bandage-green

Otoplasty

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, head turned, Bed turned 90 degrees, Bed turned 180 degrees
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : No
Blocks : Superficial Cervical Plexus
Considerations : PONV

Anesthetic Approaches

1GETT, Mask Induction, Nerve Block
2GLMA, Mask Induction, Nerve Block
3MAC, Propofol Drip, Local Anesthetic
The Surgery

Timing and selection - Newborn ears are moldable for the first few weeks while circulating maternal estrogen keeps the cartilage soft, so splinting can work if it is started early enough. Past that...

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