Effects of lidocaine and adrenaline combination on postoperative edema and ecchymosis in rhinoplasty

Gün, Ramazan; Yorgancılar, Ediz; Yıldırım, Mehmet; Bakır, Salih; Topçu, İsmail; Akkuş, Zeki

doi:10.1016/j.ijom.2011.02.022

Cited by 47 publications

(34 citation statements)

References 15 publications

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“…Low concentrations of adrenaline lead to preferential b2 receptor activation leading to vasodilatation in bronchiolar smooth muscle while increased ranges activate a-receptor-mediated vasoconstriction in vascular smooth muscle [5]. Infiltration of low-dose adrenaline leads to short-term significant hemodynamic alterations, decrease in blood pressure with a slightly increased heart rate during nasal surgery under general anesthesia [6]. In our study, after post-application adrenaline 5th and 10th min systolic and median arterial blood pressure were significantly lower in the patients of group I than group II.…”

Section: Discussionmentioning

confidence: 99%

Hemodynamic Effects of Topical Adrenaline During Septoplasty

Günel

Sarı

Eryılmaz

et al. 2014

Indian J Otolaryngol Head Neck Surg

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Vasoconstrictors agents is used in septal surgery, in attempt to improve haemostasis and thereby improve the surgical field. We aimed to compare the effect of lignocaine with adrenaline injection and alone lignocaine injection with topical adrenalin on perioperative hemodynamic effect, hemorrhage and postoperative pain. Patients undergoing surgery were randomised into two groups: group I in whom infiltration was performed with lignocaine (2 %) with adrenaline (1:100,000), group II in whom infiltration was performed with lignocaine (2 %) injection with topical adrenalin application (1:10,000). The two groups were matched by age, sex, body weight, preanesthesia blood pressure, heart rate, oxygen pressure and hemorrhage. The hemostatic effects postoperative pain in each group were analyzed. No statistically significant differences in operation time, hemodynamic effect, and intraoperative blood loss were reached between the two groups of patients (p [ 0.05). But also group I had significantly better pain scores versus control group in the 2nd, 4th, 6th postoperative hours (p \ 0.05). We suggest that the use of adrenaline infiltration during septal surgery is unnecessary and may subject the patient to the risk of cardiogenic side-effects of systemic absorption.

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Section: Discussionmentioning

confidence: 99%

Hemodynamic Effects of Topical Adrenaline During Septoplasty

Günel

Sarı

Eryılmaz

et al. 2014

Indian J Otolaryngol Head Neck Surg

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“…Continuous compression with cold saline-soaked gauze during the operation and during the post-operative period for 24 hours is one such method proven to have significant impact on decreasing the edema. 6,7 The use of sharp small osteotomes, preservation of the periosteal attachment, use of a looped drainage tube, administration of perioperative steroids and remifentanil with controlled sevofluorane hypotensive anaesthesia may further contribute to lessen periorbital edema and ecchymosis. [17][18][19][20][21][22] Other methods which are ineffective although extensively used are infiltration with lignocaine-adrenaline combination.…”

Section: Discussionmentioning

confidence: 99%

“…[17][18][19][20][21][22] Other methods which are ineffective although extensively used are infiltration with lignocaine-adrenaline combination. 7,16,19 Removal of the nasal packing is another area of concern as it is very painful and uncomfortable. Use of anesthesia during this period is generally suggested.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] There have been a few studies to address this problem of edema of the eyelid and periorbital ecchymosis, by using anti-inflammatory drugs such as steroids, modified surgical techniques and cold compression techniques. 6,7 The most common mode of treatment of rhinoplasty is with the use of the nasal packing and external immobilization with splint as hemostasis may occur as well as this is required for the fixation of the operated bones and caartillages. [8][9][10] Nasal packing is also useful in the prevention of mucosal adhesions.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of anterior nasal packing and absence of packing after rhinoplasty

Sriprakash

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Increased safety in the anesthesia and its techniques as well as the improved newer techniques, better outcome of this surgery have prompted many to undergo cosmetic surgeries such as rhinoplasty. The side effects observed are nasal obstruction, edema of the face, periorbital swelling and ecchymosis, which are of a great concern, and said to be aggravated with the anterior nasal packing. Methods: 100 patients between 18-45 years of age, with nasal trauma were included in the study. Bilateral lateral osteotomies was performed in all patients, with anterior nasal packing done for control group and only external immobilization was done for the study group. Results: No statistical difference was found between the two groups with regards to age and sex. However, there was a significant difference in severity and duration of periorbital ecchymosis in the different groups. On the 3rd day after the operation, more than one half of the unpacked study group (58.0%) showed ecchymosis of grade 1 or less compared with only 14.0%. in the control group. On the 7th post-operative day however, both sides showed improvement to grade 1 or less in 98.0% and 40.0% of unpacked and packed sides, respectively. Conclusions: Anterior nasal packing post rhinoplasty with lateral osteotomies plays a significant role in the resultant ecchymosis and it should be only used when necessary.

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“…Postoperatif ekimoz ve ödemi azaltmaya yönelik uygulamalar kadar (1,2,3). ağrının azaltılması da büyük önem taşımaktadır.…”

Section: Introductionunclassified

Rinoplasti Operasyonu Sonrasi Yapılan Ek Lokal Anestezinin Postoperatif Agri Duzeyine olan Etkisi

2016

GMJ

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ÖZETAmaç: Bu çalışmada rinoplasti operasyonu bitiminde yapılan ek lokal anestezinin pos-toperatif ağrı düzeyine olan etkisini değerlendirmeyi amaçladık. Gereç ve Yöntem: Açık teknikle opere edilen 66 hasta çalışmaya dahil edildi. Hastalar genel anestezi altında opere edildi. Operasyon biterken hastalara ek lokal anestezi uygulandı. Ameliyat öncesi damar yolu açılması sırasında, ayılma odasında ve ameliyat sonrası 1, 2, 4, 6, 12, 18 ve 24. saatlerde görsel analog çizelge (VAS) ile hastaların ağrı durumu değerlendirildi ve ek lokal anestezi yapılmayan grupla karşılaştırıldı. Bulgular: Ek lokal anestezi uygulanan grupta en yüksek ağrı düzeylerinin kateterizasyon, 1. ve 2. saatlerde olduğu gözlendi. Ek lokal anestezi uygulanmayan grupla karşılaştırıldığında ek lokal anestezi yapılan grubun 1. ve 2. saat ağrı düzeyleri anlamlı olarak daha düşük saptandı. Sonuç: Yapılan ek lokal anestezi hastaların erken dönem ağrı düzeyini azaltmakta ve hasta memnuniyetini artırmaktadır. , 24 th hours and compared with the group who had no additional local anesthesia. Result: The highest pain levels were at the catheterization, 1 st and 2 nd hours. There was a significant difference between 1 st and 2 nd hours pain level between groups. First and 2nd hour pain levels were significantly lower in the additional local anesthesia group. Conclusion: Additional local anesthesia decreases the early postoperative pain levels and this possibly increases the patient satisfaction.

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Effects of lidocaine and adrenaline combination on postoperative edema and ecchymosis in rhinoplasty

Cited by 47 publications

References 15 publications

Hemodynamic Effects of Topical Adrenaline During Septoplasty

Hemodynamic Effects of Topical Adrenaline During Septoplasty

Comparison of anterior nasal packing and absence of packing after rhinoplasty

Rinoplasti Operasyonu Sonrasi Yapılan Ek Lokal Anestezinin Postoperatif Agri Duzeyine olan Etkisi

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