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The effect of epidural anaesthesia and size of spinal needle on post-operative hearing loss

Published online by Cambridge University Press:  29 June 2007

Semih Öncel ,
Levent Hasegeli ,
M. Zafer Uguz ,
Serdar Savaci ,
Kazim Önal  and
Semiramis Oyman
Semih Öncel*
Affiliation:
1st Department of OtorhinolaryngologyState HospitalYeşilyurt, Izmir, Turkey.
Levent Hasegeli
Affiliation:
Department of AnaesthesiologyState Hospital, Yeşilyurt, Izmir, Turkey.
M. Zafer Uguz
Affiliation:
1st Department of OtorhinolaryngologyState HospitalYeşilyurt, Izmir, Turkey.
Serdar Savaci
Affiliation:
Department of AnaesthesiologyState Hospital, Yeşilyurt, Izmir, Turkey.
Kazim Önal
Affiliation:
1st Department of OtorhinolaryngologyState HospitalYeşilyurt, Izmir, Turkey.
Semiramis Oyman
Affiliation:
Department of AnaesthesiologyState Hospital, Yeşilyurt, Izmir, Turkey.
*
Mithatpaşa Caddesi, No. 424/2, Izmir, Turkey.
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Abstract

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Forty-five patients who were to undergo elective urological operations were evaluated. In the pre-operative period and on the third or fourth post-operative day audiometry was performed. Epidural anaesthesia was performed in 15 cases, spinal anaesthesia was performed in 15 cases with 25 G needles, and in 15 cases with 22 G needles. No statistically significant hearing loss was observed in the post-operative period compared to preoperative period in the epidural anaesthesia group. In the post-operative period, the hearing loss observed in the 25 G-spinal anaesthesia group was significantly (P<0.01) less than that seen in the 22 G group. None of the patients had headache after spinal anaesthesia. It was concluded that pure tone audiometry is a more sensitive indicator of cerebrospinal fluid leakage than post-operative headache.

Keywords

AnaesthesiaepiduralAudiometry
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 9 , September 1992 , pp. 783 - 787
Copyright
Copyright © JLO (1984) Limited 1992

References

Collins, V. J. (1976) Principles of anaesthesiology. Philadelphia: Lea and Febiger, 690–7Google Scholar
Dittmann, M.Schafer, H. G., Ulrich, J., Bond-Tayler, W. (1988) Anatomical re-evaluation of lumbar dura mater with regard to postspinal headache. Effect of dural puncture. Anaesthesia, 43: 635–7CrossRefGoogle ScholarPubMed
Fog, J., Wang, L. P., Sundberg, A., Mucchiano, C. (1990) Hearing loss after spinal anaesthesia is related to needle size. Anaesthesia and Analgesia, 70: 517–22Google Scholar
Lee, C. M. (1990) Letters to the editor. Hearing loss after spinal anaesthesia. Anaesthesia and Analgesia, 71: 561CrossRefGoogle Scholar
Panning, B., Mehler, D., Lehnhart, E. (1983) Transient hearing loss following spinal anaesthesia. Anaesthesia, 42: 1258–63Google Scholar
Wang, L. P. (1986) Transient low-frequency hypoacusia after spinal anaesthesia. Lancet, ii: 582Google Scholar
Wang, L. P., Fog, J., Bove, M. (1987) Transient hearing loss following spinal anaesthesia. Anaesthesia, 42: 1258–63CrossRefGoogle ScholarPubMed