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Ventilation tube insertion using topical anaesthesia in children

Published online by Cambridge University Press:  29 June 2007

M. J. Summerfield  and
P. S. White
M. J. Summerfield
Affiliation:
Christchurch, New Zealand
P. S. White*
Affiliation:
Christchurch, New Zealand
*
Mr P. S. White, F.R.A.C.S., Research Fellow, Department of Otolaryngology, Glasgow Royal Infirmary, Glasgow.
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Abstract

Topical anaesthesia using EMLA cream is an established anaesthetic technique for ventilation tube insertion in adults. We report its use in 103 children (age range 3–12 years). Failure occurred in seven patients (6.8 per cent); complications occurred in two patients and were of a minor nature. This technique appears well tolerated provided the operator avoids the use of suction and allows a cream penetration time of greater than two hours. The use of a ‘T’ myringotomy is also recommended, to reduce tension on the drum at tube insertion.

Keywords

Middle ear ventilationAnaesthesialocal
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 5 , May 1992 , pp. 427 - 428
Copyright
Copyright © JLO (1984) Limited 1992

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References

Black, N. (1984) Surgery for glue ear—A modern epidemic. Lancet, 1: 835–837.CrossRefGoogle ScholarPubMed
Bluestone, C. (1982) Otitis media in children: To treat or not to treat? New England Journal of Medicine, 306, 1399–1404.CrossRefGoogle ScholarPubMed
Evers, H., von Dardel, O., Judlin, J., Ohlsen, L., Vinnars, E. (1985) Dermal effects of compositions based on the eutectic mixture of lignocaine and prilocaine (EMLA). British Journal of Anaesthesia, 7: 997–1005.Google Scholar
Maunnuksela, E. L., Korpela, R. (1986) Double blind evaluation of a lignocaine-prilocaine cream (EMLA) in children. British Journal of Anaesthesia, 58: 1242H–1245.CrossRefGoogle Scholar
Sade, J., Halevy, A., Hadas, E. (1976) Clearance of middle ear effusions and middle ear pressures. Annals of Otology, Rhinology and Laryngology, Supplement 25: 58–62.CrossRefGoogle Scholar
Timms, M., O'Malley, S., Keith, A. (1988) Experience with a new topical anaesthesia in otology. Clinical Otolaryngology, 13: 485–490.CrossRefGoogle ScholarPubMed
Whittet, H., Williams, H., Wright, A. (1988) An evaluation of topical anaesthesia for myringotomy. Clinical Otolaryngology, 13: 481–484.CrossRefGoogle ScholarPubMed
Youngs, R. P., Gatland, D. J. (1988) Is aspiration of middle ear effusions prior to ventilation tube insertion really necessary? Journal of Otolaryngology, 17: 204–206.Google Scholar