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Effect on patient anxiety of lidocaine infiltration into nasal packing after septoplasty: prospective, controlled study

Published online by Cambridge University Press:  29 June 2015

C Sahin  and
H I Aras
C Sahin*
Affiliation:
ENT Clinic, Sakarya Akyazi State Hospital, Sakarya, Turkey
H I Aras
Affiliation:
Psychiatry Clinic, Sakarya Akyazi State Hospital, Sakarya, Turkey
*
Address for correspondence: Dr Caner Sahin, ENT Clinic, Sakarya Akyazi State Hospital, Sakarya, Turkey Fax: +90-264-4187835 E-mail: [email protected]
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Abstract

Objective:

This prospective, controlled study investigated the effect on patient anxiety of lidocaine infiltration into nasal packing following septoplasty.

Methods:

The study included 50 patients who underwent septoplasty operation. Patient anxiety levels were measured 24 hours pre-operatively; 48 hours post-operatively, before saline or lidocaine infiltration; and 15 minutes after lidocaine or saline infiltration into the packing. The patients were asked to mark their level of pain during pack removal on a visual analogue scale.

Results:

Hamilton Anxiety Scale scores for lidocaine infiltration patients were: 15.1 ± 7.4 pre-operatively; 16 ±7.6 post-operatively, before infiltration; and 13.7 ± 6.6 at 15 minutes after infiltration. The scores for saline infiltration patients were: 16.3 ± 6.8 pre-operatively, 16.4 ± 5.5 before infiltration and 16.1 ± 6.1 after infiltration. The visual analogue scale pain score was 5.3 ± 2.0 in the lidocaine study group and 7.5 ± 1.8 in the control saline group.

Conclusion:

Infiltration of lidocaine into nasal packing significantly reduced patient pain. Patients developed mild to moderate anxiety before nasal packing removal. Use of techniques without nasal packing can be recommended after septoplasty to ease patient post-operative discomfort.

Keywords

AnxietyNasal Surgical ProceduresTest Anxiety Scale
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 8 , August 2015 , pp. 784 - 787
Copyright
Copyright © JLO (1984) Limited 2015 

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References

1Acioglu, E, Edizer, DT, Yiğit, Ö, Onur, F, Alkan, Z. Nasal septal packing: which one? Eur Arch Otorhinolaryngol 2012;269:1777–81CrossRefGoogle ScholarPubMed
2Gencer, ZK, Ozkiriş, M, Gencer, M, Saydam, L. Comparison of ropivacaine, bupivacaine, prilocaine, and lidocaine in the management of pain and hemorrhage during nasal pack removal. Am J Rhinol Allergy 2013;27:423–5CrossRefGoogle ScholarPubMed
3Maier, W, Buller, R, Philipp, M, Heuser, I. The Hamilton Anxiety Scale: reliability, validity and sensitivity to change in anxiety and depressive disorders. J Affect Disord 1988;14:61–8CrossRefGoogle ScholarPubMed
4Hesham, A, Ghali, A. Rapid Rhino versus Merocel nasal packs in septal surgery. J Laryngol Otol 2011;125:1244–6CrossRefGoogle ScholarPubMed
5Hosemann, W, Loew, TH, Forster, M, Kuhnel, T, Beule, AG. Perioperative pain and anxiety in endoscopic sinus surgery [in German]. Laryngorhinootologie 2011;90:476–80Google ScholarPubMed
6Kim, YS, Kim, YH, Kim, NH, Kim, SH, Kim, KR, Kim, KS. A prospective, randomized, single-blinded controlled trial on biodegradable synthetic polyurethane foam as a packing material after septoplasty. Am J Rhinol Allergy 2011;25:77–9CrossRefGoogle ScholarPubMed
7Yildirim, G, Cingi, C, Kaya, E. Septal stapler use during septum surgery. Eur Arch Otorhinolaryngol 2013;270:939–43CrossRefGoogle ScholarPubMed
8Cukurova, I, Cetinkaya, EA, Mercan, GC, Demirhan, E, Gumussoy, M. Retrospective analysis of 697 septoplasty surgery cases: packing versus trans-septal suturing method. Acta Otorhinolaryngol Ital 2012;32:111–14Google ScholarPubMed
9Durvasula, VS, Brewis, C, Syeda, F, Leyong, P. Lignocaine as a topical analgesia for postoperative nasal pack removal: a prospective, randomized, double-blind, controlled trial. J Laryngol Otol 2005;119:348–51CrossRefGoogle ScholarPubMed
10Hwang, JH, Liu, CM, Liu, TC, Hsu, MC. Sphenopalatine ganglion block before removal of nasal packing. Laryngoscope 2003;113:1423–4CrossRefGoogle ScholarPubMed
11Muluk, NB, Oguzturk, O, Ekici, A, Koc, C. Emotional effects of nasal packing measured by the Hospital Anxiety and Depression Scale in patients following nasal surgery. J Otolaryngol 2005;34:172–7CrossRefGoogle ScholarPubMed