Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-26T10:06:06.865Z Has data issue: false hasContentIssue false
  • English
  • Français

Assessment of early post-operative pain following septorhinoplasty

Published online by Cambridge University Press:  06 July 2010

P Szychta  and
B Antoszewski
P Szychta*
Affiliation:
Plastic, Reconstructive and Aesthetic Surgery Department, Medical University of Łódź, Poland
B Antoszewski
Affiliation:
Plastic, Reconstructive and Aesthetic Surgery Department, Medical University of Łódź, Poland
*
Address for correspondence: Dr Paweł Szychta, Plastic, Reconstructive and Aesthetic Surgery Department, University Hospital No 1, ul Kopciñskiego 22, 90-153 Łódź, Poland. Fax: +48 42 677 67 49 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To evaluate pain incidence and intensity in patients undergoing septorhinoplasty, and to assess analgesic treatment effectiveness, in the first 7 days after surgery.

Design:

Prospective outcomes analysis using visual analogue scale assessment of pain intensity in the first 7 post-operative days.

Subjects:

Fifty-seven patients were enrolled in the study, 29 women and 28 men, aged 18 to 51 years. All were treated for post-traumatic deformity of the external nose and/or nasal septum, with either septorhinoplasty or septoplasty.

Results:

In the first 3 days after septorhinoplasty, patients' mean visual analogue scale pain score exceeded the range denoting ‘analgesic success’, and showed considerable exacerbation in the evening. Patients' pain decreased to a mean score of 15.4 one hour after administration of a nonsteroidal anti-inflammatory drug (metamizole).

Conclusion:

Analgesia is recommended for all patients in the first 3 days after septorhinoplasty, especially in the early evening.

Keywords

RhinoplastyNose DeformityPostoperative PainPatient Controlled AnalgesiaAnalgesicsNSAIDsMetamizole
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 11 , November 2010 , pp. 1194 - 1199
Copyright
Copyright © JLO (1984) Limited 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Pavlin, DJ, Chen, C, Penaloza, DA, Polissar, NL, Buckley, FP. Pain as a factor complicating recovery and discharge after ambulatory surgery. Anesth Analg 2002;95:627–34CrossRefGoogle Scholar
2 Carr, DB, Goudas, LC. Acute pain. Lancet 1999;353:2051–8CrossRefGoogle ScholarPubMed
3 DeLoach, LJ, Higgins, MS, Caplan, AB, Stiff, JL. The visual analog scale in the immediate postoperative period: intrasubject variability and correlation with a numeric scale. Anesth Analg 1998;86:102–6Google ScholarPubMed
4 Ohnhaus, EE, Adler, R. Methodological problems in the measurement of pain a comparison between the verbal rating scale and the visual analogue scale. Pain 1975;1:379–84CrossRefGoogle Scholar
5 Mantha, S, Thisted, R, Foss, J, Ellis, JE, Roizen, MF. A proposal to use confidence intervals for visual analog scale data for pain measurement to determine clinical significance. Anesth Analg 1993;77:1041–7CrossRefGoogle ScholarPubMed
6 Wewers, ME, Lowe, NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 1990;13:227–36CrossRefGoogle ScholarPubMed
7 Iverson, RE, Lynch, DJ. Practice advisory on pain management and prevention of postoperative nausea and vomiting. Plast Reconstr Surg 2006;118:1060–9CrossRefGoogle ScholarPubMed
8 Marín-Bertolín, S, De Andrés, J, González-Martínez, R, Valia Vera, JC, Amorrortu-Velayos, J. A controlled, randomized, double-blind study of ketorolac for postoperative analgesia after plastic surgery. Ann Plast Surg 1997;38:478–84CrossRefGoogle ScholarPubMed
9 Gagliese, L, Gauthier, LR, Macpherson, AK, Jovellanos, M, Chan, VW. Correlates of postoperative pain and intravenous patient-controlled analgesia use in younger and older surgical patients. Pain Med 2008;9:299–314CrossRefGoogle ScholarPubMed
10 Sener, M, Yilmazer, C, Yilmaz, I, Caliskan, E, Donmez, A, Arslan, G. Patient-controlled analgesia with lornoxicam vs. dipyrone for acute postoperative pain relief after septorhinoplasty: a prospective, randomized, double-blind, placebo-controlled study. Eur J Anaesthesiol 2008;25:177–82CrossRefGoogle ScholarPubMed
11 Demiraran, Y, Ozturk, O, Guclu, E, Iskender, A, Ergin, MH, Tokmak, A. Vasoconstriction and analgesic efficacy of locally infiltrated levobupivacaine for nasal surgery. Anesth Analg 2008;106:1008–11CrossRefGoogle ScholarPubMed
12 Li, L, Liu, X, Herr, K. Postoperative pain intensity assessment: a comparison of four scales in Chinese adults. Pain Med 2007;8:223–34CrossRefGoogle ScholarPubMed
13 Greenspan, JD, Craft, RM, LeResche, L, Arendt-Nielsen, L, Berkley, KJ, Fillingim, RB et al. Studying sex and gender differences in pain and analgesia: a consensus report. Pain 2007;132:s26–s45CrossRefGoogle ScholarPubMed
14 Berkley, KJ. Sex differences in pain. Behav Brain Sci 1997;20:371–80CrossRefGoogle ScholarPubMed
15 Dahl, JB, Kehlet, H. Non-steroidal anti-inflammatory drugs: rationale for use in severe postoperative pain. Br J Anaesth 1991;66:703–12CrossRefGoogle ScholarPubMed
16 Kehlet, H, Dahl, JB. Anaesthesia, surgery, and challenges in postoperative recovery. Lancet 2003;362:1921–8CrossRefGoogle ScholarPubMed
17 White, PF. The role of non-opioid analgesic techniques in the management of pain after ambulatory surgery. Anesth Analg 2002;94:577–85CrossRefGoogle ScholarPubMed
18 White, PF. The changing role of non-opioid analgesic techniques in the management of postoperative pain. Anesth Analg 2005;101:5–22CrossRefGoogle ScholarPubMed
19 Hudcova, J, McNicol, E, Quah, C, Lau, J, Carr, DB. Patient controlled opioid analgesia versus conventional opioid analgesia for postoperative pain. Cochrane Database Syst Rev 2006;(4):CDOO3348CrossRefGoogle ScholarPubMed
20 Nikoda, VV, Maiachkin, RB, Bondarenko, AV. Clinical aspects of using patient-controlled analgesia with nonsteroidal anti-inflammatory agents in postoperative period [in Russian]. Anesteziol Reanimatol 2003;5:56–9Google Scholar
21 Saray, A, Büyükkocak, U, Cinel, I, Tellioglu, AT, Oral, U. Diclofenac and metamizol in postoperative analgesia in plastic surgery. Acta Chir Plast 2001;43:71–6Google ScholarPubMed
22 Camirand, A, Doucet, J, Harris, J. Nose surgery (rhinoplasty) without external immobilization and without internal packing: a review of 812 cases. Aesthetic Plast Surg 1998;22:245–52CrossRefGoogle ScholarPubMed
23 Aydil, U, Yilmaz, M, Akyildiz, I, Bayazit, Y, Keseroglu, K, Ceylan, A. Pain and safety in otorhinolaryngologic procedures under local anesthesia. J Otolaryngol Head Neck Surg 2008;37:851–5Google ScholarPubMed