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Balloon Eustachian tuboplasty under local anesthesia: Is it feasible?
Author(s) -
Luukkainen Veera,
Kivekäs Ilkka,
HammarénMalmi Sari,
Rautiainen Markus,
Pöyhönen Leena,
Aarnisalo Antti A.,
Jero Jussi,
Sinkkonen Saku T.
Publication year - 2017
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.26488
Subject(s) - medicine , sedation , anesthesia , local anesthesia , adverse effect , visual analogue scale , surgery
Objective To study whether balloon Eustachian tuboplasty (BET) is a feasible and safe procedure under local anesthesia. Study Design Prospective multicenter case‐control study. Methods Patients undergoing either BET ( n = 13) or endoscopic sinus surgery (ESS) ( n = 12) under local anesthesia, with the possibility of sedation and analgesia, were monitored during the procedure and recovery period for possible adverse effects. After the procedure, the patients responded to a questionnaire assessing their experience. Results No adverse effects were detected in the BET group. Patients in the BET group reported similar Visual Analog Scale scores for pain during the operation as the ESS group (5.0 ± 0.7 vs. 3.2 ± 0.7, mean ± standard error of the mean). However, patients in the BET group experienced more discomfort (4.2 ± 0.6 vs. 2.5 ± 0.3, respectively, P = 0.049). Seventy‐seven and 92% of the patients in the BET and ESS groups, respectively, considered the anesthesia and pain relief to be sufficient. Patients from both the BET and ESS groups were almost devoid of pain 1 to 2 hours postoperatively (0.8 ± 0.2 and 1.4 ± 0.3, respectively). In total, 12 of 13 patients in the BET group, and all 12 patients in the ESS group, would choose local anesthesia with sedation and analgesia if they needed to undergo the same procedure again. Conclusion BET is a safe and feasible procedure under monitored anesthesia care, including local anesthesia along with sedation and analgesia. There is need for further methodological improvement to reduce pain and discomfort during the operation. Level of Evidence 4. Laryngoscope , 127:1021–1025, 2017