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Functional endoscopic sinus surgery under local anaesthesia: possibilities and limitations
M Jorissen1, H Heulens, M Peters
1Department E.N.T., Head and Neck Surgery, UZ Leuven, Belgium.
Acta Oto-Rhino-Laryngologica Belgica
|January 1, 1996
Summary
Local anesthesia for functional endoscopic sinus surgery is well-tolerated and accepted by most patients. This approach minimizes blood loss and pain, offering a safe alternative to general anesthesia.
Area of Science:
- Otolaryngology
- Anesthesiology
- Surgical Innovation
Background:
- Functional endoscopic sinus surgery (FESS) is a common procedure.
- General anesthesia is typically used, but carries risks.
- Exploring local anesthesia alternatives is crucial for patient safety and comfort.
Purpose of the Study:
- To evaluate the efficacy and safety of local anesthesia for FESS.
- To assess patient tolerance and acceptance of the local anesthesia technique.
- To compare local anesthesia with general anesthesia for FESS.
Main Methods:
- Systemic premedication with pethidine and promethazine.
- Local preparation including decongestive nose drops, cocaine application, and lidocaine infiltration.
- Functional endoscopic sinus surgery performed under local anesthesia.
Main Results:
- 95% patient acceptance and good tolerance of the procedure.
- Minimal blood loss during surgery.
- Rare occurrence of intraoperative pain; no major or minor orbital/intracranial complications observed.
Conclusions:
- Local anesthesia is a safe and effective option for FESS.
- This technique offers significant advantages over general anesthesia.
- Local anesthesia is preferable when feasible for functional endoscopic sinus surgery.