Anaesthesia for major middle ear surgery

Pairaudeau, C.; Mendonca, Cyprian

doi:10.1016/j.bjae.2019.01.006

Cited by 8 publications

(3 citation statements)

References 22 publications

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“…Irrespective of the device, it is important to have strict control of the airways, because there is a limited access to the patient's head during surgery and the head is not maintained in a neutral position but rather turned to the left or right. Controlled ventilation is necessary to avoid respiratory depression and hypercapnia, and therefore bleeding in the surgical field 6,8,9 . In our experience, since we have always used a SAD, we avoided neuromuscular blocking agents.…”

Section: Methodsmentioning

confidence: 99%

Hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia

Giannoni

Pollastri

Adembri

et al. 2022

Acta Otorhinolaryngol Ital

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Objective. Otosclerosis is a frequent ear disorder causing a stapedo-ovalar ankylosis and conductive hearing loss. Stapedoplasty, performed under both general (GA) and local anaesthesia (LA), is the most advisable surgical solution. Auditory recovery relies on the patient's conditions and on the intervention itself. The aim of our work was to compare hearing outcomes with stapedoplasty performed under GA or LA and to investigate patients' compliance to both methods. Methods. Fifty-five otosclerotic patients underwent stapedoplasty both under GA (32/55) and LA (23/55). Pre-and post-operative air and bone tone audiometry threshold values as well as the air-bone gap and its closure score, were analysed. All patients filled in a satisfaction questionnaire regarding their concern and level of appreciation of the type of anaesthesia. Results and conclusions. Our data show that the auditory results with stapedoplasty are good and do not differ between LA and GA. Even considering the advantages and limits of the two methods, one cannot favour one or the other type of anaesthesia. Finally, the patient's satisfaction cannot be considered a criterion of choice, since this was found to be high in both cases.

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Section: Methodsmentioning

confidence: 99%

Hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia

Giannoni

Pollastri

Adembri

et al. 2022

Acta Otorhinolaryngol Ital

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“…In cochlear implantation surgery, patients typically receive general anesthesia to ensure intraoperative immobilization. 1 There are, however, higher risks for older adults undergoing general anesthesia because they may have age-related comorbidities, such as heart disease, diabetes, cerebral infarction, and chronic obstructive pulmonary disease (COPD). 2,3 There have been many reports of cochlear implantation managed with a combination of local infiltration anesthesia and sedation to avoid general anesthesia.…”

Section: Glossarymentioning

confidence: 99%

Anesthetic Management of a Patient Undergoing Cochlear Implantation With Superficial Cervical Plexus Block and Sedation: A Case Report

2022

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Avoidance of general anesthesia and endotracheal intubation has been shown to reduce respiratory complications in patients with severe lung disease. We describe the case of a 75-year-old patient with chronic obstructive pulmonary disease (COPD) who underwent cochlear implantation managed with nerve block and sedation. A superficial cervical plexus block (SCPB) was performed with 1% mepivacaine before surgery. A small amount of intravenous analgesic and sedative was administered. The patient experienced only slight pain during surgery. A SCPB had a good analgesic effect on the posterior auricle. Cochlear implantation in patients with COPD can be performed using a SCPB and sedation.

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“…The main goal of surgery for cholesteatoma is to completely remove the squamous epithelium from the middle ear and mastoid cavity. However, it is also crucial to ensure that the patient maintains satisfactory hearing after the surgery, and to prevent any future recurrences of the condition [5] .…”

Section: Introductionmentioning

confidence: 99%

The Outcome of Canal Wall Up versus Canal Wall Down Mastoidectomy in Cholesteatoma

Elbialy,

Mahrous,

Ismaiel

2023

International Journal of Medical Arts

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Article informationBackground: The subject of cholesteatoma in the middle ear is a highly intricate area of study in the field of otology, which has sparked numerous research studies and discussions across the globe. However, despite all the research and debates, there remains a significant lack of agreement among experts regarding many aspects of cholesteatoma. Aim of the work:This study aims to compare between the hearing outcome and recidivism [recurrence or residual] of canal wall up [CWU] and canal wall down [CWD] mastoidectomy in cholesteatoma. Patients and Methods:This randomized comparative prospective study involved eighty-six adult patients with acquired cholesteatoma divided into two equal groups; Group A: included patients who undergo CWU mastoidectomy, and Group B: include patients who undergo CWD mastoidectomy. Follow up for at least 12 months using otoendoscop, PTA, as well as DWI-MRI.Results: Air-bone [AB] gap and AC threshold improved significantly in both groups after surgery. However, the improvement was significantly better in the CWU group compared to the CWD group [P=0.025 for AB gap and 0.039 for AC threshold].Regarding recidivism, the CWD group had less recurrence rate than CWU group [4 vs. 9], but with no significant difference [P=0.11]. Conclusion:The CWU group has demonstrated superior results in terms of hearing improvement compared to the CWD group. However, the CWD technique showed better outcomes in terms of preventing the recidivism of cholesteatoma.

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Anaesthesia for major middle ear surgery

Cited by 8 publications

References 22 publications

Hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia

Hearing outcomes and patient satisfaction after stapes surgery: local versus general anaesthesia

Anesthetic Management of a Patient Undergoing Cochlear Implantation With Superficial Cervical Plexus Block and Sedation: A Case Report

The Outcome of Canal Wall Up versus Canal Wall Down Mastoidectomy in Cholesteatoma

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