Different anesthetic agents-soaked sinus packings on pain management after functional endoscopic sinus surgery: which is the most effective?

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dc.contributor.authorHaytoglu, Suheyl
dc.contributor.authorKuran, Gokhan
dc.contributor.authorMuluk, Nuray Bayar
dc.contributor.authorArikan, Osman Kursat
dc.date.accessioned2020-06-25T18:16:27Z
dc.date.available2020-06-25T18:16:27Z
dc.date.issued2016
dc.departmentKırıkkale Üniversitesi
dc.descriptionKuran, Gokhan/0000-0002-0709-1887
dc.description.abstractIn the present study, we investigated the efficacy of local anesthetics soaked non-absorbable sinus packs on pain management after functional endoscopic surgery (FESS). One hundred and fifty patients with the diagnosis of bilateral chronic sinusitis with or without nasal polyps who underwent FESS were included into the study. Their pre-operative Lund-Mackay computerized tomography (CT) Scores were similar. We applied anesthetic agents of 2 % lidocaine HCl, 0.25 % Bupivacaine HCl, 0.2 % Ropivacaine, 2 % Prilocaine and 0.9 % NaCl (Saline) in groups 1-5 onto the sinus packs after FESS. At postoperative period, acetaminophen (250 mg/5 ml) was used in 10-15 mg/kg per dose (4 times a day). Bleeding grade, operation duration, postoperative number of gauze/24 h, additional painkiller need, pain values at 1, 2, 4, 8, 12 and 24 h were noted. Lund-Kennedy endoscopic scores were also evaluated at 1st, 2nd and 4th weeks postoperatively. In saline group, 93.3 % of the patients needed additional painkiller. Whereas, in Bupivacaine group, additional painkiller use (20.0 %) is less than the other groups. In Bupivacaine group, number of gauze/24 h use was lower than lidocaine, ropivacaine and prilocaine groups. In our study, except 1st and 24th hours, pain values of groups can be written in ascending order (from less to higher) as Bupivacaine, Lidocaine, Prilocaine, Ropivacaine and Saline. In the first hour, pain values of groups can be written in ascending order (from less to higher) as Lidocaine, Prilocaine, Bupivacaine, Ropivacaine and Saline. In the 2nd week, in the Bupivacaine and Lidocaine Groups separately, postoperative Lund-Kennedy scores were lower than the Prilocaine and Saline Groups. In the 1st month, Lidocaine Group's Lund-Kennedy scores were significantly lower than the Saline Group. Synechia values were not different between groups. Bupivacaine help the lower pain values and less additional painkiller need after FESS. Therefore, we recommend to use Bupivacaine soaked sinus packs after FESS for achieve less pain values and to improve patient satisfaction.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1007/s00405-015-3807-2
dc.identifier.endpage1777en_US
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.issue7en_US
dc.identifier.pmid26511988
dc.identifier.scopus2-s2.0-84945579609
dc.identifier.scopusqualityQ1
dc.identifier.startpage1769en_US
dc.identifier.urihttps://doi.org/10.1007/s00405-015-3807-2
dc.identifier.urihttps://hdl.handle.net/20.500.12587/6535
dc.identifier.volume273en_US
dc.identifier.wosWOS:000377413500017
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Archives Of Oto-Rhino-Laryngology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFunctional endoscopic sinus surgeryen_US
dc.subjectLidocaineen_US
dc.subjectBupivacaineen_US
dc.subjectRopivacaineen_US
dc.subjectPrilocaineen_US
dc.subjectPain managementen_US
dc.subjectTopical anesthetic applicationen_US
dc.titleDifferent anesthetic agents-soaked sinus packings on pain management after functional endoscopic sinus surgery: which is the most effective?en_US
dc.typeArticle

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