title: Middle ear surgery under local anaesthesia and sedation.
abstract: BACKGROUND
  Middle ear surgical procedures such as myringoplasty, stapedectomy and tympanolasty are traditionally performed under general anaesthesia, with induced hypotension.
  
  
  METHODS
  We performed middle ear surgery in 73 patients, without induced hypotension, under local anaesthesia with sedation, and assessed feasibility, safety and acceptability.
  
  
  RESULTS
  The operating conditions achieved were good and the complications were minor. None required conversion to general anaesthesia.
  
  
  CONCLUSIONS
  Middle ear surgery under local anaesthesia and sedation is safe and feasible. Prospective trials are needed to fully assess the advantages of this technique over general anaesthesia.
authors.affiliation: General Hospital, Kandy and Suwasevana Hospital (Pvt.) Ltd., Sri Lanka.
authors.forename: B
authors.initials: B
authors.lastname: Edussuriya
authors.forename: C D
authors.initials: CD
authors.lastname: Goonasekera
authors.forename: M
authors.initials: M
authors.lastname: Rajapakse
authors.forename: V P
authors.initials: VP
authors.lastname: Rajapakse
authors.forename: D
authors.initials: D
authors.lastname: Jayasooriya
mesh_terms: D000293:Adolescent; D000328:Adult; D000772:Anesthesia, Local; D016292:Procedural Sedation; D004432:Ear, Middle / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013201:Stapes Surgery; D014433:Tympanoplasty