Otology Outreach Surgery in Developing Countries Under Local & Regional Anaesthesia: Techniques & Pitfalls

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2025-03-08

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Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery

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University of Cape Town

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This chapter describes some techniques to safely perform middle ear and mastoid sur-gery in outreach ear surgery programs and discusses tips and pitfalls. It should be read in conjunction with the chapter: Local and regional anaesthesia techniques for otologic (ear) surgery which provides a more de-tailed account of local anaesthesia technique for ear surgery. When surgeons travel to developing countries to do outreach ear surgery, they often lack the convenience of having a qualified anaesthetist, trained recovery room staff, adequate monitoring equipment for safe general anaesthesia, and are faced with long lines of patients requiring ear surgery. It is under such circumstances that ear surgery is ideally done under local or regional anaesthesia.
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