Evaluation of Analgesic Effectivity of Infra Orbital Nerve Block in Open Septorhinoplasty Surgery: A Retrospective Study

Year 2022, Volume: 3 Issue: 2, 128 - 131, 16.09.2022

Nihal Efe Atila Irem Ates

https://doi.org/10.56766/ntms.1163500

Cited By: 2

Abstract

This retrospective study was conducted in order to demonstrate the clinical benefit of infraorbital regional anesthesia performed with intraoperative bupivacaine injection in postoperative pain scores during open septorhinoplasty operations. Postoperative 12-hour pain scores (Visual Analogue Scales) and data obtained from patient files of analgesic consumption of 60 (33 female; 27 male) participants aged 18-45 years who underwent open septorhinoplasty, ASA group I-II, were analyzed.d. The patients were divided into two groups; the control group (group C) included the participant who underwent open septorhinoplasty surgery and did not undergo intraoperative regional anesthesia. Patients who underwent open septorhinoplasty surgery and underwent regional anesthesia with 3 mL (15 mg) of bupivacaine hydrochloride in both infraorbital foramen intraoperatively were included in the bupivacaine group (group B). Patients in group B had lower pain scores at 1 hour postoperatively compared to group C. It was observed that the effective postoperative analgesia continued consistently at the 6th and 12th hours in the patients in group B. At the same time, the need for IV analgesics at the postoperative 12 hours was significantly lower in group B compared to group C. Intraoperative infraorbital regional bupivacaine anesthesia is an effective procedure that reduces postoperative pain levels in septorhinoplasty operations and increases the postoperative comfort of patients.

Keywords

Pain CONTROL, Septorhinoplasty, Bupivacaine, Regional Anesthesia.

References

• 1. Friedman M, Venkatesan TK, Lang D,et al. Bupivacaine for postoperativeanalgesia following endoscopic sinus surgery. Laryngoscope 1996;106:1382-5.
• 2. Koputan MH, Apan A, Öz G,et al. TheEffects of Tramadol and Levobupivacaine Infiltrationon Postoperative Analgesia in Functional Endoscopic Sinus Surgery and Septorhinoplasty. Balkanmedj 2012; 4: 391 – 394.
• 3. Çelik EC,Kara D,KOÇ E,et al.Thecomparison of single-dose preemptive intravenous ibuprofen and paracetamol on postoperative pain scores and opioid consumption after open septorhinoplasty: a randomized controlled study. European Archives of Oto-Rhino-Laryngology 2018; 275, 2259–2263.
• 4. Flint PW. Cummings Otolaryngology Headand Neck Surgery. 5th ed. Philadelphia: Mosby; 2010,112. 5) Huang Y, Pryor M, Mather L,et al. Cardiovascular and central nervous system effects of intravenous levobupivacaine and bupivacaine in sheep. AnesthAnalg 1998; 86 :797-804.
• 6. Lynch MT, Syverud SA, Schwab RA,et al. Comparison of Intraoral and Percutaneous Approaches for Infraorbital Nerve Block.AEM 1994,1:514-19.
• 7. Mariano ER, Watson D , Loland VJ,et al. Bilateral infra orbital nerve blocks decrease postoperative pain but do not reduce time to discharge following outpatient nasal surgery. Canadian Journal of Anesthesia/Journal canadien'anesthésie 2009; 56: 584–589.
• 8. Vahabi S, Rafieian Y, Zadeh AA. The effects of intra operative esmolol infusion on the post operative pain and hemodynamic stability after rhinoplasty. J Investig S.2016;31:82-88.
• 9. Gupta A, Abubaker H, Demas E,et al. A randomized trial comparing the safety and efficacy of intravenous ibuprofen versus ibuprofen and acetaminophen in knee or hip arthroplasty. 2016; PainPhys 19(6):349–356.
• 10. Prendergast PM. Neurologic Anatomy of the Nose. Advanced Aesthetic Rhinoplasty.2013, pp 17–23
• 11. Demiraran Y, Ozturk O, Guclu E, et al.Vasoconstriction and analgesic efficacy of locally infiltrated levobupivacaine for nasal surgery. AnesthAnalg 2008;106:1008-11.
• 12. Yılmaz YF, Ozlugedik S,Titiz A,et al.Comparison of levobupivacaine and lidocaine for postoperative analgesia following septoplasty. Rhinology 2008, 46: 289-291.