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[Myringotomy under topical anesthesia with phenol]
G Plaza1, C Herraiz, G De los Santos
1Unidad de ORL, Fundación Hospital Alcorcón, Madrid. gmayor@ctv.es o gplaza@fhalcorcon.es
Abstract:
Myringotomy is a common outpatient surgical procedure. It can be performed under general inhaled anesthesia, but it is usually carried out under local anesthesia by lidocaine infiltration or instillation of different anesthetic agents. We present our experience with myringotomy and tympanic tube placement using topical anesthesia with 88% phenol as an outpatient procedure. We report 55 patients in which we performed 81 treatments. In this series, only two ears (2.47%) did not tolerate the surgical procedure, tube insertion under general anesthesia being necessary in one case. Topical anesthesia with phenol facilitates the outpatient treatment of adult otitis media with effusion.
Insights
Topical phenol anesthesia effectively enables outpatient myringotomy and tympanic tube placement for adults. This method simplifies treating otitis media with effusion, with high patient tolerance for the procedure.
Area of Science:
- Otolaryngology
- Anesthesiology
- Surgical Procedures
Context:
- Myringotomy with tympanic tube placement is a common outpatient procedure.
- Anesthesia options include general inhaled or local anesthetic agents.
- Topical anesthesia offers a less invasive alternative for adult patients.
Purpose:
- To evaluate the efficacy and tolerance of topical 88% phenol anesthesia for outpatient myringotomy and tympanic tube insertion.
- To assess the feasibility of this technique in treating adult otitis media with effusion.
Summary:
- Eighty-one myringotomy and tympanic tube procedures were performed on 55 adult patients using topical 88% phenol anesthesia.
- Only two patients (2.47%) did not tolerate the procedure, with one requiring general anesthesia.
- The study demonstrates high success and tolerance rates for this outpatient approach.
Impact:
- Topical phenol anesthesia is a viable and well-tolerated option for outpatient myringotomy and tympanic tube placement in adults.
- This technique can facilitate the management of adult otitis media with effusion in an outpatient setting.
- It potentially reduces the need for general anesthesia and associated costs.