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Tympanostomy Tubes Under Local Versus General Anesthesia for Children: A Prospective Long-Term Study.
Samuel Bellavance1, Michel Khoury1, Isabelle Fournier1
1Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Université de Montréal, Montreal, Quebec, Canada.
The Laryngoscope
|July 3, 2024
Summary
Tympanostomy tube insertion under local anesthesia in children may increase fear of healthcare professionals and reduce tube function. However, long-term quality of life, parental satisfaction, and complication rates remain comparable to general anesthesia.
Area of Science:
- Otolaryngology
- Pediatric Anesthesia
Background:
- Tympanostomy tube insertion (TTI) under local anesthesia (LA) is increasingly used in children.
- Limited data exists on long-term outcomes comparing LA to general anesthesia (GA) for pediatric TTI.
Purpose of the Study:
- To compare long-term quality of life (QoL) in children undergoing TTI under LA versus GA.
- To evaluate secondary outcomes including behavioral changes, parental satisfaction, tube durability, and complications.
Main Methods:
- Prospective follow-up of children under 6 who had TTI 2 years prior, under LA or GA.
- Assessment of QoL using OM6 and PedsQL scales.
- Evaluation of behavioral changes, parental satisfaction, tube durability, and complications.
Main Results:
- No significant difference in long-term QoL (OM-6, PedsQL scores) or parental satisfaction between LA and GA groups.
- The LA group showed increased fear of healthcare professionals (p=0.04).
- Tympanostomy tubes functioned for a shorter duration in the LA group (p=0.039).
Conclusions:
- TTI under LA in children is linked to greater healthcare professional fear and reduced tympanostomy tube functionality compared to GA.
- Long-term QoL, parental satisfaction, and complication rates are similar between LA and GA for pediatric TTI.
