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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.
The Ceylon Medical Journal
|June 1, 1997
Summary
Middle ear surgery can be safely performed using local anesthesia and sedation, avoiding general anesthesia and induced hypotension. This approach proved feasible and acceptable in a study of 73 patients.
Area of Science:
- Otolaryngology
- Surgical Anesthesia
Background:
- Traditional middle ear surgeries like myringoplasty, stapedectomy, and tympanoplasty utilize general anesthesia with induced hypotension.
- This standard practice carries inherent risks associated with general anesthesia.
Purpose of the Study:
- To evaluate the feasibility, safety, and acceptability of performing middle ear surgery under local anesthesia with sedation.
- To explore an alternative to general anesthesia for these procedures.
Main Methods:
- Middle ear surgery was conducted on 73 patients.
- The procedures were performed exclusively under local anesthesia supplemented with sedation, omitting induced hypotension.
Main Results:
- The study achieved good operating conditions.
- Complications encountered were minor, with no cases requiring conversion to general anesthesia.
- Patient acceptability was assessed.
Conclusions:
- Middle ear surgery under local anesthesia and sedation is a safe and feasible alternative.
- Further prospective trials are recommended to comprehensively compare its benefits against general anesthesia.