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Related Concept Videos

Local Anesthetics: Common Agents and Their Applications01:23

Local Anesthetics: Common Agents and Their Applications

516
Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
516
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

486
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
486
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

742
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
742

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Office-Based Pediatric Otoplasty Under Local Anesthesia.

Nissim Hazkour1, Paige Goote2, Jose Palacios3

  • 1SUNY Downstate College of Medicine, Brooklyn.

The Journal of Craniofacial Surgery
|September 14, 2022
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Summary

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.

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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.