TITLE

Pain and Safety in Otorhinolaryngologic Procedures under Local Anesthesia

AUTHOR(S)
Aydil, Utku; Yılmaz, Metin; Akyıldız, İlker; Bayazıt, Yıldırım; Keseroglu, Kemal; Ceylan, Alper
PUB. DATE
December 2008
SOURCE
Journal of Otolaryngology -- Head & Neck Surgery;Dec2008, Vol. 37 Issue 6, p851
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objectives: The aim of this study was to determine safety, pain perception, and the factors that may affect pain perception in patients undergoing certain otorhinolaryngologic procedures under local anesthesia with sedation. Design: Prospective clinical study. Setting: Tertiary care academic medical centre. Methods: Two hundred thirteen patients operated on under local anesthesia with sedation were included in the study. A visual analogue scale (VAS) and a questionnaire were employed to measure pain perception during surgery and evaluate possible pain-related variables. Results: The mean VAS values were 2.86 (± 1.84) for the myringoplasty group, 2.54 (± 1.76) for the otosclerosis surgery group. 1.70 (± 1.25) for the somnoplasty group, 1.00 (± 0.94) for the oral biopsy group, 2.15 (± 1.49) for the inferior turbinate radio-frequency reduction (ITRR) group, 3.47 (± 2.18) for the septoplasty plus ITRR group, 5.56 (± 2.01) for the septorhinoplasty group, 4.94 (± 2.16) for the open technique septoplasty group, and 3.30 (± 1.87) for the septoplasty group. No variable was shown to affect pain perception when all patients were evaluated in common. When surgical procedures were evaluated individually, the level of acquaintance of patients in the myringoplasty group (p = .007) and operative time for the septoplasty group (p < .001) were found to independently affect pain perception. Conclusions: Given that septorhinoplasty and open technique septoplasty are found to be more painful, it is advisable to perform these procedures under general anesthesia. To increase the level of acquaintance of patients and to shorten operative time as possible may be helpful for minimizing pain perception.
ACCESSION #
36365357

 

Related Articles

  • Change in Health Status after Rhinoplasty. Draper, Mark R.; Salam, Mahmoud A.; Kumar, Sanjiv // Journal of Otolaryngology;Feb2007, Vol. 36 Issue 1, p13 

    Objective: To assess the change in health status of patients undergoing rhinoplasty. Design: Retrospective mail-based questionnaire study using a validated post-intervention questionnaire specifically designed for otolaryngology surgery. Setting: District general hospital otolaryngology...

  • Some aspects of rhinoplasty: a review. Bull, T. R. // Journal of the Royal Society of Medicine;Nov1980, Vol. 73 Issue 11, p811 

    The article discusses on the paper which deals on the important aspects of rhinoplasty. Details on the problems of patients concerning nose deformity such as nasal saddle deformity are discussed. It also offers information on some common errors which are encountered by surgeons and patients in...

  • Endonasal placement of spreader grafts in rhinoplasty. Pontius, Allison T.; Williams III, Edwin F. // ENT: Ear, Nose & Throat Journal;Mar2005, Vol. 84 Issue 3, p135 

    Reports on the significance of placement of the endonasal spreader graft in rhinoplasty. Importance of spreader graft placement; Information on how to perform the placement of an endonasal spreader graft in rhinoplasty; Factor for the success of the operation.

  • Management of the Thick-Skinned Nose: A More Effective Approach. Hafezi, Farhad; Naghibzadeh, Bijan; Nouhi, Amirhossein // Annals of Otology, Rhinology & Laryngology;Jun2006, Vol. 115 Issue 6, p444 

    A bulky nose is a challenging issue to manage, and surgeons have not found the ultimate solution to this problem in the evolution of rhinoplastic surgery. Because of the multiplicity of techniques and controversies published in the literature, it has become confusing for the operating surgeon to...

  • Book Review: Review of Otolaryngology-Head and Neck Surgery: Clinical Reference Guide. Hurst, Kristen // Annals of Otology, Rhinology & Laryngology;Jul2015, Vol. 124 Issue 7, p584 

    No abstract available.

  • Etiology and treatment of open rhinoplasty failures. Groves, Nancy // Cosmetic Surgery Times;Aug2003, Vol. 6 Issue 7, p12 

    Examines the etiology and treatment of open rhinoplasty failures in the United States. Use of the T-graft technique to correct extreme cases of open rhinoplasty failure; Rebuilding of the tip projection; 'Shrink-wrap phenomenon.'

  • Nasal valve obstruction complicating rhinoplasty: Prevention and treatment ... Broker, Brian J.; Berman, Walter E. // ENT: Ear, Nose & Throat Journal;Feb97, Vol. 76 Issue 2, p77 

    Focuses on nasal valve obstruction, a complication after rhinoplasty. Anatomy and physiology of the nasal valve region; Diagnosis for rhinoplasty; Common cause of nasal valve obstruction.

  • Otolaryngology Prep and Practice. Gibber, Marc J. // Annals of Otology, Rhinology & Laryngology;Jul2013, Vol. 122 Issue 7, p480 

    The article reviews the book "Otolaryngology Prep and Practice," by Jennifer J. Shin and Michael J. Cunningham..

  • The Pinocchio case: A lesson in the unexpected. Rees, Michael K. // Modern Medicine;Jan98, Vol. 66 Issue 1, p64 

    Editorial. Focuses on the scientific advances that led to the first genetically engineered rhinoplasty and relates its unintended consequences using the case of an employee who lost a part of his nose due to an industrial accident. Processes in neo-organoid technology; Cell mitosis resulting...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics