Anæsthetic Problems in Oto-Rhino-Laryngology

Gillies, John

doi:10.1017/s0022215100048349

Cited by 1 publication

(2 citation statements)

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“…However, bleeding at this stage will not only render difficult-or, as has happened, impossible-the technical accomplishment of the operation: bleeding into the fenestra may well jeopardize a successful result by causing a post-operative serous labyrinthitis (Hughes, 1951) and subsequent closure of the fenestra, a not infrequent complication. In this connection, Gillies (1953) states that "the success of a procedure such as fenestration for otosclerosis depends largely on an ischaemic field of operation and the absence of reactionary haemorrhage and clot formation afterwards." In another article (Gillies, 1950) he reviews the relationship of anaesthetic factors to surgical haemorrhage.…”

Section: Anaesthetic Requirementsmentioning

confidence: 99%

“…In this connection, Gillies (1953) states that "the success of a procedure such as fenestration for otosclerosis depends largely on an ischaemic field of operation and the absence of reactionary haemorrhage and clot formation afterwards." In another article (Gillies, 1950) he reviews the relationship of anaesthetic factors to surgical haemorrhage.…”

Section: Anaesthetic Requirementsmentioning

confidence: 99%

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Anaesthesia With Hypotension for Fenestration

Stirling

1955

British Journal of Anaesthesia

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THIS paper is a report on a small series of cases of anaesthesia for fenestration of the labyrinth in which a technique of " planned hypotension " was used. THE OPERATION The object of the fenestration operation is to overcome the obstruction offered to the transmission of sound-actuated waves by the fixation of the footplate of the stapes in the oval window by osteosclerotic bone. This is achieved by providing an opening in the wall of the bony labyrinth that will allow free movement of labyrinthine fluids in response to transmitted sound waves (Cawthorne, 1952). This was described as a one-stage endaural procedure by Lempert (1938). The operation itself falls naturally into two parts (Hall, 1945): (1) the preparation of the middle ear, i.e. essentially a modified radical mastoidectomy; and (2) the trephining of the bony labyrinth, which is carried out under lowpower magnification. The fenestra is then covered with a skin flap which is rotated from the wall of the external auditory

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Section: Anaesthetic Requirementsmentioning

confidence: 99%

Section: Anaesthetic Requirementsmentioning

confidence: 99%