Article title:
Comparison of Acute Pain Syndrome after Surgical Interventions In the Nasal Cavity and Rhinoplasty
Authors:
Aleksandr Markushin, Nashwan Alkhateeb, Aleksandr Timoshenko , Igor Ganshin , Sofia Amirkhanyan , Igor Kastyro , Valentin Popadyuk
For citation:
Markushin A., Alkhateeb N., Timoshenko A., Ganshin I., Amirkhanyan S., Kastyro I., Popadyuk V. Comparison of acute pain syndrome after surgical interventions in the nasal cavity and rhinoplasty. Otorhinolaryngology, Head and Neck Pathology (ORLHNP). 2024; 3 (1): 7- 12.
Abstract:
Background. Currently, there are very few studies aimed at assessing acute pain syndrome depending on the type of rhinosurgical intervention, which determines the relevance of this issue.
Objective: to compare the intensity of acute pain syndrome after septoplasty, rhinoplasty and rhinoseptoplasty.
Materials and methods. A total of 98 patients aged 18 to 45 years were examined and operated on. Patients of group 1 underwent rhinoplasty, group 2 underwent rhinoseptoplasty, and patients of group 3 underwent septoplasty.
Anesthetic aid was provided using general anesthesia with 1% propofol emulsion; muscle relaxant – atracurium bezilate solution; fentanyl analgesic. Dexamethasone was used as an anti–inflammatory drug, and ondansetron hydrochloride dihydrate solution was used to prevent vomiting. Infiltration anesthesia with 2% lidocaine solution was used locally during rhinoplasty, and conduction anesthesia of nerves innervating the operative area was also performed. Ketoprofen was used before and after surgery, depending on the severity of the pain syndrome.
Acute pain syndrome was assessed using a visual analog scale (VAS) and a digital rating scale (CRS) 1, 3, 6, 24, 48 hours after surgery.
Results: In group 1, according to the VAS scale, the pain intensity was maximum one hour after rhinoplasty (46.29 ± 3.29 mm) and then had a negative dynamics. In groups 2 and 3, the maximum pain was felt 3 hours after surgery (55.67±1.74 mm and 54.91±2.02 mm, respectively). The results of the pain syndrome assessment on the CRH scale correspond directly to the results on the VAS scale.
Conclusion: Based on the results of the assessment of postoperative pain on all scales, compared with rhinoplasty, septoplasty is a more traumatic surgical intervention, and the combination of surgery (rhinoseptoplasty) in the early postoperative period provokes an increase in the intensity of pain syndrome, compared with septo- and rhinoplasty.
Keywords:
septoplasty, rhinoplasty, pain, plastic surgery.