Otologic surgery

Although otologic surgery encompasses a wide range of procedures from simple myringotomy with tube placement to radical mastoid tumor resections, many of the surgical and anesthetic considerations for these procedures are universal throughout the spectrum of disease prevalence and severity. The seasoned otolaryngologist knows that optimal otologic outcomes will be achieved if there has been clear and thorough communication with the anesthesiologist, as well as appropriate preoperative preparation before the patient reaches the operating room. For otology cases there are requirements of avoidance of certain anesthetic agents (such as nitrous oxide) and care in patient positioning. In addition, strategies that best reduce the incidence of postoperative nausea and vomiting (PONV), minimize surgical bleeding, and prevent movement in the absence of muscle relaxant must also be considered [1]. As with other otolaryngologic procedures, effective communication and planning on the parts of surgeon and anesthesiologist ensure safe and successful surgery.