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The effect of epidural anaesthesia and size of spinal needle on post-operative hearing loss

Published online by Cambridge University Press:  29 June 2007

Semih Öncel ,
Levent Hasegeli ,
M. Zafer Uguz ,
Serdar Savaci ,
Kazim Önal  and
Semiramis Oyman
Semih Öncel*
Affiliation:
1st Department of OtorhinolaryngologyState HospitalYeşilyurt, Izmir, Turkey.
Levent Hasegeli
Affiliation:
Department of AnaesthesiologyState Hospital, Yeşilyurt, Izmir, Turkey.
M. Zafer Uguz
Affiliation:
1st Department of OtorhinolaryngologyState HospitalYeşilyurt, Izmir, Turkey.
Serdar Savaci
Affiliation:
Department of AnaesthesiologyState Hospital, Yeşilyurt, Izmir, Turkey.
Kazim Önal
Affiliation:
1st Department of OtorhinolaryngologyState HospitalYeşilyurt, Izmir, Turkey.
Semiramis Oyman
Affiliation:
Department of AnaesthesiologyState Hospital, Yeşilyurt, Izmir, Turkey.
*
Mithatpaşa Caddesi, No. 424/2, Izmir, Turkey.
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Abstract

Forty-five patients who were to undergo elective urological operations were evaluated. In the pre-operative period and on the third or fourth post-operative day audiometry was performed. Epidural anaesthesia was performed in 15 cases, spinal anaesthesia was performed in 15 cases with 25 G needles, and in 15 cases with 22 G needles. No statistically significant hearing loss was observed in the post-operative period compared to preoperative period in the epidural anaesthesia group. In the post-operative period, the hearing loss observed in the 25 G-spinal anaesthesia group was significantly (P<0.01) less than that seen in the 22 G group. None of the patients had headache after spinal anaesthesia. It was concluded that pure tone audiometry is a more sensitive indicator of cerebrospinal fluid leakage than post-operative headache.

Keywords

AnaesthesiaepiduralAudiometry
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 9 , September 1992 , pp. 783 - 787
Copyright
Copyright © JLO (1984) Limited 1992

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References

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