Application of improved local nerve block anesthesia in correction of nasal septum surgery
10.3760/cma.j.issn.1673-4904.2013.27.010
- VernacularTitle:改进局部神经阻滞在鼻中隔偏曲矫正术中的应用观察
- Author:
Shuchun LIN
;
Desheng WANG
;
Jianguo YANG
;
Jianmin HUANG
- Publication Type:Journal Article
- Keywords:
Anesthesia,local;
Nasal septum;
Endoscopy
- From:
Chinese Journal of Postgraduates of Medicine
2013;36(27):27-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of improved local nerve block anesthesia in correction of nasal septum surgery.Methods One hundred and fifty-one cases of patients with simply received correction of nasal septum surgery were divided into two groups,72 cases with normal local nerve block (normal group),receiving sphenopalatine and anterior ethmoidal nerve block anesthesia; 79 cases with the improved local nerve block (improved group),receiving sphenopalatine,anterior ethmoidal and incisive canal nerve block anesthesia.Two groups of anesthesia success and anesthesia effect were compared.Results The anesthesia success rates of improved group and normal group who were performed correction of nasal septum surgery without removal of the nasal bottom ridge were 100.0％(41/41) and 97.3％ (36/37),there was no significant difference (P＞ 0.05).But for 73 cases who were performed correction of nasal septum surgery with removal of the nasal bottom ridge,the anesthesia success rate in improved group was higher than that in normal group [92.1％(35/38) vs.45.7％(16/35)],there was significant difference (x2 =18.623,P＜ 0.05).Conclusions Based on the distribution characteristics of sensory nerves of the nasal cavity,and combined with endoscopic techniques,the conventional sphenopalatine and anterior ethmoidal nerve block anesthesia is suitable for nasal septum surgery without removal of the nasal bottom ridge and the advanced sphenopalatine,anterior ethmoidal and incisive canal nerve block anesthesia is the first choice for nasal septum surgery with removal of the nasal bottom ridge.
