Mastoid Surgery Under Local Anesthesia for Medically Unfit Patients: Techniques and Outcome.
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| Title: | Mastoid Surgery Under Local Anesthesia for Medically Unfit Patients: Techniques and Outcome. |
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| Authors: | Neumann, Codruta (AUTHOR), Yung, Jennifer (AUTHOR), Carroll, Paul H. (AUTHOR) |
| Source: | Annals of Otology, Rhinology & Laryngology. Oct2013, Vol. 122 Issue 10, p613-618. 6p. 2 Black and White Photographs, 2 Charts. |
| Subjects: | Mastoid process surgery, Cholesteatoma, Local anesthesia, Longitudinal method, Health outcome assessment, Operative surgery, Treatment effectiveness, General anesthesia |
| Abstract: | Objectives: We present the surgical techniques and outcomes of mastoid surgery under local anesthesia in patients who were unfit for general anesthesia. Methods: Five tertiary-referred patients with multiple comorbidities and failed conservative treatment for chronic otitis media were operated on under local anesthesia. No sedation was administered. The principles of cholesteatoma surgery were observed, but the technique was adapted to keep surgical time to a minimum. Results: None of the patients had perioperative problems, and all have dry, waterproof ears with preservation of hearing after surgery. So far, none of the patients have had recurrent or residual disease. Conclusions: Cholesteatoma surgery can be successfully performed with a local anesthetic in patients who are medically unfit for general anesthesia. Surgery requires a good coordination of the operating team in order to shorten the operating time. Otologists should develop and maintain their skills by performing ear surgery with local anesthetic on a regular basis. [ABSTRACT FROM AUTHOR] |
| Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 91515443 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Mastoid Surgery Under Local Anesthesia for Medically Unfit Patients: Techniques and Outcome. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Neumann%2C+Codruta%22">Neumann, Codruta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yung%2C+Jennifer%22">Yung, Jennifer</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Carroll%2C+Paul+H%2E%22">Carroll, Paul H.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Annals+of+Otology%2C+Rhinology+%26+Laryngology%22">Annals of Otology, Rhinology & Laryngology</searchLink>. Oct2013, Vol. 122 Issue 10, p613-618. 6p. 2 Black and White Photographs, 2 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Mastoid+process+surgery%22">Mastoid process surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Cholesteatoma%22">Cholesteatoma</searchLink><br /><searchLink fieldCode="DE" term="%22Local+anesthesia%22">Local anesthesia</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Operative+surgery%22">Operative surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22General+anesthesia%22">General anesthesia</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objectives: We present the surgical techniques and outcomes of mastoid surgery under local anesthesia in patients who were unfit for general anesthesia. Methods: Five tertiary-referred patients with multiple comorbidities and failed conservative treatment for chronic otitis media were operated on under local anesthesia. No sedation was administered. The principles of cholesteatoma surgery were observed, but the technique was adapted to keep surgical time to a minimum. Results: None of the patients had perioperative problems, and all have dry, waterproof ears with preservation of hearing after surgery. So far, none of the patients have had recurrent or residual disease. Conclusions: Cholesteatoma surgery can be successfully performed with a local anesthetic in patients who are medically unfit for general anesthesia. Surgery requires a good coordination of the operating team in order to shorten the operating time. Otologists should develop and maintain their skills by performing ear surgery with local anesthetic on a regular basis. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1177/000348941312201003 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 613 Subjects: – SubjectFull: Mastoid process surgery Type: general – SubjectFull: Cholesteatoma Type: general – SubjectFull: Local anesthesia Type: general – SubjectFull: Longitudinal method Type: general – SubjectFull: Health outcome assessment Type: general – SubjectFull: Operative surgery Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: General anesthesia Type: general Titles: – TitleFull: Mastoid Surgery Under Local Anesthesia for Medically Unfit Patients: Techniques and Outcome. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Neumann, Codruta – PersonEntity: Name: NameFull: Yung, Jennifer – PersonEntity: Name: NameFull: Carroll, Paul H. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2013 Type: published Y: 2013 Identifiers: – Type: issn-print Value: 00034894 Numbering: – Type: volume Value: 122 – Type: issue Value: 10 Titles: – TitleFull: Annals of Otology, Rhinology & Laryngology Type: main |
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