title: [Deafness surgery in adults. The growing role of improved local anesthesia].
abstract: As deafness surgery is subject to the two imperatives of safety and reduction of bleeding, local anaesthesia constitutes a very satisfactory solution. The concomitant administration of Midazolam and Buprenorphine relaxes the patient and ensures analgesia and anterograde amnesia, allowing the surgeon to operate under excellent conditions. Over the last 6 months, except in one subject under the age of 16 years and one psychologically very fragile patient, all surgical operations for deafness, regardless of their importance, have been performed under local anaesthesia improved by means of diazanalgesia. It is probable that in the future, numerous cophosurgeons will adopt a similar protocol.
authors.affiliation: Service d'Oto-Rhino-Laryngologie, Centre Hospitalier Régional et Universitaire de Saint-Etienne.
authors.forename: C
authors.initials: C
authors.lastname: Martin
authors.forename: M
authors.initials: M
authors.lastname: Navez
authors.forename: D
authors.initials: D
authors.lastname: Baylot
authors.forename: J M
authors.initials: JM
authors.lastname: Prades
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000772:Anesthesia, Local / Q000379:methods*; D002047:Buprenorphine; D002985:Clinical Protocols; D006311:Hearing Disorders / Q000601:surgery*; D006470:Hemorrhage / Q000517:prevention & control; D006801:Humans; D007432:Intraoperative Period; D008874:Midazolam; D008875:Middle Aged; D014433:Tympanoplasty
chemical_list: D002047:Buprenorphine; D008874:Midazolam
vernacular_title: Cophochirurgie chez l'adulte. Place grandissante de l'anesthésie locale améliorée.