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Brazilian Journal of Otorhinolaryngology

Print version ISSN 1808-8694

Abstract

HAMERSCHMIDT, Rogério et al. Local anesthesia for cochlear implant surgery: a possible alternative. Braz. j. otorhinolaryngol. (Impr.) [online]. 2010, vol.76, n.5, pp. 561-564. ISSN 1808-8694.  http://dx.doi.org/10.1590/S1808-86942010000500005.

The aim of this paper is to illustrate the possibility of performing a cochlear implant surgery with local anesthesia and sedation, the anesthetic technique and the advantages of that in comparison to a general anesthesia. AIMS: prospective study demonstrating the possibility of doing cochlear implant surgery under local anesthesia and sedation. MATERIALS AND METHODS: we describe three successful cases operated under local anesthesia, including neural telemetry and the conditions the patient presented after the surgery, with a very good recovery and no complications during and after the procedure. RESULTS: these three surgeries show the possibility of doing the cochlear implant surgery with this kind of anesthesia, with a fast recovery, no symptoms of dizziness and vomiting after the surgery, and very few complaints from the patient. CONCLUSION: local anesthesia with sedation for cochlear implant surgery in adults is a very good alternative for lowering the morbidity for the patient. It bears fewer risks, low costs for the hospital, with a very good procedure control, being very useful for older patients or the ones that have contraindications for general anesthesia.

Keywords : anesthesia; cochlear implantation; conscious sedation.

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