Cost analysis of microtia treatment in the Netherlands

Publication date: Available online 28 June 2017
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): M.N. Kolodzynski, C.V.A. van Hövell tot Westerflier, M. Kon, C.C. Breugem
IntroductionEar reconstruction for microtia is a challenging procedure. Although analyzing aesthetic outcome is crucial, there is a paucity of information with regard to financial aspects of microtia reconstruction. This study was conducted to analyze the costs associated with ear reconstruction with costal cartilage in patients with microtia.MethodsTen consecutive children with autologous ear reconstruction of a unilateral microtia were included in this analysis. All patients had completed their treatment protocol for ear reconstruction. Retrospectively direct costs (admission to hospital, diagnostics, and surgery) and indirect cost (travel expenses and absence from work) were obtained.ResultsThe overall mean cumulative costs per patient was €14,753. Respectively direct and indirect costs were €13,907 and €846. Hospital admission and surgery covers respectively 55 percent and 32 percent of the all costs.DiscussionThis study analysis the costs for autologous ear reconstruction. Hospital admission and surgery are the most important factors of the total costs. Total costs could be decreased by possibly decreasing admission days and surgical time. This data can be used for choosing and development of future treatment strategies.



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