Yıl: 2020 Cilt: 3 Sayı: 3 Sayfa Aralığı: 55 - 58 Metin Dili: İngilizce DOI: 10.5152/ejra.2020.317 İndeks Tarihi: 15-06-2021

Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?

Öz:
Objective: Postoperative pain control is an important contributor to patient satisfaction and wellness. Although surgeons and patients mostly refer to the pain that occurs in the early postoperative period, information about pain in the long-term has often been neglected. This study aimed to examine the duration of pain after septorhinoplasty, the mechanism underlying the influences of pain on patients in returning to daily life and the incidence of chronic pain.Material and Methods: Our study included 77 patients aged between 18 and 57 years who underwent septorhinoplasty. Visual analog scale (VAS; 0: no pain, 10: most intense) was used for the subjective assessment of preoperative concern about pain after surgery and pain severity during pain control throughout the 6-month postoperative period. In addition, a survey was conducted to gather information about the duration and character of pain as well as the time taken to return to daily activities.Results: The mean preoperative VAS score for pain concern was 6.05 (SD: 3.32). The mean VAS score was 3.4±2.8 and 0.7±1.5 on the 1st and 10th postoperative days, respectively. The mean VAS score at the sixth month was 0.05±0.3. Seventy-four (96%) patients stated no pain at all at the sixth month, whereas 3 (4%) patients reported pain. The average time taken to resume daily activities was 13.1±8.3 days. We could not find a significant correlation between pain intensity and the time taken to resume daily activities.Conclusion: On an average, it was found that pain disappeared at the end of 1st month and that daily activities were resumed in the second week. Chronic pain was detected in 4% of our patients.
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  • 1. Gubisch W, Dacho A. Aesthetic rhinoplasty plus brow, eyelid and conchal surgery: Pitfalls - complications - prevention. GMS Curr Top Otorhinolaryngol Head Neck Surg 2013; 12: Doc07.
  • 2. Reddi D, Curran N, Stephens R. An introduction to pain pathways and mechanisms. Br J Hosp Med 2013; 74 Suppl 12: C188-91. [Crossref]
  • 3. Sari E, Simsek G. Comparison of the effects of total nasal block and central facial block on acute postoperative pain, edema, and ecchymosis after septorhinoplasty. Aesth Plast Surg 2015; 39: 877-80. [Crossref]
  • 4. Macrae WA. Chronic post-surgical pain: 10 years on. Br J Anaesth 2008; 101: 77-86. [Crossref]
  • 5. Kehlet H, Rathmell JP. Persistent postsurgical pain: The path forward through better design of clinical studies. Anesthesiology 2010; 112: 514-5. [Crossref]
  • 6. Szychta P, Antoszewski B. Assessment of early post-operative pain following septorhinoplasty. J Laryngol Otol 2010; 124: 1194-9. [Crossref]
  • 7. Wittekindt D, Wittekindt C, Schneider G, Meissner W, Guntinas-Lichius O. Postoperative pain assessment after septorhinoplasty. Eur Arch Otorhinolaryngol 2012; 269: 1613-21. [Crossref]
  • 8. Yilmaz YF, Ozlugedik S, Titiz A, Tuncay A, Ozcan M, Unal A. Comparison of levo-bupivacaine and lidocaine for postoperative analgesia following septoplasty. Rhinology 2008; 46: 289-91.
  • 9. Mantha S, Thisted R, Foss J, Ellis JE, Roizen MF. A proposal to use confidence intervals for visual analog scale data for pain measurement to determine clinical significance. Anesth Analg 1993; 77: 1041-7. [Crossref]
  • 10. Von Schoenberg M, Robinson P, Ryan R. The morbidity from nasal splints in 105 patients. Clin Otolaryngol Allied Sci 1992; 17: 528-30. [Crossref]
  • 11. Wadhera R, Zafar N, Gulati SP, Kalra V, Ghai A. Comparative study of intranasal septal splints and nasal packs in patients undergoing nasal septal surgery. Ear Nose Throat J 2014; 93: 396-408.
