Septoplasty and Bilateral Inferior Turbinate Surgery under Local Anesthesia with Deep Sedation versus General Anesthesia, A Retrospective Randomized Comparative Control Study

Open Access Macedonian Journal of Medical Sciences Pub Date : 2023-07-27 DOI:10.3889/oamjms.2023.11738

Randa Atwa Abdallah, Gehan Saied Shalaby, Mohamad Shams Eldin, Gamal Ejaimi, Abla Saab

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引用次数: 0

Abstract

AIM: The main target of this study was to investigate the safety and efficacy and the benefits of the use of local anesthesia during septal and bilateral turbinate surgery. METHODS: This prospective, randomized control study was conducted on 140 patients between the ages of 17 and 65, though the period from march 2021 to November 2022, who were booked for septal and bilateral turbinate surgery who were randomly allocated into two groups study group (1) involving 35 patients (42 males and 28 females with mean age 34.3 ± 11.9 years old) who were received local anesthesia with deep sedation and control group (2) involving 35 patients (52 males and 18 females with mean age 33.3 ± 11.4) who were received general anesthesia from march 2021 to November 2022. RESULTS: Local anesthesia with sedation group showed a significantly less Total operation time (33.3 ± 2.62 min), real surgical time (23.64 ± 2.70 min), intraoperative blood loss (33.9 ± 2.3 mL), hospital stay duration (7.1 ± 0.7), post-operative pain (8.6%), post-operative nasal packing (8.6%), patient satisfaction (9.3 ± 0.7), and total hospital cost (17.14 ± 1.25 $), with no significant deference regarding to nausea and vomiting (5.7%), Compared to the other control group. CONCLUSION: Septoplasty with bilateral turbinate surgery under local anesthesia with deep sedation is easy, safe, reliable, and costless that to be done under general anesthesia.

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局麻深度镇静与全麻下鼻中隔成形术和双侧下鼻甲手术:回顾性随机对照研究

目的:本研究的主要目的是探讨局麻在鼻中隔和双侧鼻甲手术中的安全性、有效性和获益。方法:这项前瞻性、随机对照研究对140名年龄在17岁至65岁之间的患者进行了研究，尽管从2021年3月到2022年11月，随机分为两组:研究组(1)35例患者(男42例，女28例，平均年龄34.3±11.9岁)行局麻深度镇静;对照组(2)35例患者(男52例，女18例，平均年龄33.3±11.4岁)于2021年3月至2022年11月行全身麻醉。结果:局麻镇静组总手术时间(33.3±2.62 min)、实际手术时间(23.64±2.70 min)、术中出血量(33.9±2.3 mL)、住院时间(7.1±0.7)、术后疼痛(8.6%)、术后鼻填塞(8.6%)、患者满意度(9.3±0.7)、住院总费用(17.14±1.25美元)显著低于对照组，恶心呕吐(5.7%)无显著差异。结论:局麻深度镇静下双侧鼻中隔成形术与全麻相比操作简单、安全、可靠、成本低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Open Access Macedonian Journal of Medical Sciences Medicine-Medicine (all)

自引率

0.00%

发文量

1225

期刊介绍： Open Access Macedonian Journal of Medical Sciences (OAMJMS) [formerly known as Macedonian Journal of Medical Sciences] is a top-tier open access medical science journal published by the ID Design 2012/DOOEL Skopje, Rajko Zhinzifov No 48, 1000 Skopje, Republic of Macedonia. OAMJMS is an international, modern, general medical journal covering all areas in the medical sciences, from basic studies to large clinical trials and cost-effectiveness analyses. We publish mostly human studies that substantially enhance our understanding of disease epidemiology, etiology, and physiology; the development of prognostic and diagnostic technologies; trials that test the efficacy of specific interventions and those that compare different treatments; and systematic reviews. We aim to promote translation of basic research into clinical investigation, and of clinical evidence into practice. We publish occasional studies in animal models when they report outstanding research findings that are highly clinically relevant. Our audience is the international medical community as well as educators, policy makers, patient advocacy groups, and interested members of the public around the world. OAMJMS is published quarterly online version. The Open Access Macedonian Journal of Medical Sciences (OAMJMS) publishes Medical Informatics, Basic Science, Clinical Science, Case Report, Brief Communication, Public Health, Public Policy, and Review Article from all fields of medicine and related fields. This journal also publishes, continuously or occasionally, the bibliographies of the members of the Society, medical history, medical publications, thesis abstracts, book reviews, reports on meetings, information on future meetings, important events and dates, and various headings which contribute to the development of the corresponding scientific field.