Computer-Aided Surgical Simulation in Head and Neck Reconstruction: A Cost Comparison among Traditional, In-House, and Commercial Options

Journal of Reconstructive Microsurgery
Sean S LiReza Miraliakbari

Abstract

Computer-aided surgical simulation (CASS) has redefined surgery, improved precision and reduced the reliance on intraoperative trial-and-error manipulations. CASS is provided by third-party services; however, it may be cost-effective for some hospitals to develop in-house programs. This study provides the first cost analysis comparison among traditional (no CASS), commercial CASS, and in-house CASS for head and neck reconstruction. The costs of three-dimensional (3D) pre-operative planning for mandibular and maxillary reconstructions were obtained from an in-house CASS program at our large tertiary care hospital in Northern Virginia, as well as a commercial provider (Synthes, Paoli, PA). A cost comparison was performed among these modalities and extrapolated in-house CASS costs were derived. The calculations were based on estimated CASS use with cost structures similar to our institution and sunk costs were amortized over 10 years. Average operating room time was estimated at ten hours, with an average of two hours saved with CASS. The hourly cost to the hospital for the operating room (including anesthesia and other ancillary costs) was estimated at $4,614/hour. Per case, traditional cases were $46,140, commercial CASS cases w...Continue Reading

Citations

Jul 22, 2018·Current Opinion in Otolaryngology & Head and Neck Surgery·Axel Sahovaler, Kevin Fung
Jun 4, 2020·International Journal of Technology Assessment in Health Care·Carole SerranoNicolas Martelli
Apr 24, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Chen LinYupei Zhao
Mar 27, 2021·The Journal of Craniofacial Surgery·Lauren SalineroEduardo D Rodriguez

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