Helmiö Päivi, Saarinen Riitta, Aaltonen Leena-Maija, Lehtonen Lasse, Blomgren Karin
a Department of Surgery , Turku University Hospital , Turku , Finland.
b Department of Otorhinolaryngology - Head and Neck Surgery , Helsinki University Hospital and University of Helsinki , Helsinki , Finland.
Acta Otolaryngol. 2018 Jan;138(1):16-20. doi: 10.1080/00016489.2017.1375153. Epub 2017 Sep 14.
To assess patient injury characteristics and contributing factors in otology.
Data on the accepted patient-injury claims involving otorhinolaryngology (ORL), closed between 2001 and 2011, from the Finnish Patient Insurance Centre registry was retrieved. We included all injuries concerning otology, with evaluation and classification of their causes and types.
During the 10-year study period, a total of 44 claims were accepted as compensated patient injuries in otology. From a total of 233 patient injuries in all ORL, this amounted to 19%. In outpatient care, occurred 12 (27%) injuries and in surgical procedures 32 (73%). Five (11%) patients were children. Errors in surgical technique were identified as the primary cause of the injury in 22 (69%) operation-related cases. Failure to remove all auricular tampons or packing in postoperative control was a contributing factor in 4 (13%) injuries, a facial nerve was damaged in 9 (28%) operations, and in 12 (38%) patients, the injury resulted in severe hearing loss or deafness. Six patients (21%) needed one or more re-operations related to the injury, of which two were due to an incomplete primary operation.
Typical compensated patient injuries in operative otology resulted from common complications of common operations in high volume centres.
评估耳科学中患者损伤的特征及相关因素。
从芬兰患者保险中心登记处检索2001年至2011年期间结案的涉及耳鼻咽喉科（ORL）的已受理患者损伤索赔数据。我们纳入了所有与耳科学相关的损伤，并对其原因和类型进行了评估和分类。
在10年的研究期内，耳科学中共有44例索赔被认定为可获赔偿的患者损伤。在所有耳鼻咽喉科的233例患者损伤中，这占了19%。门诊护理中发生损伤12例（27%），手术过程中发生32例（73%）。5例（11%）患者为儿童。在22例（69%）与手术相关的病例中，手术技术失误被确定为损伤的主要原因。术后复查时未取出所有耳内棉塞或填充物是4例（13%）损伤的一个促成因素，9例（28%）手术中面神经受损，12例（38%）患者的损伤导致严重听力损失或耳聋。6例（21%）患者因损伤需要进行一次或多次再次手术，其中2例是由于初次手术不完整。
耳科手术中典型的可获赔偿患者损伤是由高容量中心常见手术的常见并发症导致的。
