Assessment of early post-operative pain following septorhinoplasty

作者：Szychta P^*; Antoszewski B

来源：Journal of Laryngology and Otology, 2010, 124(11): 1194-1199.

DOI：10.1017/S0022215110001519

• Rhinoplasty
• Nose Deformity
• Postoperative Pain
• Patient Controlled Analgesia
• Analgesics
• NSAIDs
• Metamizole

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.

• 出版日期2010-11