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Ventilation tube insertion using topical anaesthesia in children

Published online by Cambridge University Press:  29 June 2007

M. J. Summerfield  and
P. S. White
M. J. Summerfield
Affiliation:
Christchurch, New Zealand
P. S. White*
Affiliation:
Christchurch, New Zealand
*
Mr P. S. White, F.R.A.C.S., Research Fellow, Department of Otolaryngology, Glasgow Royal Infirmary, Glasgow.
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Abstract

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Topical anaesthesia using EMLA cream is an established anaesthetic technique for ventilation tube insertion in adults. We report its use in 103 children (age range 3–12 years). Failure occurred in seven patients (6.8 per cent); complications occurred in two patients and were of a minor nature. This technique appears well tolerated provided the operator avoids the use of suction and allows a cream penetration time of greater than two hours. The use of a ‘T’ myringotomy is also recommended, to reduce tension on the drum at tube insertion.

Keywords

Middle ear ventilationAnaesthesialocal
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 5 , May 1992 , pp. 427 - 428
Copyright
Copyright © JLO (1984) Limited 1992

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