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Legal Liability in Iatrogenic Orbital Injury
Author(s) -
Svider Peter F.,
Kovalerchik Olga,
Mauro Andrew C.,
Baredes Soly,
Eloy Jean Anderson
Publication year - 2013
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.24000
Subject(s) - jury , plaintiff , malpractice , diplopia , medicine , damages , complaint , medical malpractice , law , surgery , medical emergency , general surgery , political science
Objectives/Hypothesis In this study, we detailed factors governing legal outcomes in iatrogenic orbital injury, with the purpose of discussing strategies to minimize liability and enhance patient safety. Study Design Retrospective analysis. Methods Jury verdict and settlement reports were searched from publically available federal and state court records using the Westlaw database (Thomson Reuters, New York, NY). After exclusion of nonrelevant cases, 20 cases of iatrogenic orbital injuries were examined for factors such as legal outcome, damages awarded, defendant specialty, alleged causes of malpractice, and patient demographic information. Results The majority (60.0%) of cases were resolved in the defendant's favor. Payment was considerable for the cases decided in support of the plaintiff, averaging $1.13 million. Out‐of‐court settlements averaged $1.78 million (range, $487,500–$3.9 million), whereas jury‐awarded damages averaged $472,661 (range, $75,000–$763,214). Complications stemming from endoscopic sinus surgery were most common (50.0%). Diplopia was the most common medical complaint (50.0%), whereas permanent deficits and having to undergo additional surgery were each present in 65.0% of cases. Conclusions The potential for permanent sequelae of iatrogenic orbital injury makes this complication susceptible to malpractice litigation. Otolaryngologists were the most common defendants. Although cases were resolved in the defendant's favor 60% of the time, payments made were considerable, averaging $1.13 million. Steps to minimize liability and improve patient safety include an informed consent process explicitly listing risks, including diplopia and blindness, and obtaining timely ophthalmology consultation when a complication is recognized. Level of Evidence NA Laryngoscope , 123:2099–2103, 2013

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