Raahat Z M, Nadeem Uddin Naqvi, Syed Nusrat Raza.
Submucosal Resection of Nasal Septum Under Local Versus General Anaesthesia.
Pak J Otolaryngol Jan ;30(2):50-2.

OBJECTIVE: To compare the economy, complications and patient’s comfort in cases of SMR (sub mucous resection) under local versus general anesthesia. DESIGN. Randomized control trial. PLACE AND DURATION. This study was conducted in Otorhinolaryngology department CMH Lahore from January 2008 to August 2009. SUBJECTS AND METHODS .A total of 70 males having moderate to gross D N S were included. Group A (35) patients underwent SMR under local anaesthesia and group B (35) patients were operated under general anesthesia. RESULTS. Net per case cost difference between local and general anesthesia is RS.3528.05. Perioperative bleeding was minimum in group A and significant in group B. There was an obvious difference in post operative vomiting in two groups. It was 0% in-group A and 11.42 % in group B. In group A 85 % were confidant and without an obvious stress at the time of removal of intranasal packing where as 57 % in group B were overanxious and apprehensive about the pain at the time of removing intranasal packing. Generally it was not easy to convince the patients for surgery under local anesthesia and extra ordinary efforts were made during preoperative counseling. CONCLUSION: Septal surgery under local anesthesia is better option in every respect and time spent convincing the patient to undergo submucous resection of septum under local anaesthesia pays off in terms of cost effectiveness and patient comfort.

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