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Article Type

Original Study

Subject Area

Endoscopic sinus surgery

Abstract

Introduction: For many anesthetists, peripheral nerve block is the best method for providing anesthesia during an outpatient procedure. It allows for early discharge and has an excellent recovery profile. A common local anesthetic (LA) used for nerve block during outpatient surgery is lidocaine. Lateral nasal wall nerve block is one of the few documented local anesthetic methods for nasal procedures.

Aim of the study: Study the lateral nasal wall nerve block technique in functional endoscopic sinus surgery patients and comparing its outcome concerning intra and post operative pain control.

Patients and Methods: 70 patients were involved divided in 2 groups. Group subjected to local anesthesia by lateral wall nerve block and group subjected to general anesthesia, Patients with chronic rhino sinusitis with nasal polypi in nasal cavity , ethmoid sinus and maxillary sinus planning elective functional endoscopic sinus surgeries. Outcome was studied by pain score Wong Baker face scale and VAS score.

Results: came that no significant difference between local and general anesthesia concerning time of surgery or pain score and need for analgesia.

Conclusion: Local anesthesia with lateral wall nerve block is recommended for nasal surgeries as there is no significant difference between local and general anesthesia rendering local anesthesia better to avoid side complications of general anesthesia especially in high risk patients.

Keywords

nerve block; endoscopic sinus surgery; local anesthesia

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