Abstract
Although otologic surgery encompasses a wide range of procedures from simple myringotomy with tube placement to radical mastoid tumor resections, many of the surgical and anesthetic considerations for these procedures are universal throughout the spectrum of disease prevalence and severity. The seasoned otolaryngologist knows that optimal otologic outcomes will be achieved if there has been clear and thorough communication with the anesthesiologist, as well as appropriate preoperative preparation before the patient reaches the operating room. For otology cases there are requirements of avoidance of certain anesthetic agents (such as nitrous oxide) and care in patient positioning. In addition, strategies that best reduce the incidence of postoperative nausea and vomiting (PONV), minimize surgical bleeding, and prevent movement in the absence of muscle relaxant must also be considered [1]. As with other otolaryngologic procedures, effective communication and planning on the parts of surgeon and anesthesiologist ensure safe and successful surgery.
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Jellish W, Owen K, Edelstein S, et al. Standard anesthetic technique for middle ear surgical procedures: a comparison of desflurane and sevoflurane. Otolaryngol Head Neck Surg. 2005;133:269–74.
Keyhani S, Kleinman LC, Rothschild M, et al. Clinical characteristics of New York City children who received tympanostomy tubes in 2002. Pediatrics. 2008;121(1):e24–33.
Bhattacharyya N. Ambulatory pediatric otolaryngologic procedures in the United States: characteristics and perioperative safety. Laryngoscope. 2010;120(4):821–5.
Stenfeldt K, Hermansson A. Acute mastoiditis in southern Sweden: a study of occurrence and clinical course of acute mastoiditis before and after introduction of new treatment recommendations for AOM. Eur Arch Otorhinolaryngol. 2010;267(12):1855–61.
Acevedo JL, Lander L, Shah UK, Shah RK. Existence of important variations in the United States in the treatment of pediatric mastoiditis. Arch Otolaryngol Head Neck Surg. 2009;135(1):28–32.
Homøe P, Jensen RG, Brofeldt S. Acute mastoiditis in Greenland between 1994–2007. Rural Remote Health. 2010;10(2):1335. Epub 2010 Jun 18.
Dornelles C, Costa SS, Meurer L, Schweiger C. Some considerations about acquired adult and pediatric cholesteatomas. Braz J Otorhinolaryngol. 2005;71(4):536–45.
Sarkar S, Roychoudhury A, Roychaudhuri BK. Tympanoplasty in children. Eur Arch Otorhinolaryngol. 2009;266(5):627–33.
Chandrasekhar SS, House JW, Devgan U. Pediatric tympanoplasty. A 10-year experience. Arch Otolaryngol Head Neck Surg. 1995;121(8):873–8.
Brackmann DE, Shelton C, Arriaga M, editors. Otologic surgery. WB Saunders Publ. 2009, Philadelphia.
Van de Heyning P, Punte AK. Electric acoustic stimulation: a new era in prosthetic hearing rehabilitation. Adv Otorhinolaryngol. 2010;67:1–5. Epub 2009 Nov 25 [Review; PMID: 19955716].
Chandrasekhar SS, De la Cruz A, Garrido E. Surgery of congenital aural atresia. Am J Otol. 1995;16(6):713–7.
Megerian C, Reily J, O’Connell F, et al. Outpatient tympanomastoidectomy. Arch Otolaryngol Head Neck Surg. 2000;126:1345–8.
Maurer W, Borkowski R, Parker B. Quality and resource utilization in managing preoperative evaluation. Anesthesiology Clin N Am. 2004;22:155–75.
Nader ND, Simpson G, Reedy RL. Middle ear pressure changes after nitrous oxide anesthesia and its effect on postoperative nausea and vomiting. Laryngoscope. 2004;114(5):883–6.
Wiet R. Iatrogenic facial paralysis. Otolaryngol Clin North Am. 1982;15:773–80.
Jellish W, Leonetti J, Murdoch J. Propofol-based anesthesia as compared with standard anesthetic techniques for middle ear surgery. J Clin Anesth. 1995;7:292–6.
Stoelting R, Hillier S. Pharmacokinetics and pharmacodynamics of injected and inhaled drugs. In: Pharmacology & physiology in anesthetic practice, 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 3–41.
Le T, Gan TJ. Update on the management of postoperative nausea and vomiting and postdischarge nausea and vomiting in ambulatory surgery. Anesthesiol Clin N Am. 2010;28:225–49.
Jellish W, Leonetti J, Avramov A, et al. Remifentanil-based anesthesia versus a propofol technique for otologic surgical procedures. Otolaryngol Head Neck Surg. 2000;122:222–7.
Firat Y, Selimoglu E. Dexmedetomidine: a novel anesthetic agent for middle ear surgery. Recent Pat CNS Drug Discov. 2007;2:151–4.
Ayala M, Sanderson A, Marks R, et al. Laryngeal mask airway use in otologic surgery. Otol Neurotol. 2009;30:599–601.
Honkavaara P, Saarnivaara L, Klemola U. Prevention of nausea and vomiting with transdermal hyoscine in adults after middle ear surgery during general anesthesia. Br J Anaesth. 1994;73:763–6.
Fujii Y. Clinical strategies for preventing postoperative nausea and vomiting after middle ear surgery in adult patients. Curr Drug Saf. 2008;3:230–9.
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Gooden, C.K., Chandrasekhar, S.S. (2013). Otologic Surgery. In: Levine, A., Govindaraj, S., DeMaria, Jr., S. (eds) Anesthesiology and Otolaryngology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4184-7_11
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DOI: https://doi.org/10.1007/978-1-4614-4184-7_11
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