STUDY COMPARING THE ANALGESIC EFFICACY OF ANTERIOR ETHMOIDAL NERVE BLOCK WITH GREATER PALATINE NERVE BLOCK AND TOPICAL ANAESTHESIA FOR SEPTAL AND ENDOSCOPIC SINUS SURGERIES

Dr.C.Chitra; Dr R. Mala

Volume : VIII, Issue : III, March - 2018

STUDY COMPARING THE ANALGESIC EFFICACY OF ANTERIOR ETHMOIDAL NERVE BLOCK WITH GREATER PALATINE NERVE BLOCK AND TOPICAL ANAESTHESIA FOR SEPTAL AND ENDOSCOPIC SINUS SURGERIES

Dr. C. Chitra, Dr R. Mala

Abstract :

This study observes the postoperative analgesic efficacy of the Anterior Ethmoidal Nerve Block and Greater Palatine Nerve block in septal and endoscopic sinus surgery patients. A Total of 60 patients were enrolled in this study after obtaining informed consent. All the patients are posted for elective septal or sinus surgery [FESS]. They were randomly divided into two groups. Group A and Group B. Group A patients received preoperative topical anaesthesia nasal pack with 4% lignocaine and surgery proceeded under general anaesthesia. Group B patients received bilateral Anterior Ethmoidal Nerve Block and Greater palatine Nerve Block after intubation preoperatively and surgery proceeded thereafter. The postoperative Analgesic efficacy was compared in both the groups using Visual Analogue Scale [VAS] and the need for rescue analgesia also observed. The results were statistically analyzed. In our study we conclude that patients of Group B who were given nerve blocks showed statistically significant reduced pain scores and decreased need for rescue analgesic in the post operative period when compared to Group A.