Isolated outpatient ossiculoplasty under potentialized local anesthesia and general anesthesia: Comparative STROBE analysis of early results

IF 1.6 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-05-01 Epub Date: 2025-11-04 DOI:10.1016/j.anorl.2025.10.008

E. Dauzier, D. Lazard, C. Sain Oulhen, E. Genty, J.-B. Lecanu

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引用次数: 0

Abstract

Objectives

To compare early results in isolated ossiculoplasty under potentialized local anesthesia and general anesthesia.

Material and method

A single-center retrospective observational study included 123 consecutive patients treated by isolated ossiculoplasty between September 1, 2019 and March 1, 2021 in a French private hospital. The main aim was to compare the management pathway (operating room time, hospital stay, outpatient management rate, “by-pass” rate of direct return to the outpatient department without passing through the recovery room) according to potentialized local anesthesia versus general anesthesia. Secondary endpoints comprised audiometric results and post- and intraoperative complications (nausea and vomiting, pain, dizziness, crossover). The significance threshold was set at P < 0.005. The STROBE guideline was followed.

Results

In total, 123 patients were included: 41 with local and 82 with general anesthesia. The two groups were comparable except for type of surgeon. The rate of outpatient treatment was significantly greater with local anesthesia (93% vs. 55%). Operating time and operating room, recovery room and outpatient room occupancy times were shorter with local anesthesia. Postoperative dizziness was significantly more frequent with general anesthesia. Audiometric results did not differ.

Conclusion

Potentialized local anesthesia can improve organizational management and outpatient rates in ossicular surgery, without impairing the quality of results.

查看原文本刊更多论文

局部麻醉和全身麻醉下门诊孤立听骨成形术：早期结果的比较STROBE分析。

目的：比较局部麻醉和全身麻醉下孤立性小骨成形术的早期效果。材料和方法：一项单中心回顾性观察性研究纳入了2019年9月1日至2021年3月1日在法国一家私立医院接受孤立性小骨成形术治疗的123例连续患者。主要目的是比较局麻与全麻的管理途径（手术室时间、住院时间、门诊管理率、不经恢复室直接返回门诊的“旁路”率）。次要终点包括听力学结果和术后及术中并发症（恶心、呕吐、疼痛、头晕、交叉）。结果：共纳入123例患者，局麻41例，全麻82例。除了手术类型不同外，两组具有可比性。局麻门诊接诊率明显高于门诊接诊率（93%对55%）。局麻组手术时间短，手术室、恢复室、门诊占用时间短。全麻组术后头晕发生率明显高于全麻组。听力测试结果没有差异。结论：局麻在不影响结果质量的前提下，可提高听骨手术的组织管理水平和门诊率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Annals of Otorhinolaryngology-Head and Neck Diseases OTORHINOLARYNGOLOGY-

CiteScore

3.70

自引率

28.00%

发文量

审稿时长

12 days

期刊介绍： European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site. Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.