Effect of non-invasive bilateral sphenopalatine ganglion block on postoperative pain in patients undergoing septorhinoplasty surgery: a randomized controlled study

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dc.contributor.authorTosun Soner, Hulya
dc.contributor.authorHaznedar, Berzan
dc.contributor.authorSoner, Serdar
dc.contributor.authorErdal Erbatur, Meral
dc.contributor.authorAcil, Fatma
dc.contributor.authorKaya, Sedat
dc.contributor.authorUzundere, Osman
dc.date.accessioned2025-02-22T14:08:44Z
dc.date.available2025-02-22T14:08:44Z
dc.date.issued2024
dc.departmentDicle Üniversitesien_US
dc.description.abstractBACKGROUND: The objective of this study was to assess the impact of preoperative sphenopalatine ganglion block (SPGB) on postoperative pain and assess intraoperative and postoperative analgesic consumption in patients undergoing septorhinoplasty. METHODS: In this prospective, randomized controlled study, 72 patients were included and divided into two groups: group 1 (36 patients) received the sphenopalatine ganglion block (SPGB), while group 2 (36 patients) served as the control group. Patient assessments, using the numerical rating scale (NRS), were conducted at the postoperative first hour, fourth hour, and 24 t h hour. Additionally, intraoperative hemodynamics, analgesic requirements, and postoperative analgesic requirements were documented. RESULTS: The patients in group 1 exhibited significantly lower NRS scores at postoperative first, fourth, and 24 t h hour than those in group 2 (P<0.001 for all three time points). Additionally, the mean Riker Sedation-Agitation Scale (RSAS) scores were significantly lower in group 1 than in group 2 (P=0.006). Both intraoperative remifentanil use and postoperative analgesic consumption were significantly higher in patients in group 2 (P<0.001 and 0.004, respectively) than those in group 1. Analysis of intraoperative heart rate and mean arterial pressure (MAP) revealed that patients in group 1 had lower postoperative heart rates (P=0.040) than those in group 2, and MAP values after intraoperative block, at 30 min, and postoperatively were significantly lower (P=0.005, P=0.001, and P=0.034, respectively) than those in group 2. CONCLUSIONS: We advocate for the adoption of the noninvasive SPGB method in patients undergoing septorhinoplasty surgery. This approach significantly reduces the need for intraoperative analgesics, alleviates postoperative pain, and reduces the demand for postoperative analgesics. Moreover, it improves the overall surgical experience because of its ease of application, contributing to a more comfortable surgical process.en_US
dc.identifier.doi10.23736/S0375-9393.24.18230-2
dc.identifier.endpage996en_US
dc.identifier.issn0375-9393
dc.identifier.issn1827-1596
dc.identifier.issue11en_US
dc.identifier.pmid39324602en_US
dc.identifier.scopus2-s2.0-85209767601en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage989en_US
dc.identifier.urihttps://doi.org/10.23736/S0375-9393.24.18230-2
dc.identifier.urihttps://hdl.handle.net/11468/29602
dc.identifier.volume90en_US
dc.identifier.wosWOS:001329236000001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherEdizioni Minerva Medicaen_US
dc.relation.ispartofMinerva Anestesiologicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKA_WOS_20250222
dc.subjectAnesthesiaen_US
dc.subjectSphenopalatine ganglion blocken_US
dc.subjectPainen_US
dc.titleEffect of non-invasive bilateral sphenopalatine ganglion block on postoperative pain in patients undergoing septorhinoplasty surgery: a randomized controlled studyen_US
dc.typeArticleen_US

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