  • 12. Cayonu M, Acar A, Horasanlı E, Altundag A, Salihoglu M. Comparison of totally occlusive nasal pack, internal nasal splint, and transseptal suture technique after septoplasty in terms of immediate respiratory distress related to anesthesia and surgical complications. Acta Otolaryngol 2014; 134: 390-4. [Crossref]
  • 13. Mercadante S. Malignant bone pain: Pathophysiology and treatment. Pain 1997; 69: 1-18. [Crossref]
  • 14. Ma Q-P, Woolf CJ. Progressive tactile hypersensitivity: An inflammation-induced incremental increase in the excitability of the spinal cord. Pain 1996; 67: 97-106. [Crossref]
  • 15. Crombie IK, Davies HT, Macrae WA. The epidemiology of chronic pain: Time for new directions. Pain 1994; 57: 1-3. [Crossref]
  • 16. Reddi D, Curran N. Chronic pain after surgery: Pathophysiology, risk factors and prevention. Postgrad Med J 2014; 90: 222-7. [Crossref]
  • 17. Reddi D. Preventing chronic postoperative pain. Anaesthesia 2016; 71 Suppl 1: 64-71. [Crossref]
  • 18. Gray P. Acute neuropathic pain: Diagnosis and treatment. Curr Opin Anaesthesiol 2008; 21: 590-5. [Crossref]
APA Aydemir L, Çelik M, Sen C, Cayonu M, Çomoğlu Ş (2020). Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?. , 55 - 58. 10.5152/ejra.2020.317
Chicago Aydemir Levent,Çelik Mehmet,Sen Comert,Cayonu Melih,Çomoğlu Şenol Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?. (2020): 55 - 58. 10.5152/ejra.2020.317
MLA Aydemir Levent,Çelik Mehmet,Sen Comert,Cayonu Melih,Çomoğlu Şenol Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?. , 2020, ss.55 - 58. 10.5152/ejra.2020.317
AMA Aydemir L,Çelik M,Sen C,Cayonu M,Çomoğlu Ş Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?. . 2020; 55 - 58. 10.5152/ejra.2020.317
Vancouver Aydemir L,Çelik M,Sen C,Cayonu M,Çomoğlu Ş Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?. . 2020; 55 - 58. 10.5152/ejra.2020.317
IEEE Aydemir L,Çelik M,Sen C,Cayonu M,Çomoğlu Ş "Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?." , ss.55 - 58, 2020. 10.5152/ejra.2020.317
ISNAD Aydemir, Levent vd. "Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?". (2020), 55-58. https://doi.org/10.5152/ejra.2020.317
APA Aydemir L, Çelik M, Sen C, Cayonu M, Çomoğlu Ş (2020). Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?. European journal of rhinology and allergy (Online), 3(3), 55 - 58. 10.5152/ejra.2020.317
Chicago Aydemir Levent,Çelik Mehmet,Sen Comert,Cayonu Melih,Çomoğlu Şenol Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?. European journal of rhinology and allergy (Online) 3, no.3 (2020): 55 - 58. 10.5152/ejra.2020.317
MLA Aydemir Levent,Çelik Mehmet,Sen Comert,Cayonu Melih,Çomoğlu Şenol Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?. European journal of rhinology and allergy (Online), vol.3, no.3, 2020, ss.55 - 58. 10.5152/ejra.2020.317
AMA Aydemir L,Çelik M,Sen C,Cayonu M,Çomoğlu Ş Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?. European journal of rhinology and allergy (Online). 2020; 3(3): 55 - 58. 10.5152/ejra.2020.317
Vancouver Aydemir L,Çelik M,Sen C,Cayonu M,Çomoğlu Ş Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?. European journal of rhinology and allergy (Online). 2020; 3(3): 55 - 58. 10.5152/ejra.2020.317
IEEE Aydemir L,Çelik M,Sen C,Cayonu M,Çomoğlu Ş "Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?." European journal of rhinology and allergy (Online), 3, ss.55 - 58, 2020. 10.5152/ejra.2020.317
ISNAD Aydemir, Levent vd. "Assessment of Acute and ChronicPain after Open TechniqueSeptorhinoplasty: Should We ReallyBe Concerned about This Topic?". European journal of rhinology and allergy (Online) 3/3 (2020), 55-58. https://doi.org/10.5152/ejra.2020.317