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Anales de Otorrinolaringología Mexicana

Anales de Otorrinolaringología Mexicana
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2009, Number 4

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Otorrinolaringología 2009; 54 (4)

Rhinoseptoplasty with local anesthesia

Téllez GDM, Vera DJ
Full text How to cite this article

Language: Spanish
References: 7
Page: 137-140
PDF size: 484.97 Kb.


Key words:

local anesthesia, rhinoseptoplasty, oral sedation.

ABSTRACT

Background: Rhinoseptoplasty is one of the most common surgeries done by otorhinolaryngologists, as fundamental part of treatment of obstructive alterations of nasal airway.
Objective: To assess the effects associated to the application of an anestheticsurgical technique by local anesthesia, for the treatment of rhynoseptal deviation.
Patients and methods: Prospective, descriptive, observational and cross-sectional study. Sixty eight rhynoseptoplasties under local anesthesia and oral sedation were done. Pain and nasal obstruction measurement was determined by analogue visual scale.
Results: The effects associated to the use of the local anesthetic favored the hemostatic control of the surgical field. A trans-operative anesthetic and analgesic effect was obtained, likewise had a correlation with the degree of nasal obstruction. The nasal obstruction was solved satisfactorily, there were no associated adverse effects with the local anesthetic and the post-operative complications were smaller.
Conclusions: The rhinoseptoplasty with local anesthesia and oral sedation is a safe, effective and well tolerated alternative for the patients with rhinoseptal deviation.


REFERENCES

  1. Bailey BJ, Johnson JT. Head and neck surgery otolaryngology. 4th ed. Philadelphia: Lippincott Williams & Wilkins, 2006;pp::289-505, 2422-52.

  2. Cottle MH, Loring RM:.Newer concepts of septum surgery: present status. Eye Ear Nose Throat Monthly 1948;27:403.

  3. Anesthesia Patients Foundation. American Society of Anestesiologists. APSF Newletter, Il: ASA 2000;480-510.

  4. Koeppe T, Constantinescu MA, Schneider J, Gubisch W. Current trends in local anesthesia in cosmetic plastic surgery of the head and neck: results of a German national survey and observations on the use of ropivacaine. Plast Reconstr Surg 2005;115(6):1723-30.

  5. Klein JA. Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg. J Dermatol Surg Oncol 1990;16:248-63.

  6. Arunachalam PS, Litcher E, Gray J, Wilson JA. Nasal septal surgery: evaluation of symptomatic and general health outcomes. Clin Otolaryngol 2001;26:367-70.

  7. Iverson RE, Lynch DJ. ASPS Task force on patient safety in office-based surgery facilities. Patient safety in office-based surgery facilities. II Patient selection. Plast Reconstr Surg 2002;110:1785-90.




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Otorrinolaringología. 2009;54