Yung M W
ENT Department, Ipswich Hospital NHS Trust, UK.
Clin Otolaryngol Allied Sci. 1996 Oct;21(5):404-8. doi: 10.1046/j.1365-2273.1996.00814.x.
The use of local anaesthesia for middle ear surgery is long established and has many advantages. However, it is only performed by a small number of UK otolaryngologists (20%). This lack of enthusiasm is due to concerns that patients may not tolerate the discomfort during the operation. Therefore, a survey was conducted on patients who had middle ear operations: stapedotomy, myringoplasty, ossiculoplasty and mastoidectomy. The intense sensation of noise during the operation (29.6% of patients) and anxiety (24%) were the most common discomforts, followed by dizziness (14.8%), backache (13.9%), claustrophobia (9.3%) and earache (1.9%). In spite of these discomforts, 89% of patients still preferred local anaesthesia to general anaesthesia for a similar procedure. The author suggests that good patient selection, pre-operative explanation and the use of appropriate sedation are the important factors for local anaesthesia ear procedures to be acceptable to patients.
局部麻醉用于中耳手术早已确立，且有诸多优点。然而，英国只有少数耳鼻喉科医生（20%）进行此类手术。这种缺乏热情的情况是因为担心患者可能无法忍受手术过程中的不适。因此，对接受中耳手术的患者进行了一项调查：镫骨切除术、鼓膜成形术、听骨成形术和乳突切除术。手术过程中强烈的噪音感（29.6%的患者）和焦虑（24%）是最常见的不适，其次是头晕（14.8%）、背痛（13.9%）、幽闭恐惧症（9.3%）和耳痛（1.9%）。尽管有这些不适，但89%的患者在进行类似手术时仍更喜欢局部麻醉而非全身麻醉。作者认为，良好的患者选择、术前解释以及使用适当的镇静剂是使患者接受局部麻醉耳部手术的重要因素。
