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Preferred Anesthesia for Routine Otolaryngologic Procedures

  • Monica Shah
  • Mofya S. Diallo
Chapter

Abstract

Tympanostomy tube placement, adenotonsillectomy, and cochlear implant placement are common otolaryngologic procedures performed on children everyday around the world. Young children are more likely to develop chronic otitis media due to their immaturely developed eustachian tubes. Myringotomy and tympanostomy tube placement helps to decrease their risk of further developing otitis media and hearing loss. This procedure is very brief but requires children to lie very still; therefore, general anesthesia is usually necessary. Adenotonsillectomies are usually necessitated for the treatment of recurrent tonsillitis or obstructive symptoms. Obstructive sleep apnea predisposes these children to increased perioperative risks with general anesthesia, and many of these patients should be monitored overnight postoperatively.

Keywords

Tympanostomy Emergence delirium Same-day surgery Obstructive sleep apnea Adenotonsillectomy Cochlear implant 

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Monica Shah
    • 1
  • Mofya S. Diallo
    • 1
  1. 1.Division of Anesthesiology, Sedation and Perioperative MedicineChildren’s National Health System, The George Washington UniversityWashington, DCUSA

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