For the elderly, the decision to undergo otitis media surgery after otitis media and tympanic membrane perforation is actually done after repeated thinking and they are relatively open-minded. But recently, ENT Dr. Zheng Ligang met a 68-year-old elderly patient with otitis media who wanted to undergo minimally invasive surgery for otitis media. However, the patient had suffered a stroke a year ago, and the anesthesiologist said before the operation that general anesthesia was risky. In this case, the patient and his family were worried about the risks of anesthesia, so they asked me whether to do it or not. I said that minimally invasive surgery for otitis media is mainly more precise, the operation is not big, and it can be done with little impact on the body. Since general anesthesia is risky, you can choose local anesthesia surgery. Because Dr. Zheng Ligang of ENT has performed at least more than 800 minimally invasive local anesthesia and endoscopic otitis media surgeries, and he is also a doctor who has done a lot nationwide. The risks of local anesthesia surgery are much lower than those of general anesthesia surgery. In the end, the patient and his family were happy to choose the minimally invasive endoscopic otitis media surgery under local anesthesia.
Patient Ruan, male, 68 years old, from Yangjiang, Yangchun, Guangdong. The patient began to develop light yellow pus from his left ear more than 10 years ago without obvious triggers. The amount was small, no special odor, no bean dregs, and no blood. He was accompanied by mild hearing loss in the left ear, tinnitus, and a low-pitched wind blowing sound. I went to the outpatient clinic of another hospital many times and the symptoms were relieved after being treated with anti-inflammatory drugs. After that, whenever I had a cold, fatigue, cold, or water in my ears, pus would leak out of my ears again. For further diagnosis and treatment, the outpatient patient with chronic suppurative otitis media was admitted to our department for surgical treatment. The patient had a large perforation of the left tympanic membrane. This time, he underwent local anesthesia and endoscopic otitis media minimally invasive surgery. The external auditory canal tympanic membrane flap is directly raised through the external auditory canal without any surface incision. After turning up the skin flap, you can see a small amount of secretions and granulation tissue in the tympanic cavity. After cleaning the granulation tissue during the operation, you can see that the ossicular chain is complete and can move. The tragus cartilage of appropriate size was trimmed and the tympanic membrane was repaired. After the tympanic membrane was repaired, the operation was completed after checking twice to confirm that there was no problem. The entire operation took 50 minutes and was very smooth. Although it was a local anesthesia operation, it was painless to the patient. It was simpler and safer than general anesthesia.
For endoscopic otitis media minimally invasive surgery, local anesthesia surgery is currently a very good choice. Especially for older or weaker patients who are worried about the safety and impact of general anesthesia on their bodies, they can choose minimally invasive endoscopic otitis media surgery under local anesthesia. If you have any questions, please leave a message and have further communication with ENT Dr. Zheng Ligang.
