Division of Head and Neck Surgery, Department of Surgery, United Christian Hospital, Kowloon, Hong Kong SAR.
Am J Otolaryngol. 2013 Jan-Feb;34(1):79-81. doi: 10.1016/j.amjoto.2012.08.012.
Parotidectomy is usually carried out under general anesthesia. We reported our early experience of performing parotidectomy under local anesthesia.
Case series reviewed.
Head and neck services of a regional hospital. PATIENTS, INTERVENTION, AND RESULTS: Seven patients underwent parotidectomy under local anesthesia. The indications were high risk for general anesthesia due to co-morbidity in 2 patients and personal preference for the rest. The operations were performed by retrograde facial nerve dissection after superficial cervical plexus block and incision wound infiltration with local anesthetics. There was no conversion to general anesthesia. Six operations were carried out in the setting of ambulatory procedure and were discharged on the same day. Transient mild facial paresis occurred in 2 patients.
Parotidectomy under local anesthesia can be conducted successfully and avoid the adverse effect of general anesthesia.
腮腺切除术通常在全身麻醉下进行。我们报告了在局部麻醉下进行腮腺切除术的早期经验。
病例系列回顾。
区域医院的头颈部服务。
患者、干预措施和结果：7 名患者在局部麻醉下接受了腮腺切除术。由于 2 名患者存在合并症，全麻风险高，其余患者个人偏好全麻。手术在颈浅丛阻滞后逆行面神经解剖和切口周围浸润局部麻醉下进行。没有转为全身麻醉。6 例在门诊手术中进行，并于当天出院。2 例患者出现短暂的轻度面瘫。
局部麻醉下的腮腺切除术可以成功进行，并避免全身麻醉的不良反应。
