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Is transoral sphenopalatine ganglion blockade more effective on postoperative pain than endoscopic sphenopalatine ganglion blockade?

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

In this study, we aimed to examine and compare the effects of endoscopic SPGB and transoral SPGB on postoperative pain control and patient satisfaction in patients undergoing septoplasty.

Methods

Participants were randomly divided into three groups, no blockade (n:20), endoscopic SPGB (n:20), and transoral SPGB (n:20). Those who had no blockage were included in the control group. Demographic data of patients, such as age and sex, VAS (visual analogue scale) and postoperative pain scores (PPS) [determined at arrival in the post-anesthesia care unit (PACU) and after 2, 6, 12, and 24 h], general analgesic use (24 and 168 h after surgery) and postoperative Quality of Recovery (QoR-15) values were recorded and compare them.

Results

The PPS PACU of 2 h, 6 h, 12 h, and 24-h values of the transoral group were lower than the endoscopic and control groups (p < 0.001).The values of 24 h and 168 h of analgesic use in the transoral group were lower than in the control and endoscopic groups (p < 0.001).The average recovery QoR-15 scores at 12 h and 24 h differed according to the groups (p < 0.001) and the highest values were in the transoral group (p < 0.001).

Conclusion

Transoral SPGB is more effective in postoperative pain control than endoscopic SPGB, it decreases the use of postoperative analgesics and improves postoperative recovery scores.

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Authors and Affiliations

  1. ENT Specialist in Adana City Training and Research Hospital ENT Department, 01060, Yüreğir, Adana, Turkey

    Ayşe Karaoğullarından, Sanem Okşan Erkan & Nur Yücel Ekici

Authors
  1. Ayşe Karaoğullarından
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  2. Sanem Okşan Erkan
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  3. Nur Yücel Ekici
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Contributions

AK, SOE and NYE is an otorhinolaryngology specialist in the Adana City Education and Research Hospital. Both researches currently focuses on voice disorders, head and neck malignities and obstructive sleep apnea.

Corresponding author

Correspondence to Ayşe Karaoğullarından.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study involving human participants were conducted in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments comparable ethical standards. The study was approved by the institutional ethics committee. This article does not contain any studies with animals performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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Karaoğullarından, A., Erkan, S.O. & Ekici, N.Y. Is transoral sphenopalatine ganglion blockade more effective on postoperative pain than endoscopic sphenopalatine ganglion blockade?. Eur Arch Otorhinolaryngol 281, 193–199 (2024). https://doi.org/10.1007/s00405-023-08174-8

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  • DOI: https://doi.org/10.1007/s00405-023-08174-8

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