American journal of otolaryngology · 2013
Parotidectomy under local anesthesia--report of 7 cases.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Chow Tam-Lin, Choi Chi-Yee, Lam Siu-Ho
Аннотация
OBJECTIVE: Parotidectomy is usually carried out under general anesthesia. We reported our early experience of performing parotidectomy under local anesthesia.
STUDY DESIGN: Case series reviewed.
SETTING: Head and neck services of a regional hospital. PATIENTS, INTERVENTION, AND RESULTS: Seven patients underwent parotidectomy under local anesthesia. The indications were high risk for general anesthesia due to co-morbidity in 2 patients and personal preference for the rest. The operations were performed by retrograde facial nerve dissection after superficial cervical plexus block and incision wound infiltration with local anesthetics. There was no conversion to general anesthesia. Six operations were carried out in the setting of ambulatory procedure and were discharged on the same day. Transient mild facial paresis occurred in 2 patients.
CONCLUSION: Parotidectomy under local anesthesia can be conducted successfully and avoid the adverse effect of general anesthesia.
STUDY DESIGN: Case series reviewed.
SETTING: Head and neck services of a regional hospital. PATIENTS, INTERVENTION, AND RESULTS: Seven patients underwent parotidectomy under local anesthesia. The indications were high risk for general anesthesia due to co-morbidity in 2 patients and personal preference for the rest. The operations were performed by retrograde facial nerve dissection after superficial cervical plexus block and incision wound infiltration with local anesthetics. There was no conversion to general anesthesia. Six operations were carried out in the setting of ambulatory procedure and were discharged on the same day. Transient mild facial paresis occurred in 2 patients.
CONCLUSION: Parotidectomy under local anesthesia can be conducted successfully and avoid the adverse effect of general anesthesia.