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July 1988

Septoplasty: A Study in Hemostasis

Author Affiliations

Durham, NC

Arch Otolaryngol Head Neck Surg. 1988;114(7):711. doi:10.1001/archotol.1988.01860190015004

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William C. Smith and Terry L. Fry, University of North Carolina, Chapel Hill, reported a prospective study comparing blood loss during septoplasty under local vs general anesthesia. This report, presented Jan 16, 1988, at the Southern Section meeting of the Triological Society, Birmingham, Ala, presented data that indicated a fourfold increase in blood loss when general anesthesia was utilized; however, the data were not statistically significant. The operating surgeon and the patient were allowed to select the anesthesia without being randomly assigned to either anesthetic technique. Patients with aspirin use, coagulation disorders, other procedures, or repeated septal surgery were excluded. The increased blood loss with general anesthesia was not found to be related to the performance of submucosal resections of the inferior turbinates at the time of surgery, and occurred despite equal uses of local anesthetics with each technique. Associated subjective differences in bleeding and operative exposure were observed by

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