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Middle ear surgery under local anaesthesia and sedation
B Edussuriya1, C D Goonasekera, M Rajapakse
1General Hospital, Kandy and Suwasevana Hospital (Pvt.) Ltd., Sri Lanka.
Background:
Middle ear surgical procedures such as myringoplasty, stapedectomy and tympanolasty are traditionally performed under general anaesthesia, with induced hypotension.
Methods:
We performed middle ear surgery in 73 patients, without induced hypotension, under local anaesthesia with sedation, and assessed feasibility, safety and acceptability.
Results:
The operating conditions achieved were good and the complications were minor. None required conversion to general anaesthesia.
Conclusion:
Middle ear surgery under local anaesthesia and sedation is safe and feasible. Prospective trials are needed to fully assess the advantages of this technique over general anaesthesia.
