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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]
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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

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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