Either is reasonable.
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Otoplasty can be performed under a variety of anesthesia types, such as general anesthesia, monitored anesthesia, and IV sedation. The choice is up to the patient and surgeon. I find that most otoplasties can be easily performed with IV sedation and local anesthesia. Some patients may prefer to be completely knocked out, so a general anesthesia may be best for these people.
Either method is reasonable. Local anesthesia is less costly and can be done without any discomfort while watching a movie. However for children or very anxious adult patients light general anesthesia is appropriate.
Thank you for submitting your question. Otoplasty can be performed with local anesthesia, moderate sedation, or a general anesthesia. It is extremely well-tolerated under local anesthesia alone, so we perform most otoplasties in our practice this way. We often provide a small amount of oral sedation to make the patient more comfortable. We then proceed with injection of a nerve block and local anesthetic. The patient feels no pain during the procedure. Most patients prefer local anesthesia however we take into consideration the patient's comfort and anxiety level and we are open to providing whatever level anesthesia is necessary and/or desired.
Most otoplasties In our practice are performed under local anesthesia. The ear is relatively easy to numb with local injections in front and behind the ear.
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Vinnie : Either method is appropriate. I personally prefer local anesthesia with preoperative oral medication. It basically depends on the tolerability of the patient and their degree of anxiety.
Once injected the should be no pain.
Best wishes,
Richard Maloney, M.D.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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