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PMID- 28409844
OWN - NLM
STAT- MEDLINE
DA  - 20170414
DCOM- 20170428
LR  - 20170428
IS  - 1531-4995 (Electronic)
IS  - 0023-852X (Linking)
VI  - 127
IP  - 5
DP  - 2017 May
TI  - Balloon Eustachian tuboplasty under local anesthesia: Is it feasible?
PG  - 1021-1025
LID - 10.1002/lary.26488 [doi]
AB  - OBJECTIVE: To study whether balloon Eustachian tuboplasty (BET) is a feasible and
      safe procedure under local anesthesia. STUDY DESIGN: Prospective multicenter
      case-control study. METHODS: Patients undergoing either BET (n = 13) or
      endoscopic sinus surgery (ESS) (n = 12) under local anesthesia, with the
      possibility of sedation and analgesia, were monitored during the procedure and
      recovery period for possible adverse effects. After the procedure, the patients
      responded to a questionnaire assessing their experience. RESULTS: No adverse
      effects were detected in the BET group. Patients in the BET group reported
      similar Visual Analog Scale scores for pain during the operation as the ESS group
      (5.0 +/- 0.7 vs. 3.2 +/- 0.7, mean +/- standard error of the mean). However,
      patients in the BET group experienced more discomfort (4.2 +/- 0.6 vs. 2.5 +/-
      0.3, respectively, P = 0.049). Seventy-seven and 92% of the patients in the BET
      and ESS groups, respectively, considered the anesthesia and pain relief to be
      sufficient. Patients from both the BET and ESS groups were almost devoid of pain 
      1 to 2 hours postoperatively (0.8 +/- 0.2 and 1.4 +/- 0.3, respectively). In
      total, 12 of 13 patients in the BET group, and all 12 patients in the ESS group, 
      would choose local anesthesia with sedation and analgesia if they needed to
      undergo the same procedure again. CONCLUSION: BET is a safe and feasible
      procedure under monitored anesthesia care, including local anesthesia along with 
      sedation and analgesia. There is need for further methodological improvement to
      reduce pain and discomfort during the operation. LEVEL OF EVIDENCE: 4.
      Laryngoscope, 127:1021-1025, 2017.
CI  - (c) 2017 The American Laryngological, Rhinological and Otological Society, Inc.
FAU - Luukkainen, Veera
AU  - Luukkainen V
AD  - Department of Otorhinolaryngology-Head and Neck Surgery, Head and Neck Center,
      Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
FAU - Kivekas, Ilkka
AU  - Kivekas I
AD  - Department of Otorhinolaryngology-Head and Neck Surgery, Tampere University
      Hospital and University of Tampere, Tampere, Finland.
FAU - Hammaren-Malmi, Sari
AU  - Hammaren-Malmi S
AD  - Department of Otorhinolaryngology-Head and Neck Surgery, Head and Neck Center,
      Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
FAU - Rautiainen, Markus
AU  - Rautiainen M
AD  - Department of Otorhinolaryngology-Head and Neck Surgery, Tampere University
      Hospital and University of Tampere, Tampere, Finland.
FAU - Poyhonen, Leena
AU  - Poyhonen L
AD  - Department of Otorhinolaryngology-Head and Neck Surgery, Tampere University
      Hospital and University of Tampere, Tampere, Finland.
FAU - Aarnisalo, Antti A
AU  - Aarnisalo AA
AD  - Department of Otorhinolaryngology-Head and Neck Surgery, Head and Neck Center,
      Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
FAU - Jero, Jussi
AU  - Jero J
AD  - Department of Otorhinolaryngology-Head and Neck Surgery, Head and Neck Center,
      Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
FAU - Sinkkonen, Saku T
AU  - Sinkkonen ST
AD  - Department of Otorhinolaryngology-Head and Neck Surgery, Head and Neck Center,
      Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20170203
PL  - United States
TA  - Laryngoscope
JT  - The Laryngoscope
JID - 8607378
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Anesthesia, Local
MH  - Case-Control Studies
MH  - Dilatation/*methods
MH  - Ear Diseases/*therapy
MH  - Eustachian Tube/*surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Otologic Surgical Procedures/*methods
MH  - Pain Measurement
MH  - Prospective Studies
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
OTO - NOTNLM
OT  - *Balloon dilatation
OT  - *Eustachian tube
OT  - *local anesthesia
OT  - *monitored anesthesia care
EDAT- 2017/04/15 06:00
MHDA- 2017/04/30 06:00
CRDT- 2017/04/15 06:00
PHST- 2016/10/03 [received]
PHST- 2016/12/06 [revised]
PHST- 2016/12/12 [accepted]
AID - 10.1002/lary.26488 [doi]
PST - ppublish
SO  - Laryngoscope. 2017 May;127(5):1021-1025. doi: 10.1002/lary.26488. Epub 2017 Feb
      3.

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