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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Office-Based Pediatric Otoplasty Under Local Anesthesia
Nissim Hazkour1, Paige Goote2, Jose Palacios3
1SUNY Downstate College of Medicine, Brooklyn.
Insights
Pediatric otoplasty can be safely performed in an office setting using local anesthesia (LA), reducing parental anxiety. This approach offers a safe and feasible alternative to general anesthesia (GA) for children aged 5-10.
Area of Science:
- Plastic Surgery
- Pediatric Surgery
- Anesthesiology
Background:
- Many parents prefer otoplasty for school-aged children without general anesthesia (GA).
- Office-based otoplasty under local anesthesia (LA) is a potential alternative.
- Limited literature exists on pediatric otoplasty performed solely under LA.
Purpose of the Study:
- To evaluate the safety and feasibility of pediatric otoplasty under local anesthesia (LA).
- To compare outcomes and parental satisfaction between LA and GA otoplasty in children.
- To address the gap in literature regarding LA otoplasty for pediatric patients.
Main Methods:
- Retrospective review of children aged 5-10 undergoing otoplasty (2017-2021).
- Data collected included demographics, techniques, complications, recurrences, and reoperations.
- Parental satisfaction and anxiety surveys were administered 3 months post-treatment.
Main Results:
- 13 patients underwent otoplasty under LA, and 12 under GA.
- Minor complications (hematomas) occurred in the LA group, requiring no revisions.
- Parental anxiety scores were significantly lower in the LA group (P=0.0005).
- Parental satisfaction scores were marginally higher in the LA group (P=0.063).
Conclusions:
- Pediatric otoplasty under LA is a safe and feasible procedure for children aged 5-10.
- LA otoplasty offers a significant reduction in parental anxiety compared to GA.
- This technique provides a viable alternative for ear correction surgery in pediatric patients.
Background:
Many parents seek otoplasty for their school age children but fear having to undergo general anesthesia (GA). In our experience, otoplasty can safely be performed in an office-based setting under local anesthesia (LA). There is a gap in the literature regarding pediatric otoplasty under LA.
Methods:
All children aged 5 to 10 who underwent otoplasty between 2017 and 2021 were included in a retrospective review. Demographics, operative techniques, complications, recurrences, and reoperation rates were collected. Surveys were provided 3 months after treatment to assess parental satisfaction and anxiety. Results were compared between patients who received otoplasty under GA and LA.
Results:
A total of 13 patients (6 male, 7 female), with a mean age of 7 years (ranging 5-10) underwent otoplasty under LA. Tweleve children (6 male, 6 female), with a mean age of 5 years (ranging 4-7) underwent otoplasty under GA. The only complications seen were 3 minor conchal bowl hematomas that were aspirated, each retrieving <1 mL of blood; no revisions were necessary. The LA subgroup was more likely to repeat otoplasty under identical conditions ( P =0.025). Postoperatively, mean parental anxiety scores between the LA and GA subgroups were significantly different (1.4±1.1 versus 4.8±2.7, P =0.0005). Lastly, the mean satisfaction scores between the LA and GA subgroups were marginally different (3.83±0.58 versus 3.17±1.03, P =0.063).
Conclusion:
Pediatric otoplasty under LA is a safe and feasible operation for patients between 5 and 10 years of age.
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