Primary Stapedectomy: The Surgery

Additional fentanyl and propofol can be administered as needed. * Local anesthesia is preferred because you want to know if and when the patient is experiencing vertigo and you want to test the hearing after the prosthesis has been placed. * For anesthesia, inject the ear canal with 4.5 ml of lidoca...

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Bibliographic Details
Published inEar, nose, & throat journal Vol. 87; no. 12; pp. 678 - 680
Main Authors Lippy, William H., Berenholz, Leonard P.
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.12.2008
Sage Publications, Inc
SAGE PUBLICATIONS, INC
Subjects
Anesthesia
Audiometry
Ears & hearing
Health aspects
Humans
Intraoperative Care
Methods
Stapes
Stapes Surgery - methods
Surgery
Veins & arteries
United States
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Summary:Additional fentanyl and propofol can be administered as needed. * Local anesthesia is preferred because you want to know if and when the patient is experiencing vertigo and you want to test the hearing after the prosthesis has been placed. * For anesthesia, inject the ear canal with 4.5 ml of lidocaine and 0.5 ml of 1 : 1 ,000 epinephrine. Unless the lenticular process is very small, the bail is not necessary. * The original Robinson cup prosthesis is MRI-safe through the next generation of MRI equipment. * Always palpate the prosthesis with the same instrument to test its movement and to sense how it should feel. * If there is a tear in the tympanic membrane, place a piece of the vein graft under the tympanic membrane with the adventitia side up. * Suction blood off the tympanic membrane and test the hearing.
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ISSN:0145-5613
1942-7522
DOI:10.1177/014556130808701208