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General anaesthetic vs local anaesthetic myringoplasties: a systematic review and meta-analysis.
Kaleva, Anna I; Raithatha, Amit; Tomasoni, Michele; Borsetto, Daniele; Vijendren, Ananth.
Afiliação
  • Kaleva AI; Department of ENT Surgery, Lister Hospital, East and North Hertfordshire NHS Trust, Stevenage, UK. anna.kaleva@nhs.net.
  • Raithatha A; Department of ENT Surgery, Lister Hospital, East and North Hertfordshire NHS Trust, Stevenage, UK.
  • Tomasoni M; Department of Otolaryngology-Head and Neck Surgery, University of Brescia, Brescia, Italy.
  • Borsetto D; Department of ENT Surgery, Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
  • Vijendren A; Department of ENT Surgery, Lister Hospital, East and North Hertfordshire NHS Trust, Stevenage, UK.
Eur Arch Otorhinolaryngol ; 280(5): 2237-2245, 2023 May.
Article em En | MEDLINE | ID: mdl-36376527
AIMS: To assess all available data and determine the success rates and tolerability of local anaesthetic myringoplasty in comparison with those undertaken under general anaesthetic myringoplasty. MATERIALS AND METHODS: The study was designed following a PRISMA-P protocol and registered with the PROSPERO database. MEDLINE, Cochrane Library (CDSR/Central), EMBASE and CINHAL-were directly searched for studies, which met the inclusion criteria. OBJECTIVES: Primary objective was to compare perforation closure rates between patients undergoing myringoplasty under local anaesthetic and those under general anaesthetic from all available published data. Secondary outcomes include complications, such as 'any minor complications', infection rates in the first 6 month post-op, facial nerve weakness, dysgeusia and patient satisfaction. RESULTS: 27 studies were included in the final analysis and found that myringoplasty had an overall perforation closure rate of 89%. The pooled proportion of closures after myringoplasty under local anesthesia was 87% and for myringoplasties under general anesthesia was 91%. Analysis of myringoplasty under local anaesthesia focusing on 'in-office' performed procedures only, found a closure rate of 88%. CONCLUSIONS: There is no significant difference in the success rate of myringoplasty surgery when performed under local or general anaesthetic as measured by perforation closure rates. However, there are other factors, which can drive choosing local anaesthetic surgery, such as minimising anaesthetic risks, reducing costs and reducing environmental impact.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Perfuração da Membrana Timpânica / Anestésicos Gerais Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Revista: Eur Arch Otorhinolaryngol Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Perfuração da Membrana Timpânica / Anestésicos Gerais Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Revista: Eur Arch Otorhinolaryngol Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2023 Tipo de documento: Article