Evaluation of the Effects of Using Nasal Pack with Lidocaine Pomade on Postoperative Pain and Bleeding in Patients Undergoing Septoplasty Septoplasti Yapılan Hastalarda Lidokainli Pomad ile Birlikte Nazal Tampon Kullanımının Postoperatif Ağrı ve Kanama Üzerine Etkisinin Değerlendirilmesi

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KARAÇAYLI C., Gülşen S., Erden B.

Journal of Ear Nose Throat and Head Neck Surgery, cilt.31, sa.2, ss.104-108, 2023 (Scopus, TRDizin)

Özet

Objective: This study aims to find out the effect of the topical lidocaine pomade application on postoperative bleeding and pain control following a septoplasty procedure. Material and Methods: We enrolled 82 (45 male, 37 female) patients with a mean age of 31.8±8.58 (range 16-51) who underwent septoplasty. Forty five (56.88%) of them received Doyle nasal splint with a %5 lidocaine pomade, and 37 (42.12%) patients received Doyle nasal splint only. Visual analog scale (VAS) was used to measure postoperative pain intensity on the first, 2nd, and 3rd days after septoplasty before taking painkillers. Duration of postoperative bleedy nasal discharge time (hours) and hospitalization period were recorded. Complications were also recorded. Results: There was no significant difference between nasal pack groups in terms of hospitalization period (p=0.383). There was a significant difference between nasal pack groups in terms of first, 2nd, and 3rd postoperative day VAS scores. VAS scores in Doyle nasal pack group were significantly higher every 3 days. When VAS scores of postoperative first, 2nd, and 3rd days were compared, there was a significant difference between all of the groups. While the first day’s VAS score was the highest, the 3rd day was the lowest. Duration of the postoperative bleedy discharge period was found significantly lower in patients with Doyle splint with lidocaine pomade (p<0.001). Conclusion: Consequently, using lidocaine pomade covered nasal silicone splints is a comfortable, reasonable and cost-effective option for patients who underwent septoplasty. It helps postoperative pain management and shortens the duration of the postoperative bleedy discharge time.