Middle ear surgery under local anaesthesia and sedation
Edussuriya, B.; Goonasekera, C.D.; Rajapakse, M.; Rajapakse, V.P.; Jayasooriya, D.
Ceylon Medical Journal 42(2): 75-77
1997
ISSN/ISBN: 0009-0875 PMID: 9257466 Document Number: 474499
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.