This study aims to examine the impact of ear, nose, and throat (ENT) surgeons' involvement on intraoperative costs and operating room (OR) times for retrosigmoid craniotomies using time-driven activity-based costing (TDABC).
No actionable change for most audiologists; findings are relevant to ENT surgeons and hospital administrators making decisions about surgical team composition for skull-base procedures.
As healthcare systems face cost pressures, quantifying the value of ENT involvement in skull-base surgeries helps justify or scrutinize multidisciplinary team costs — indirectly affecting referral pathways for audiology patients with acoustic neuromas or similar tumors.
- 01Time-driven activity-based costing (TDABC) was used to measure intraoperative costs of ENT surgeon involvement.
- 02ENT participation in retrosigmoid craniotomy adds measurable cost and operating room time.
- 03Findings are relevant to hospital administrators and multidisciplinary skull-base surgery teams.
- 04Results may influence decisions about surgical team composition for inner-ear-adjacent brain surgeries.
- 05No direct implication for audiologist clinical practice is identified.
ENT surgeon involvement in retrosigmoid craniotomies increases intraoperative costs and operating room time.
studysupported- PMID
- 42095035
- DOI
- 10.1055/a-2607-0611.
- Journal
- Laryngoscope
- Publication type
- research_article
- Evidence level
- 4
- Population
- Patients undergoing retrosigmoid craniotomy with or without ENT surgeon involvement
- Intervention
- ENT surgeon participation in retrosigmoid craniotomy
- Comparator
- Neurosurgery-only team for retrosigmoid craniotomy
Primary outcomes
Intraoperative cost; Operating room time