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KMID : 1038220200470010015
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Archives of Plastic Surgery
2020 Volume.47 No. 1 p.15 ~ p.19
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Effect of lidocaine on pain caused by nasal pack removal after closed reduction of nasal bone fractures
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Sung Ji-Yoon
Kang Kyung-Dong
Kim Min-Wook
Kim Joo-Hyoung
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Abstract
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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.
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KEYWORD
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Analgesic, Lidocaine, Nasal surgical procedures, Nasal bone
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