Tympanoplsty is the common operation for chronic
otitis media that is performed under local Anesthesia
(LA) or general anesthesia (GA). LA is more popular
than GA in the underdeveloped and developing
countries in almost all ear surgeries. The authors have
been using LA without sedation for more than 20 years.
LA without sedation is relatively safer, less expensive
and perform more surgeries in a shorter period of time.
This study aimed to share the experience of LA without
sedation in tympanoplsty.
Patients and Method:
7050 patents underwent tympanoplsty under LA
without sedation from 1999 to 2019 in the different
hospital of Bangladesh. Patients were thoroughly
evaluated preoperatively, explained the advantages of
LA without sedation in details LA was used with
different Adrenaline concentrations (1: 1000 to 1:
200,000) either by injection or topically. Patients’
compliance, pain, discomfort, drowsiness, and other
parameters ware recorded.
Amongst 7050 patients, 3877 were male and 3173
were female. The youngest patient was 14 year boy and
oldest patient was of 58 year male. Operative time was
short with a bloodless field. Mean operative time was
45 minutes. The overall safety was good and needed
shortest hospital stay (Hour/day); and of course very
Tympanoplsty under local anesthesia without
sedation is safer, relatively cost effective, can be
performed as a day/hour care case. Suitable patient
selection and adequate preoperative counseling is
essential to achieve a great success
Keywords : LA, no sedation, tympanoplsty, safe, less expensive.