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Efficacy of endoscopic sphenopalatine ganglion blockade in pain control after endoscopic sinus surgery / Mostafa Adel Hafez ; Supervised Mohamed Hassan Heiba , Hisham Mohamed Nabil Lasheen , Ahmed Mohamed Farahat

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Mostafa Adel Hafez , 2021Description: 44 P. : charts , facsimiles ; 25cmOther title:
  • فاعلية اغلاق العقدة الوتدية الحلقية فى التحكم فى الالم ما بعد عملية منظار الجيوب الانفية [Added title page title]
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Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of E.N.T Summary: Background: The aim of this study was to evaluate the efficacy of direct endoscopic sphenopalatine ganglion injection of 2% xylocaine with epinephrine at the start of surgery in controlling postoperative pain and analgesic need after FESS in patients with chronic rhinosinusitis. Methods: This is prospective study, will be conducted on 40 selected patients, aging between 18 to 50 years old, with chronic rhinosinusitis with or without nasal polyps not responding to medical treatment divided into 2 groups ,20 patients will undergo endoscopic sphenopalatine ganglion injection with xylocaine and adrenaline, other 20 patients will undergo endoscopic sphenopalatine ganglion injection with normal saline. Patients' post-operative pain will be assessed using a 10-cm visual analog scale (VAS) (0 = no pain, 10 = most severe pain) at day 1, day 2 , days 7 post-operatively. Results: As regards as, post-operative pain after ESS, xylocaine Injected group was less than saline -injected group with mean values at day 1, day 2 and day 7 equals 1.8± 1.8 SD, 1.4 ± 1.2 SD, 1± 1.2 SD respectively in xylocaine injected group versus, 3 ± 1.6 SD, 2.6 ± 1.3 SD, 1.5 ± 1.2 SD, respectively in saline-injected group, with P-value <0.001 at day 1, day 2 and day 7. These differences were statistically significant. No complications were reported in either groups. Conclusion: The result of this study shows that infiltration of SPG with 2% xylocaine with1:100,000 adrenaline significantly reduces the post-operative pain after FESS
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Item type Current library Home library Call number Copy number Status Date due Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.12.M.Sc.2021.Mo.E (Browse shelf(Opens below)) Not for loan 01010110083651000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.12.M.Sc.2021.Mo.E (Browse shelf(Opens below)) 83651.CD Not for loan 01020110083651000

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of E.N.T

Background: The aim of this study was to evaluate the efficacy of direct endoscopic sphenopalatine ganglion injection of 2% xylocaine with epinephrine at the start of surgery in controlling postoperative pain and analgesic need after FESS in patients with chronic rhinosinusitis. Methods: This is prospective study, will be conducted on 40 selected patients, aging between 18 to 50 years old, with chronic rhinosinusitis with or without nasal polyps not responding to medical treatment divided into 2 groups ,20 patients will undergo endoscopic sphenopalatine ganglion injection with xylocaine and adrenaline, other 20 patients will undergo endoscopic sphenopalatine ganglion injection with normal saline. Patients' post-operative pain will be assessed using a 10-cm visual analog scale (VAS) (0 = no pain, 10 = most severe pain) at day 1, day 2 , days 7 post-operatively. Results: As regards as, post-operative pain after ESS, xylocaine Injected group was less than saline -injected group with mean values at day 1, day 2 and day 7 equals 1.8± 1.8 SD, 1.4 ± 1.2 SD, 1± 1.2 SD respectively in xylocaine injected group versus, 3 ± 1.6 SD, 2.6 ± 1.3 SD, 1.5 ± 1.2 SD, respectively in saline-injected group, with P-value <0.001 at day 1, day 2 and day 7. These differences were statistically significant. No complications were reported in either groups. Conclusion: The result of this study shows that infiltration of SPG with 2% xylocaine with1:100,000 adrenaline significantly reduces the post-operative pain after FESS

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