Otosclerosis surgery: Assessment of patient comfort - 17/05/20
, D. Bakhos a, b, J.-B. Riou a, S. Morinière a, b, E. Lescanne a, bBienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
Objectives |
To evaluate operative comfort and stress in patients undergoing stapedotomy for otosclerosis under local versus general anesthesia.
Material and methods |
Consecutive otosclerosis patients managed over a 9-month period responded to 3 validated questionnaires to assess peri- and post-operative comfort: Glasgow Benefit Inventory, Cohen's Perceived Stress Scale and the Posttraumatic Stress Disorder Checklist Scale. These results and audiometric data were compared between local and general anesthesia groups.
Results |
Twenty-one patients were included in the local anesthesia group and 7 in the general anesthesia group, after exclusion of patients with history of otosclerosis surgery. There was no significant inter-group difference on Glasgow Benefit Inventory (P=0.38) or Posttraumatic Stress Disorder Checklist Scale (P=0.86). Perceived Stress Scale scores were higher in the general anesthesia group (P=0.038). In total, 67% of patients reported no discomfort under local anesthesia, and 86% were ready to undergo the procedure under local anesthesia again. There were no significant differences in postoperative symptoms, or in air-bone gap≤10dB (local anesthesia 81%, general anesthesia 71%; P=0.156).
Conclusions |
Local anesthesia in otosclerosis surgery did not increase stress or postoperative symptoms compared to general anesthesia. Audiometric results were not affected by type of anesthesia.
Le texte complet de cet article est disponible en PDF.Keywords : Local anesthesia, Otosclerosis, Stapedotomy, Postoperative stress, Quality of life
Plan
Vol 137 - N° 3
P. 183-188 - mai 2020 Retour au numéro
Article précédent
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