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Will I Be Awake During Ear Surgery?
What kind of anesthesia is used for an otoplasty (ear surgery)? Will I be awake and aware of what's going on?
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Ear surgery can be done with you awake or asleep
For otoplasty, the surgery can be done with you awake or asleep. Talk to your surgeon so they discuss the options wtih you. If they do offer you the awake options, they will likely give you some type of sedation to help you relax. If you are very worried about being aware and think that you can not lay still for an hour or so, then you should choose to have anesthesia for the surgery. Good luck with your surgery.
Dr. David Shafer
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Anesthesia during otoplasty
These questions should be discussed with your treating surgeon.
In my San Francisco area practice, for simple otoplasty (cartilage scoring and suture correction of prominent ears) we offer local + sedation in our office or general anesthesia in our member hospitals.
Be aware that more complicated otoplasties (up to and including microsurgical reconstruction with tissue taken from the forearm or thigh and cartilage harvested from the rib) may require general anesthesia and would not be safe...
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Otoplasty; Ear Surgery and Anesthesia Type: Local vs. Conscious Sedation vs. General Anesthesia\
There are a variety of ear surgery types depending on the severity of the deformity. Some procedures are as simple as 5 or 10 minutes while others may take hours. The decision to perform the surgery under various types of anesthesia, including local anesthesia, conscious sedation, or general anesthesia, depends on surgeon preference, the comorbidities of the patient (associated diseases), length of surgery, and complexity of the surgery.
Routinely, it is best to undergo the surgery under...
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Otoplasty anesthesia
I perform otoplasties under either sedation or even with local anesthesia in my office surgery suite. Children do require general anesthesia but adults do have the option of which anesthesia they are most comfortable with. I find that patients are cost conscious these days and are willing to endure a few minutes of pain from the local anesthesia in return for a significant saving and the ability to leave the office awake and alert shortly after the procedure is over.
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Anesthesia options for otoplasty (ear pinning)
An otoplasty (ear pinning surgery) can be done under local or general anesthesia. This depends on the patient and the surgeon's comfort level. Typically younger patients will need general anesthesia since they usually are not as cooperative when awake. Healthy adult patients can sometimes tolerate being awake for the procedure and don't mind the local anesthetic injections. The surgery can also be done with local anesthetic as well as IV sedation where the...
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Lots of anesthesia options for Otoplasty
Otoplasty, or ear reshaping surgery, can be performed with all levels of anesthesia, from Local, Sedation, as well as General anesthesia. This decision is made based on patient age and comfort level. A discussion with your surgeon is the best way to decide which is best for you or your child.
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Several options for anesthesia for otoplasty
You have several options for anesthesia for your otoplasty procedure. For adults you can have the procedure performed with just local numbing medicine or with local numbing medicine along with a light sedative (oral pill or IV medication). If you prefer you can opt to have the surgery done under general anesthesia, though this is less common. It mainly comes down to your comfort level, but I would discuss it with your surgeon to get a good feel for what would work best for your...
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Otoplasty surgery can be done under any level of anesthesia
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Types of Anesthesia for Cosmetic Ear Surgery
It depends on what you desire. Otoplasty is performed under general anesthesia inwhich you are completely asleep. Otoplasty can reasonable be performed with local anesthesia and sedation (twilight sleep) or local anesthesia only. It depends on what you desire in terms of anxiety management for the procedure.
Dr. ES
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Anesthesia for Otoplasty
You will find variation between surgeons on what type of anesthesia is performed for otoplasty.
There are 3 levels of anesthesia
1) Local - You are awake during the whole procedure but don't feel anything. I perform many of my minimal incision otoplasty surgeries using just local.
2) MAC Anesthesia/ Twilight - This is a sedation where you get an IV medication to make you sleep. You are not aware of what is going on and once the medication is stopped, you wake...
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Children require general anesthesia, Adults usually do well with intravenous sedation
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Ear surgery anesthesia
Although a variety of anesthetic techniques can be used for an otoplasty, twilight anesthesai is probably the most appropriate for most patients. The ears are easily anesthetized with local anesthesia and the IV sedation (twilight) allows you to rest comfortably. You will not be aware of anything during your procedure!
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Awake or asleep. . .your choice
I give my patients the option of sleeping for their Otoplasty or being awake. If you choose to be awake, there will be about 10 seconds of discomfort as the local anesthetic is injected into the ears. After that, you will not feel pain, just a little pushing and pulling. You will be aware of the surgery and hear what is going on.
With sedation, you will sleep through the procedure but continue to breath under your own power. In this situation, the only part that...
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Local or IV sedation for otoplasty
Otoplasty surgery can be undertaken with local anesthesia or IV sedation. For young children where there is a concern about compliance during the procedure, IV sedation or general anesthesia is preferred. For adults, I almost exclusively perform otoplasty surgery on awake patients with local anesthesia - but always offer the patient IV sedation if they desire.
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Otoplasties under local anesthesia
In a mature adolescent or adult, it is possible to perform an otoplasty under local anesthesia. During the procedure, we can use a regional field block so that the entire area is numb to keep you comfortable. In our practice we have done this many times. In fact, for older patients who request an otoplasty this is an excellent way to confirm the projection of the ear and its structures during the surgery. As the patient in these cases have been under local anesthesia, we are able to ask them...
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IV sedation for otoplasty
IV Sedation or Twilight anesthesia is extremely safe compared to the standard general anesthesia techniques used today. The main advantages of twilight anesthesia are: (i) it does not require putting a breathing tube in the throat, (ii) it does not require a breathing machine, (iii) the recovery is much faster, (iv) there is much less "hang-over" from anesthesia, (v) and there is much less nausea. All these elements translate into greater comfort and safety.
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Anesthesia for Otoplasty
Fortunately there are several options for anesthesia when considering otoplasty.
For younger children who undergo otoplasty, it should be done in the operating room setting under anesthesia with an anesthesiologist present. This is the safest and most controlled environment for younger children to have the procedure done. This largely has to do with the fact that children are less likely to tolerate the injections that are required while they are awake.
A majority of adults that I...
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Anesthesia choice can be up to you for otoplasty or ear reshaping surgery
The anesthesia you choose can be up to you for otoplasty / ear reshaping surgery. Your physician should have multiple choices for you to choose from. We have every available method for someone to choose but one thing to realize is that the more anesthesia you choose many times the more expensive. Otoplasty is a local procedure which, in my opinion, can be done under local anesthesia without any sedation. I usually do suggest iv sedation to make people feel more comfortable. So here are...
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Otoplasty anesthesia
Otoplasty is easily done under straight local anesthesia. Most of my patients don't even need to take a valium or pain pill.
Certainly you could do it under IV sedation or general anesthesia but it's absolutely unnecessary. The exception is children - I will typically do this under local anesthesia for anyone 12 or older. For the younger children, general anesthesia is necessary.
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Your choice
Otoplasty can be performed safely under local anesthesia, IV sedation or general anesthesia. There are several issues which can help make the decision for you. Are you anxious about the procedure and don't want to see / hear/ or feel anything? Local may not be the best answer for you. Can you be numbed up with local anesthesia easily? A quick way to find out is if your dentist tells you that you require large amounts of local anesthesia to anesthetize the area. If this is the case you...
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