Otoplasty under local anaesthesia - Ear surgery (Otoplasty) - Forums & Discussion 

Some children may also be operated under local anesthesia, of course, if they are calm and the whole time listening to Surgeon. Most comfortable for the child and the surgeon if the operation is done under general anesthesia or analgosedation.

Prominent ears in children under 12 years old should be performed under general anesthesia as they will not tolerate local anesthesia well.They will not be able to stay still for the procedure that will last about an hour.

I personally always prefer undergoing this surgery under local anaesthesia. The possibility of this in children depends on the child's personality and how he was brought up by his parents and with the psychological preparation before surgery. Usually this is possible at the age of 8 and above as this requires the cooperation of the child, below this age it is very difficult. Usually at this age the child is very motivated to undergo the surgery because of the problems he faces in school by his mates. With some explanation of the procedure and how much pain will he face it is possible. A very important point is to avoid threatening children that if they do something wrong the doctor will give them an injection as a punishment. This statement is very common in some countries and by saying so a barrier is created throughout their lives that they are scared of doctors and in such a case they will never accept a procedure under local anaesthesia. A local anaesthetic cream applied to the area to be injected helps a lot. The surgeon should also be having some nice stories to entertain the child during the surgery.

For children it´s recommend to use general anaesthesia

Dear,
Your son can have the operation under local anesthesia. We have special expertise in this kind of anesthesia, for adults, and children alike. In fact, we very rarely use general anesthesia. We operate children as young as few months old under local anesthesia.

With Best Wishes

Dr.H.A.Khawaja, MD; Diploma Approved By: American Board Of Cosmetic Surgery
Cosmetic Plastic Surgeon & Dermatologist
Cosmetic Plastic Surgery & Skin Center
53 A, Block B II, Gulberg III, 54660,
Lahore, Pakistan.
Mobile: 0092-3004699699
E-Mail: simplifiedcosmeticsurgery@hotmail.com

I persolly never do otoplasty to a six year child under local,i always do it under general anesthesia.

Like any other operation, otoplasty is an operation, where the patient should not move. Immediate movements of the patient could cause complications. You can not guarantee thet a six-year old child will stay quiet under these stressful conditions in an OR. That is why I would recommend to operate children under general anaesthesia!

kind regards

Ear surgery, or otoplasty, is usually done to set prominent ears back closer to the head or to reduce the size of large ears.

For the most part, the operation is done on children between the ages of four and 14. Ears are almost fully grown by age four, and the earlier the surgery, the less teasing and ridicule the child will have to endure. Ear surgery on adults is also possible, and there are generally no additional risks associated with ear surgery on an older patient.

If you're considering ear surgery for yourself or your child, this information will give you a basic understanding of the procedure-when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask your doctor if there is anything you don't understand about the procedure.

Since local anaesthetics carry less risk we prefer to do the procedure with local anaesthetic if the child can tolerate it.

Local anaesthesia is limited for children that are mature enough to tolerate the application of the anaesthetic solution, and that also comprehend that they have to hold the same position for a prolonged period of time, so it is a matter of preoperative evaluation by the attending physician. At 6 years of age it is best to do it under sedation supervised by the anaesthesiologist, and local anaesthesia. Both, the srgical team and the patient are more comfortable and grateful about it.

Yes you can do the procedure under local anestesia and a sedative to prevent unwanted movement.

We recommend general anesthesia . It's to scary and hard for a little boy not to move during the surgery.

Prof. dr. Tiberiu Bratu

medic primar chirurgie plastica, esetica si reparatorie

Brol Medical Center

Str. Franyo Zoltan nr.6 Timisoara

Tel: 0256221009/ 0722356238

e-mail: office@brol.ro

Yes!
It's possible to perform that surgery (otoplasty) under local anaesthesia and a very soft sedation.
Actually, It is possible also with no sedation depending on the child behavior.
For more information, contact us!!!
www.clinicamaxima.com.br
carluz@clinicamaxima.com.br

Of course yes it is possible, but depends of patient colaboration, If the patient is adult or conscient of surgical procedure it will be possible.

I would normally recommend anyone under about 12-14 years old to have a general anaesthetic for the correction of prominent ears (otoplasty). The operation can take between 60 and 90 minutes, which is a long time for anyone to keep still, let alone a young child. It can also be quite disturbing for children to be able to hear the operation which seems amplified as it is in the ear, as well as the discomfort from the injections of local anaesthetic.
Nowadays general anaesthetics are very safe, so I do not have any hesitation in suggesting one for an otoplasty. On the other hand, most adult otoplasties are performed under local anaesthetic.