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Effect of lidocaine on pain caused by nasal pack removal after closed reduction of nasal bone fractures.
Arch Plast Surg 2020; 47(1):15-19AP

Abstract

BACKGROUND

Pain caused by nasal pack removal after closed reduction of nasal bone fractures is a common problem. This study investigated the effect of infiltrating lidocaine into nasal packs on the pain caused by pack removal after closed reduction of nasal bone fractures.

METHODS

Seventy-five patients who underwent closed reduction of nasal bone fractures between March 2016 and March 2018 were enrolled in this prospective, randomized, single-blind study. Merocel (hydroxylated polyvinyl acetate) packs were applied bilaterally and retained for 5 days. Twenty minutes before removal, both packs were rehydrated with 6 mL of 2% lidocaine in 26 patients and with 6 mL of saline in 24 patients; the packs were not rehydrated in 25 patients. Visual analog scale (VAS) scores for pain on removal were recorded.

RESULTS

The mean VAS score was 5.3±2.0 in all patients, 3.8±1.5 in the lidocaine group, 5.8±1.4 in the saline group, and 6.3±2.1 in the non-rehydrated group. There was a significant difference in the pain score between the lidocaine and saline groups (P<0.001) but not between the saline and non-rehydrated groups (P=0.186).

CONCLUSIONS

Infiltration of lidocaine into Merocel packs reduced the pain caused by pack removal after closed reduction of nasal bone fractures.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.Gangnam Dr. Woo Plastic Surgery Clinic, Gimhae, Korea.Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31964118

Citation

Sung, Ji Yoon, et al. "Effect of Lidocaine On Pain Caused By Nasal Pack Removal After Closed Reduction of Nasal Bone Fractures." Archives of Plastic Surgery, vol. 47, no. 1, 2020, pp. 15-19.
Sung JY, Kang KD, Kim MW, et al. Effect of lidocaine on pain caused by nasal pack removal after closed reduction of nasal bone fractures. Arch Plast Surg. 2020;47(1):15-19.
Sung, J. Y., Kang, K. D., Kim, M. W., & Kim, J. H. (2020). Effect of lidocaine on pain caused by nasal pack removal after closed reduction of nasal bone fractures. Archives of Plastic Surgery, 47(1), pp. 15-19. doi:10.5999/aps.2019.00913.
Sung JY, et al. Effect of Lidocaine On Pain Caused By Nasal Pack Removal After Closed Reduction of Nasal Bone Fractures. Arch Plast Surg. 2020;47(1):15-19. PubMed PMID: 31964118.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of lidocaine on pain caused by nasal pack removal after closed reduction of nasal bone fractures. AU - Sung,Ji Yoon, AU - Kang,Kyung Dong, AU - Kim,Min Wook, AU - Kim,Joo Hyoung, Y1 - 2020/01/15/ PY - 2019/07/18/received PY - 2019/11/22/accepted PY - 2020/1/23/entrez KW - Analgesic KW - Lidocaine KW - Nasal bone KW - Nasal surgical procedures SP - 15 EP - 19 JF - Archives of plastic surgery JO - Arch Plast Surg VL - 47 IS - 1 N2 - BACKGROUND: Pain caused by nasal pack removal after closed reduction of nasal bone fractures is a common problem. This study investigated the effect of infiltrating lidocaine into nasal packs on the pain caused by pack removal after closed reduction of nasal bone fractures. METHODS: Seventy-five patients who underwent closed reduction of nasal bone fractures between March 2016 and March 2018 were enrolled in this prospective, randomized, single-blind study. Merocel (hydroxylated polyvinyl acetate) packs were applied bilaterally and retained for 5 days. Twenty minutes before removal, both packs were rehydrated with 6 mL of 2% lidocaine in 26 patients and with 6 mL of saline in 24 patients; the packs were not rehydrated in 25 patients. Visual analog scale (VAS) scores for pain on removal were recorded. RESULTS: The mean VAS score was 5.3±2.0 in all patients, 3.8±1.5 in the lidocaine group, 5.8±1.4 in the saline group, and 6.3±2.1 in the non-rehydrated group. There was a significant difference in the pain score between the lidocaine and saline groups (P<0.001) but not between the saline and non-rehydrated groups (P=0.186). CONCLUSIONS: Infiltration of lidocaine into Merocel packs reduced the pain caused by pack removal after closed reduction of nasal bone fractures. SN - 2234-6163 UR - https://www.unboundmedicine.com/medline/citation/31964118/Effect_of_lidocaine_on_pain_caused_by_nasal_pack_removal_after_closed_reduction_of_nasal_bone_fractures L2 - http://e-aps.org/journal/view.php?doi=10.5999/aps.2019.00913 DB - PRIME DP - Unbound Medicine ER -
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