Septoplasty and Bilateral Inferior Turbinate Surgery under Local Anesthesia with Deep Sedation versus General Anesthesia, A Retrospective Randomized Comparative Control Study

Randa Atwa  Abdallah; Gehan Saied Shalaby; Mohamad Shams  Eldin; Gamal  Ejaimi; Abla Saab

doi:10.3889/oamjms.2023.11738

Authors

Randa Atwa Abdallah Department of Otolaryngology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt https://orcid.org/0000-0003-4496-8956
Gehan Saied Shalaby Department of Otolaryngology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt
Mohamad Shams Eldin Department of Otolaryngology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt https://orcid.org/0000-0003-1447-8841
Gamal Ejaimi Department of Anesthesia and Intensive Care, Taiba Hospital, Sabah Al-Salem, Kuwait
Abla Saab Department of Anesthesia and Intensive Care, Faculty of Medicine, Ain Shams University, Cairo, Egypt

DOI:

https://doi.org/10.3889/oamjms.2023.11738

Keywords:

Septoplasty, Bilateral turbinate surgery general anesthesia, Local anesthesia with deep sedation, Cost of the hospital stay analysis

Abstract

AIM: The main target of this study was to investigate the safety and efficacy and the benefits of the use of local anesthesia during septal and bilateral turbinate surgery.

METHODS: This prospective, randomized control study was conducted on 140 patients between the ages of 17 and 65, though the period from march 2021 to November 2022, who were booked for septal and bilateral turbinate surgery who were randomly allocated into two groups study group (1) involving 35 patients (42 males and 28 females with mean age 34.3 ± 11.9 years old) who were received local anesthesia with deep sedation and control group (2) involving 35 patients (52 males and 18 females with mean age 33.3 ± 11.4) who were received general anesthesia from march 2021 to November 2022.

RESULTS: Local anesthesia with sedation group showed a significantly less Total operation time (33.3 ± 2.62 min), real surgical time (23.64 ± 2.70 min), intraoperative blood loss (33.9 ± 2.3 mL), hospital stay duration (7.1 ± 0.7), post-operative pain (8.6%), post-operative nasal packing (8.6%), patient satisfaction (9.3 ± 0.7), and total hospital cost (17.14 ± 1.25 $), with no significant deference regarding to nausea and vomiting (5.7%), Compared to the other control group.

CONCLUSION: Septoplasty with bilateral turbinate surgery under local anesthesia with deep sedation is easy, safe, reliable, and costless that to be done under general anesthesia.

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