Marco Antonio Scirea Tesseroli1, Fabricio Battistela Zasso2, Humberto Hepp2, Antonio Vitor Martins Priante3, André Luiz Loureiro de Mattos Filho4, Alvaro Sanabria5. 1. Department of Head and Neck Surgery, Regional do Oeste Hospital, Chapecó, Santa Catarina, Brazil. 2. Department of Anesthesiology, Regional do Oeste Hospital, Chapecó, Santa Catarina, Brazil. 3. Department of Surgery, Taubate University, São, Paulo, Brazil. 4. Department of Surgery, Sao Vicente de Paulo Hospital, Passo Fundo, Rio Grande do Sul, Brazil. 5. Department of Surgery, Universidad de Antioquia-Fundación Colombianana de Cancerología-Clínica Vida, Medellin, Colombia.
Abstract
BACKGROUND: Parotidectomy is usually performed while the patient is under general anesthesia, however, sedation with locoregional anesthesia could be an alternative. METHODS: Fifteen adult patients with parotid tumors of the superficial lobe were included in this study. Anesthetic procedure consisted of sedation associated with cervical plexus and auriculotemporal nerve block. Sedation was managed based on the bispectral index. RESULTS: Superficial parotidectomies were performed in 13 patients, and combined partial resections were performed in 2 patients. The mean operative time was 118.2 ± 16.4 minutes. Conversion to general anesthesia was necessary in only 1 patient. Ten surgeries were performed on an outpatient basis. Definitive facial paralysis occurred in 1 patient. All patients reported total satisfaction with the procedure. CONCLUSION: In selected cases, parotidectomy under sedation plus locoregional anesthesia is feasible and safe. The careful selection of patients and the close collaboration with an anesthesiologist is the key to a successful procedure.
BACKGROUND: Parotidectomy is usually performed while the patient is under general anesthesia, however, sedation with locoregional anesthesia could be an alternative. METHODS: Fifteen adult patients with parotid tumors of the superficial lobe were included in this study. Anesthetic procedure consisted of sedation associated with cervical plexus and auriculotemporal nerve block. Sedation was managed based on the bispectral index. RESULTS: Superficial parotidectomies were performed in 13 patients, and combined partial resections were performed in 2 patients. The mean operative time was 118.2 ± 16.4 minutes. Conversion to general anesthesia was necessary in only 1 patient. Ten surgeries were performed on an outpatient basis. Definitive facial paralysis occurred in 1 patient. All patients reported total satisfaction with the procedure. CONCLUSION: In selected cases, parotidectomy under sedation plus locoregional anesthesia is feasible and safe. The careful selection of patients and the close collaboration with an anesthesiologist is the key to a successful procedure.