Role of sphenopalatine ganglion block for postoperative analgesia after functional endoscopic sinus surgery

Kesimci, Elvin; Öztürk, Levent; Bercin, Sami; Kırış, Muzaffer; Eldem, Ayşe; Kanbak, Orhan
January 2012
European Archives of Oto-Rhino-Laryngology;Jan2012, Vol. 269 Issue 1, p165
Academic Journal
The aim of this study was to evaluate the analgesic efficacy of sphenopalatine ganglion block performed under general anesthesia in patients undergoing functional endoscopic sinus surgery (FESS) with operative blood loss and postoperative complications (headache, visual disturbances, nausea, vomiting, sore throat, swallow difficulty). Forty-five consenting patients were randomized to receive bilateral sphenopalatine ganglion block with saline (Group S, n = 15), bupivacaine 0.5% (Group B, n = 15), or levobupivacaine 0.5% (Group L, n = 15) immediately following induction of general anesthesia. Esmolol was given during the intraoperative period for a 20% increase in arterial mean pressure or heart rate. Postoperative pain scores were checked on arrival at the postanesthesia care unit, 2, 6, and 24 h after surgery and diclofenac was administered intramuscularly for pain score ≥4. A statistically significant reduction was present in postoperative Visual Analog Scale scores between Group S and the block Groups B and L ( p < 0.05). In Group L and B, fewer patients required additional analgesics in the postoperative 24 h ( p < 0.0001). The comparison of postoperative complications was not statistically significant among the groups ( p > 0.05). Sphenopalatine ganglion block with bupivacaine or levobupivacaine improved postoperative analgesia associated with better surgeon and patient satisfaction after FESS.


Related Articles

  • Role of Dexamethasone in Reducing Pain After Endoscopic Sinus Surgery in Adults: A Double-Blind Prospective Randomized Trial.  // Annals of Otology, Rhinology & Laryngology;Apr2010, Vol. 119 Issue 4, p266 

    Objectives: We sough! to study postoperative pain after endoscopic sinus surgery and to evaluate the efficacy of dexamethasone sodium phosphate in reducing pain and rescue analgesic requirements. Methods: In a prospective, double-blind, placebo-controlled clinical trial, 62 patients with chronic...

  • Major complications of endoscopic sinus surgery: a comment. Graham, S.M.; Carter, K.D. // British Journal of Ophthalmology;Mar2003, Vol. 87 Issue 3, p374 

    Focuses on the major complications associated with endoscopic sinus surgery. Potential for iatrogenic injury; Incidence of Onodi cells; Computed tomography.

  • Usefulness of Curved-Shaft Needles for Infiltrating the Sphenopalatine Area. Choi, So; Lee, Ho; Choi, Myoung // Indian Journal of Otolaryngology & Head & Neck Surgery;Dec2015, Vol. 67 Issue 4, p329 

    The objective of this study is to evaluate what types of needles are optimal and efficient for infiltrating the sphenopalatine area during endoscopic sinus surgery. Prospective, randomized, open-labeled study was designed. Sixty-three sides of nasal cavities of 45 patients were randomly assigned...

  • The effects of endoscopic sinus surgery on level of fatigue in patients with chronic rhinosinusitis. Sautter, Nathan B.; Mace, Jess; Chester, Alexander C.; Smith, Timothy L. // American Journal of Rhinology;Jul/Aug2008, Vol. 22 Issue 4, p420 

    Background: Fatigue is a common symptom of chronic rhinosinusitis (CRS), but the response of fatigue to endoscopic sinus surgery (ESS) is rarely studied. Methods: A prospective, open cohort of adult patients undergoing ESS for CRS was studied using 10-cm fatigue visual analog scales (VASs),...

  • Bilateral sphenopalatine ganglion blockade improves postoperative analgesia after endoscopic sinus surgery. DeMaria Jr., Samuel; Govindaraj, Satish; Chinosorvatana, Nina; Kang, Stanley; Levine, Adam I. // American Journal of Rhinology & Allergy;Jan/Feb2012, Vol. 26 Issue 1, p23 

    Background: Endoscopic sinus surgery (ESS) is a common procedure preferably done with an anesthetic technique ensuring effective postoperative analgesia while speeding discharge home. Although anesthesia administered locally in conjunction with vasoconstricting agents is known to minimize...

  • Effects of saline sprays on symptoms after endoscopic sinus surgery. Pinto, Jayant M.; Elwany, Samy; Baroody, Fuad M.; Naclerio, Robert M. // American Journal of Rhinology;Mar/Apr2006, Vol. 20 Issue 2, p191 

    Background: Topical saline is commonly recommended after endoscopic sinus surgery. The efficacy in this situation has never been shown. Methods: We performed a controlled clinical trial to determine the effect of saline sprays on symptoms after endoscopic sinus surgery. Patients were randomized...

  • Mental distress and effort to engage an image-guided navigation system in the surgical training of endoscopic sinus surgery: a prospective, randomised clinical trial. Theodoraki, M.; Ledderose, G.; Becker, S.; Leunig, A.; Arpe, S.; Luz, M.; Stelter, K. // European Archives of Oto-Rhino-Laryngology;Apr2015, Vol. 272 Issue 4, p905 

    The use of image-guided navigation systems in the training of FESS is discussed controversy. Many experienced sinus surgeons report a better spatial orientation and an improved situational awareness intraoperatively. But many fear that the navigation system could be a disadvantage in the...

  • Microporous polysaccharide hemospheres do not increase synechiae after sinus surgery: Randomized controlled study. Antisdel, Jastin L.; Matijasec, Jackie L.; Ting, Jonathan Y.; Sindwani, Raj // American Journal of Rhinology & Allergy;Jul/Aug2011, Vol. 25 Issue 4, p268 

    Background: Many surgeons use absorbable packing materials after endoscopic sinus surgery (ESS). Despite their popularity, some of these agents have been shown to contribute to synechiae formation. Microporous polysaccharide hemospheres (MPH) is a plant-based hemostatic powder that does not...

  • Efficacy of targeted middle meatal antibiotics and endoscopic sinus surgery. Wijewickrama, Rohan C.; Catalano, Peter J.; Gupta, Rahul; Willen, Seth N.; More, Yogesh; Jonnalagadda, Sashikanth; Warman, Meir // American Journal of Rhinology & Allergy;Jul/Aug2013, Vol. 27 Issue 4, p329 

    Background: Postoperative infection remains a significant comorbidity of endoscopic sinus surgery (ESS) delayed healing, synechia formation, etc. The objective of this study was to compare the incidence of postoperative infection after ESS in patients receiving conventional postoperative oral...


Read the Article


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

Try another library?
Sign out of this library

Other Topics