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Assessment of early post-operative pain following septorhinoplasty

Published online by Cambridge University Press:  06 July 2010

P Szychta  and
B Antoszewski
P Szychta*
Affiliation:
Plastic, Reconstructive and Aesthetic Surgery Department, Medical University of Łódź, Poland
B Antoszewski
Affiliation:
Plastic, Reconstructive and Aesthetic Surgery Department, Medical University of Łódź, Poland
*
Address for correspondence: Dr Paweł Szychta, Plastic, Reconstructive and Aesthetic Surgery Department, University Hospital No 1, ul Kopciñskiego 22, 90-153 Łódź, Poland. Fax: +48 42 677 67 49 E-mail: szychta@yahoo.pl
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Abstract

Objective:

To evaluate pain incidence and intensity in patients undergoing septorhinoplasty, and to assess analgesic treatment effectiveness, in the first 7 days after surgery.

Design:

Prospective outcomes analysis using visual analogue scale assessment of pain intensity in the first 7 post-operative days.

Subjects:

Fifty-seven patients were enrolled in the study, 29 women and 28 men, aged 18 to 51 years. All were treated for post-traumatic deformity of the external nose and/or nasal septum, with either septorhinoplasty or septoplasty.

Results:

In the first 3 days after septorhinoplasty, patients' mean visual analogue scale pain score exceeded the range denoting ‘analgesic success’, and showed considerable exacerbation in the evening. Patients' pain decreased to a mean score of 15.4 one hour after administration of a nonsteroidal anti-inflammatory drug (metamizole).

Conclusion:

Analgesia is recommended for all patients in the first 3 days after septorhinoplasty, especially in the early evening.

Keywords

RhinoplastyNose DeformityPostoperative PainPatient Controlled AnalgesiaAnalgesicsNSAIDsMetamizole
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 11 , November 2010 , pp. 1194 - 1199
Copyright
Copyright © JLO (1984) Limited 2010

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