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Twenty-three children with secretory otitis media, aged from 3 to 8 years, underwent tympanostomy tube insertion under general anesthesia in day surgery. The patients were anesthetized by inhalation of nitrous oxide and sevoflurane via face mask, and the surgery was done without hindrance in all the cases. Six patients manifested post-operative low grade fever, which was easily controlled with antifebrile medication. No major complications such as vomiting, aspiration, laryngospasm, pulmonary edema, atelectasis, prolonged apnea or delayed recovery were observed. We conclude that tympanostomy tube insertion under general anesthesia can be satisfactorily performed as day surgery. The advantages and disadvantages of day surgery in otolaryngology are discussed.

Tympanostomy Tube Insertion for Children under General Anesthesia in Day Surgery.