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iunie 2010
Operatia de otoscleroza: spitalizare, sau chirurgie de zi?
0
dr.Lucian David
Operatia de otoscleroza: spitalizare, sau chirurgie de zi?

Pacientii care au suferit interventii chirurgicale pentru otoscleroza in ultimele decenii pot istorisi experiente deloc confortabile despre perioada care a urmat operatiei. In mod special in Romania, unde tehnicile chirurgicale de platinotomie minima au intrat in practica relativ tarziu, pacientii erau internati timp de saptamani in sir, fiind siliti sa suporte zile intregi de imobilizare totala si vertij intens, invalidant. In unele situatii pacientii ramaneau cu simptome vertiginoase si tinitus pentru tot restul vietii.

Care este cauza acestei stari de lucruri?

Operatiile clasice (stapedectomii, mobilizari platinare) presupun manevre traumatizante asupra structurilor delicate ale jonctiunii dintre urechea medie si urechea interna, avand drept consecinta situatii de genul celei descrise mai sus. Citește mai mult

Operatia de otoscleroza: anestezie locala sau generala?
2
dr.Lucian David
Operatia de otoscleroza: anestezie locala sau generala?
Operatie de otoscleroza la Clinica Urechii

Unul dintre factorii care genereaza teama in randul pacientilor care urmeaza a fi supusi unei interventii chirurgicale pentru otoscleroza este reprezentat de tipul de anestezie (locala sau generala). Intrucat in prezent exista opinii diferite referitoare la acest subiect doresc sa exprim o serie de puncte de vedere personale pe aceasta tema.

Tendinta actuala in chirurgia moderna este de a feri pacientul de orice trauma sau experienta negativa legata de actul operator. Din acest motiv, suspendarea completa a starii de constienta pe durata operatiei prin anestezie generala, reprezinta o optiune comoda si avantajoasa atat pentru pacient, cat si pentru medic (care beneficiaza de confortul oferit de un pacient lipsit complet de reactii constiente si ulterior amnezic fata de evenimentele petrecute intraoperator). Citește mai mult