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A Step towards Achieving Sustainable Otologic Surgery in Low-Resource Settings: A Cost Comparison between Shipping an Otologic versus Microscopic Surgical Setup.
Thompson, Rachel; Basura, Gregory; Din, Taseer Feroze; Jayawardena, Asitha.
  • Thompson R; University of Minnesota Medical School, Minneapolis, MN 55455, USA.
  • Basura G; Department of Otolaryngology, University of Michigan, Ann Arbor, MI 48109, USA.
  • Din TF; Department of Pediatric Otolaryngology, Stanford University, Stanford, CA 94305, USA.
  • Jayawardena A; Children's Minnesota, Pediatric ENT and Facial Plastics, University of Minnesota, Minneapolis, MN 55455, USA.
Audiol Res ; 12(4): 388-392, 2022 Jul 13.
Article in English | MEDLINE | ID: covidwho-2023118
ABSTRACT

Background:

The advancement of otologic surgery in low-resource settings has been limited by the cost and transport of surgical equipment. This study compared the transportation costs of an otologic microscopic surgical setup (MSS) versus an endoscopic surgical setup (ESS) in low- and low to middle-income countries (LMICs) for surgical teaching.

Methods:

Dimensions of microscopes, endoscopes and associated surgical instruments were used to calculate shipping costs from Minneapolis, MN, USA to Kenya, Haiti and Sri Lanka.

Results:

The average cost of internationally shipping the ESS is less than the MSS in Kenya (ESS USD 1344.03; MSS USD 20,947.00; p = 0.370), Haiti (ESS USD 549.11; MSS USD 1679.00; p < 0.05) and Sri Lanka (ESS USD 945.38; MSS USD 8490.57; p = 0.377). Freight shipping was required for the MSS while the ESS can be packed into an international checked bag for USD 35.00 USD.

Discussion:

The ESS has fewer logistical barriers than the MSS, making the endoscope a feasible option for surgical teaching in LMICs.
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Full text: Available Collection: International databases Database: MEDLINE Language: English Journal: Audiol Res Year: 2022 Document Type: Article Affiliation country: Audiolres12040039

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Full text: Available Collection: International databases Database: MEDLINE Language: English Journal: Audiol Res Year: 2022 Document Type: Article Affiliation country: Audiolres12040039