Cost Effectiveness of Sending of Routine Collection of Sinus Contents in Skull-Base Patients

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Authors

Jonathan Grey, Oakland University William Beaumont School of Medicine Medical Student
Caroline Roberts, Oakland University William Beaumont School of Medicine Medical Student
Amanda Bachand, Oakland University William Beaumont School of Medicine Medical Student
Jacob Keeley, Oakland University William Beaumont School of Medicine Medical Student
Adam Folbe, Corewell Health East

Description

• Following endoscopic skull-base surgeries, it is common practice to send sinus contents for histopathological review and examination, in addition to the tumor/pathology itself.
• Histologic analysis of standard surgical specimens has long been thought to enhance diagnostic precision, ensure quality control, and offer procedural documentation.1 However, with rising healthcare costs, the necessity of this practice has been challenged in specific situations, such as this one.1
• In this study, we sought to determine if the regular collection of sinus contents uncovers another disease process or informs clinical decision-making.
• We also determined the cost of routinely sending sinus contents to pathology for evaluation.
• We believe that there is no clinical benefit to sending sinus contents to pathology, and that it is not cost effective.

Publication Date

5-2025

Keywords

endoscopic, skull-base, surgeries

Disciplines

Ophthalmology

Recommended Citation

Grey J, Roberts C, Bachand A, Keeley J, Folbe A. Cost effectiveness of sending of routine collection of sinus contents in skull-base patients. Poster presented at: Oakland University William Beaumont School of Medicine Embark Capstone Colloquium; 2025 May; Rochester Hills, MI.

Comments

The Embark Capstone Colloquium at the Oakland University William Beaumont School of Medicine, Rochester Hills, MI, May, 2025.