Special Surgical Procedures II LESSON 1: Eye, Ear, Nose, and Throat (EENT) Surgery Section II: EAR SURGERY
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1-20. PREP FOR EAR SURGERY
a. For operations involving the ear, preparation normally consists of washing the outer ear and surrounding skin with an anti-bacterial detergent and irrigating the canal with a mild antiseptic solution. The canal may also be cleaned with cotton applicators. The hair should be shampooed.
b. Depending upon the approach in surgery and local policy, a 2-inch strip may be shaved at an area of incision. This would also be true in mastoid operations. If hair is to be shaved from the patient's head, the specialist should check local policy regarding the disposition of the hair.
c. Positioning and draping.
d. Anesthesia for ear surgery may be local or general depending upon the severity of the surgery to be performed and the age of the patient.
e. The dressing applied following surgery is usually one of two types. For internal canal work, an ear wick may be inserted. For surgery on the mastoid sinuses or any posterior approach, a large compression type dressing commonly referred to as a mastoid dressing is applied.
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