Is a child always required to have general anaesthesia during otoplasty or can children handle the surgery under local anaesthesia? I have a six-year-old son with “dumbo” ears.
Otoplasty under local anaesthesia
(Discussion to topic Ear surgery (Otoplasty))
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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
visitor
Comments: 4
hi
cant ageo of 26 ears girl do otoplasty????????/
Otoplasty could be undertaken under local anesthesia at six.
YES of course you can undergo otoplasty all life long in local anesthesia since you are 8-9 years old!.....Best regards :-)
Hi,
I do not clearly understand your question, but if you are asking that a girl at the age of 26, can have otoplasty under local anesthesia, the answer to your question is YES.
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
visitor
Comments: 4
hi
is this available in islamabd or peshawer?????????and what is the cost of it?plz reply
Hi,
We are based in Lahore. You can come to Lahore, have ear surgery done in one hour, and go back home the same day. The results are excellent, and there are no complications. Your can discuss further, by calling us on Mobile Number: 0300-4699699.
With Best Wishes
Dr.H.A.Khawaja, MD; Dip App:ABCS
Cosmetic Plastic Surgeon & Dermatologist
Cosmetic Plastic Surgery & Skin Center
53 A, Block B II, Gulberg III,
Lahore, Pakistan.
Mobile: 0300-4699699
E-mail: z.z.z234567@gmail.com
visitor
Comments: 4
hi
plz tell me about the approximate price atleast?so that i decide to do otoplasty or nt......
Yes, almost always under local anesthesia. In children under 7 years general anesthesia is indicated.
Prof. Dr. Radmilo Roncevic, Belgrade, Serbia
For safety and tranquility of parents, children and the surgical team, this surgical procedure (aesthetic and reconstructive) should always be performed under general anesthesia given and supervised by a physician specialist in anesthesia and resuscitation. Local anesthesia should be accompanied by deep sedation and this is already a risk, if we remember that the child's face is covered with sterile drapes of cloth or waterproof material. If it still child moves or is uncomfortable or low oxygen saturation, we must recur to emergency general anesthesia. Finally, we should strive for the child to always keep in mind a pleasant memory of their experience in the OR.
JULIO CESAR ESCOBAR F., MD.
Plastic, Aesthetic & Reconstructive Surgeon.
Member SCCP, CCPV, ACCPRE, FILACP, IPRAS.
Cali, Colombia, Sur América.
Yes ,Zou can write on : vrbicky@plasticka-chirurgie-vrbicky.cz
Information :www.plasticka-chirurgie-vrbicky.cz
best regards
Hello there,
YES YOU CAN !!
BALI Chedi , MD
Es una intervención que puede realizarse con anestesia local. Pero como es un una operación que puede realizarse tempranemente algunos niños son pasibles de realizar anestesia general.
Dr. Victor Oscasr Vassaro.
Buenos Aires- Argentina.
I persolly never do otoplasty to a six year child under local,i always do it under general anesthesia.
| Active member |
Plastic surgery
Sports Medicine
Laßnitzhöhe
Comments: 63
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.
| Active member |
Plastic surgery
Timisoara
Comments: 91
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

