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Journal titleThe Journal of craniofacial surgery
Publication Begin page258
Publication End page261
MetadataShow full item record
AbstractMany parents seek otoplasty for their school age children but fear having to undergo general anesthesia (GA). In our experience, otoplasty can safely be performed in an office-based setting under local anesthesia (LA). There is a gap in the literature regarding pediatric otoplasty under LA.
All children aged 5 to 10 who underwent otoplasty between 2017 and 2021 were included in a retrospective review. Demographics, operative techniques, complications, recurrences, and reoperation rates were collected. Surveys were provided 3 months after treatment to assess parental satisfaction and anxiety. Results were compared between patients who received otoplasty under GA and LA.
A total of 13 patients (6 male, 7 female), with a mean age of 7 years (ranging 5-10) underwent otoplasty under LA. Tweleve children (6 male, 6 female), with a mean age of 5 years (ranging 4-7) underwent otoplasty under GA. The only complications seen were 3 minor conchal bowl hematomas that were aspirated, each retrieving <1 mL of blood; no revisions were necessary. The LA subgroup was more likely to repeat otoplasty under identical conditions ( P =0.025). Postoperatively, mean parental anxiety scores between the LA and GA subgroups were significantly different (1.4±1.1 versus 4.8±2.7, P =0.0005). Lastly, the mean satisfaction scores between the LA and GA subgroups were marginally different (3.83±0.58 versus 3.17±1.03, P =0.063).
Pediatric otoplasty under LA is a safe and feasible operation for patients between 5 and 10 years of age.
CitationHazkour N, Goote P, Palacios J, Gottfried J, Kang I, Bastidas N. Office-Based Pediatric Otoplasty Under Local Anesthesia. J Craniofac Surg. 2023 Jan-Feb 01;34(1):258-261. doi: 10.1097/SCS.0000000000008866. Epub 2022 Aug 9. PMID: 36102910.
The following license files are associated with this item:
- Creative Commons
Except where otherwise noted, this item's license is described as Copyright © 2022 by Mutaz B. Habal, MD.
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