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BACKGROUND Middle ear surgical procedures such as myringoplasty, stapedectomy and tympanolasty are traditionally performed under general anaesthesia, with induced hypotension. METHODS We performed middle ear surgery in 73 patients, without induced hypotension, under local anaesthesia with sedation, and assessed feasibility, safety and acceptability. RESULTS The operating conditions achieved were good and the complications were minor. None required conversion to general anaesthesia. CONCLUSIONS Middle ear surgery under local anaesthesia and sedation is safe and feasible. Prospective trials are needed to fully assess the advantages of this technique over general anaesthesia.
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C D Goonasekera, and
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V P Rajapakse, and
D Jayasooriya
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B Edussuriya, and
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Anaesthesia,
