u2009years; 54.2% female). The most common primary procedures performed were tympanoplasty (n = 7,919), stapedectomy (n = 2504), cochlear implantation (n = 1444), tympanomastoidectomy (n = 713), and mastoidectomy (n = 697). The 30\u2010day revisit rate was 5.2% (n = 875; 95% confidence interval [CI] 4.9%\u20135.6%). Urinary retention\/urinary tract infection (UTI) (n = 93, 10.6%; CI 8.8%\u201312.9%) was the most common diagnosis at revisit, followed by otalgia (n = 85, 9.7% of revisits; CI: 7.9%\u201311.9%) and dizziness (n = 80, 9.1%; CI 7.4%\u201311.2%). Revisits most frequently occurred within the first 10\u2009days postoperatively (47.2% of revisits), and a second revisit occurred 134 times (0.8% of cases). Fewer than 10 cases of facial nerve palsy were diagnosed (CI 0.03%\u20130.11%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>With a relatively low unplanned revisit rate, ambulatory otologic surgery demonstrates a favorable safety profile. Common reasons for revisit included pain, urinary retention, and dizziness. Quality improvement measures should be directed at addressing these postoperative issues to minimize rates of complications and unplanned revisits.<\/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>, 130:1788\u20131791, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28346","type":"journal-article","created":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T19:26:26Z","timestamp":1571858786000},"page":"1788-1791","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Adult ambulatory otologic surgery: Unplanned revisits and complications"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3108-9549","authenticated-orcid":false,"given":"Cameron","family":"Heilbronn","sequence":"first","affiliation":[{"name":"University of California Irvine Medical Center Department of Otolaryngology Orange  California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harrison","family":"Lin","sequence":"additional","affiliation":[{"name":"University of California Irvine Medical Center Department of Otolaryngology Orange  California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0000-5824","authenticated-orcid":false,"given":"Neil","family":"Bhattacharyya","sequence":"additional","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,10,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1997.01430330049007"},{"key":"e_1_2_6_3_1","first-page":"1","article-title":"Ambulatory surgery in the United States, 2006","volume":"11","author":"Cullen KA","year":"2009","journal-title":"Natl Health Stat Rep"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/14992027.2015.1091094"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24706"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815577603"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.1172"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20777"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24541"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106001320"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198607000-00014"},{"key":"e_1_2_6_12_1","first-page":"710; 713","article-title":"Unplanned admissions following outpatient otologic surgery: the University of Arkansas experience","volume":"79","author":"Dornhoffer J","year":"2000","journal-title":"Ear Nose Throat J"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-011-0739-8"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.72"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1300122"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0904859"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1006571"},{"key":"e_1_2_6_18_1","unstructured":"HCUP Home. 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