ArticleThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2024
Local Versus General Anesthesia in Pediatric Otoplasty: A Cost and Efficiency Analysis.
Article in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- Review
- A systematic review of the Wide Awake Local Anesthesia no Tourniquet (WALANT) approach in pediatric hand surgery.JPRAS open · 2026Review
- Wide Awake Facial Reconstruction: A Literature Review, Cost Analysis, and Practical Guide.Plastic and reconstructive surgery. Global open · 2026Article
- A New Guiding Suturing Technique for Reshaping of the Antihelix in Patients with Prominent Ears.Aesthetic plastic surgery · 2025Article
- Bat Ear Correction Steps and Outcomes for Better Life Support.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveQuantify the cost benefits of otoplasty under local as opposed to general anaesthesia.
designA cost analysis of all components of otoplasty surgery under local anaesthesia (LA) in a minor operating room (OR) and general anaesthesia in a main OR was performed.
settingOur institution, compared to provincial/federal data, with costs converted into 2022 Canadian dollars. PATIENTS,
participantsPatients undergoing otoplasty under LA in the last year.
interventionsAn efficiency analysis was performed by means of an opportunity cost, and the cost of failure was added to the overall LA costs.
main outcome measureExpenses for infrastructure, surgical and anaesthetic material, salaries, and personnel costs were derived from the literature, our hospital OR catalog and federal/provincial salary data, respectively. The cost of failure to tolerate local anaesthesia for such cases was also tabulated.
resultsThe true cost of LA otoplasty was computed as the absolute cost ($611.73) added to the cost of failure ($10.80), resulting in a total of $622.53/procedure. The true cost of GA otoplasty was calculated as the absolute cost ($2033.05) added to the opportunity cost ($1108.94), representing 3141.99$/procedure. The total savings when performing LA otoplasty to GA otoplasty are thus 2519.44$/case, with 1 GA otoplasty costing 5.05 LA otoplasties.
conclusionOtoplasty under local anaesthesia offers significant cost savings when compared with the same procedure under general anaesthesia. Economic considerations must be given particular attention given the elective nature of this procedure, which is often publicly funded.
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Registered trials
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