Mondragón-Padilla MA, Mondragón-Ángeles E, Lobato-Nájera B

Language: Spanish
References: 12
Page: 1-8
PDF size: 208.82 Kb.

ABSTRACT

Objectives: To evaluate the analgesia obtained during a rhinoplasty, as well as the postoperative satisfaction of the patients undergoing to this procedure, with the use of a new tumescent dilution for local anesthesia and to describe the sequential rhinoseptal infiltration technique.
Material and Method: A quasi-experimental, prospective, transversal and analytical study including patients undergoing rhinoseptoplasty with tumescent local anesthesia (lidocaine, ropivacaine, epinephrine and saline) and sedation; from January 2009 to February 2012. Transoperative pain was evaluated using the Visual Analog Scale (VAS) and the result of long-term satisfaction was obtained through the Satisfaction Scale in Rhinoplasty (ROE), paired T was applied to assess the ROE before and after the operation using the SPSS program, with 95% CI and p ‹ 0.05 as parameter of statistical significance.
Results: There were included 364 patients. The average of Visual Analog Scale was 2.16 meaning into transoperatory minimum pain, the Satisfaction Scale in Rhinoplasty was 32.1% and 78.8%, respectively, noting an increase in the average satisfaction percentage of 46.6% (95% CI, DS 0.333, p = 0.000).
Conclusión: The suggested tumescent solution improves the score obtained in the long-term satisfaction scale and the pain scale in facial plastic surgery. The technique of ascending infiltration allows a better application of the anesthetic in all nasal areas, without exception.

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