Functional endoscopic sinus surgery under local anaesthesia: possibilities and limitations
Jorissen, M.; Heulens, H.; Peters, M.; Feenstra, L.
Acta Oto-Rhino-Laryngologica Belgica 50(1): 1-12
1996
ISSN/ISBN: 0001-6497 PMID: 8669265 Document Number: 463231
Functional endoscopic sinus surgery may be done in the majority of indications under local anaesthesia with one single intramuscular injection of systemic premedication (pethidine and promethazine) and careful local preparation (decongestive nose drops, cocaine application and lidocaine infiltration). It is well tolerated and accepted in 95% of the patients. Blood loss is minimal and pain during the operation is rare. Major and minor orbital and intracranial complications were not seen. Local anaesthesia with this kind of surgery offers many advantages and is preferable to general anaesthesia when possible.