Abstract
Background
The application of a topical anesthetic eutectic mixture of lidocaine and prilocaine cream (EMLA) has been demonstrated as a simple method to reduce injection pain. However, the use of EMLA near the eye is not recommended in order to avoid accidental corneal irritation or abrasion. We sought to evaluate its effects on immediate and early complications as well as possible adverse reactions in upper blepharoplasty performed under local infiltrative anesthesia.
Methods
This retrospective case-controlled study consisted of 88 consecutive patients. Fifty-one patients had topical 5 % EMLA administered 15 min before the operation. Thirty-seven patients did not receive topical EMLA and hence comprise the control group. All procedures were performed under local anesthesia by the same surgeon. Possible complications and adverse reactions were recorded at 1 week and 3 months.
Results
The groups did not differ significantly in respect to the amount of lipectomy performed, postoperative swelling or bruising, wound healing, scar appearance, or corrective procedures. However, surprisingly some more eye irritation, inflammation, or infection was noted in the control group (p = 0.03). Overall, a total of eight (9 %) patients had clinically significant bruising, partial wound dehiscence, or conjunctivitis. All resolved with conservative measures.
Conclusions
The administration of topical EMLA offers a safe and a simple way to complement local infiltrative anesthesia in upper blepharoplasty without increased risk for complications or adverse reactions.
Level of Evidence: Level III, prognostic/risk study
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Saariniemi, K.M., Salmi, A.M. & Kuokkanen, H.O. Can topical EMLA cream be used safely in upper blepharoplasty?. Eur J Plast Surg 36, 485–488 (2013). https://doi.org/10.1007/s00238-013-0822-7
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DOI: https://doi.org/10.1007/s00238-013-0822-7