Anesthesiology pp 349-362 | Cite as

Anesthesia for Ears, Nose, and Throat Surgery

  • Edward Cooper
  • Tobias Everett
  • James Koziol
  • Rajeev SubramanyamEmail author


Otorhinolaryngologic procedures are among the most common surgeries performed in children worldwide. Technological advances have enabled the evolution of minimally invasive surgical techniques with an associated reduction in patient discomfort and expedited postoperative recovery. Nevertheless, these surgeries should not be considered trivial. They may involve a shared, partially obstructed or soiled airway, and include surgeries that have among the highest incidence of postoperative nausea, emesis, and emergence delirium. While the most otorhinolaryngologic procedures have a common surgical goal, there exists much inter-institutional variation in the preferred surgical technique and the anesthetic strategy used to accomplish the procedural objective. Here we will present a range of head and neck surgical topics for consideration from the perspective of a pediatric anesthesiologist. We emphasize that as is often the case in anesthesiology, some of the solutions may work well in a specific clinical context dependent on surgeon, institutional resources and culture, but may not transpose universally to all contexts.


Otorhinolaryngology Tonsillectomy Obstructive sleep apnea Lasers Cochlear implant Nasal surgeries Laryngeal clefts Supraglottoplasty Bronchoscopy Epiglottitis 



Conflict of Interest: None.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Edward Cooper
    • 1
  • Tobias Everett
    • 2
  • James Koziol
    • 3
  • Rajeev Subramanyam
    • 1
    • 4
    Email author
  1. 1.Department of AnesthesiaCincinnati Children’s Hospital Medical Center, University of Cincinnati School of MedicineCincinnatiUSA
  2. 2.Department of AnesthesiaThe Hospital for Sick Children, University of TorontoTorontoCanada
  3. 3.Department of Anaesthesia and Pain MedicineRoyal Children’s HospitalParkvilleAustralia
  4. 4.Children’s Hospital of PhiladelphiaPhiladelphiaUSA

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