게시판
| 21KS-048 |
Comparison of Temperature Changes after Transnasal Sphenopalatine Ganglion Block between Drip Method and Topical Method
Department of Anesthesiology and Pain Medicine, Ajou
University School of Medicine, Suwon, Korea
Background
Recently transnasal sphenopalatine ganglion block (SPGB) were conducted in patients with facial pain or head and neck pain. In transnasal approach, two different methods have been frequently used. One is the drip method, and the other is the topical method. Drip method was compared with topical method in facial temperature changes and visual analogue scale (VAS) changes after transnasal SPGB.
Material & Methods
Medical records were retrospectively reviewed. A total of 73 patients who visited pain clinic and received transnasal SPGB were enrolled. A total of 156 transnasal SPGB procedures were performed in 73 patients. Patients were divided in Drip-method group and Topical-method group. Facial temperatures were measured in six area of right and left forehead, maxilla, and mandible before and 30 minutes after completion of the transnasal SPGB. Temperatures were compared between before and 30 minutes after SPGB in each group and between two groups. VAS scores were measured at the same time of measuring temperatures in both group of patients with herpes zoster and headache. VAS scores were compared in each group and between two groups.
Results
In Drip-method group, facial temperatures increased in all six area, and there were significant differences in temperature changes before and 30 minutes after the transnasal SPGB. In Topical-method group, there was no significant difference in temperature change before and 30 minutes after SPGB except in left maxilla (p=0.048), left mandible (p=0.004). There were statistically significant differences in facial temperature changes between two groups in right forehead (p<0.001), left forehead (p=0.008). In herpes zoster, there were statistically significant differences in VAS score (p<0.001). In headache, there were statistically significant differences in VAS score (p=0.010).
Conclusions
Transnasal SPGB by two different methods is expected to show different temperature changes and VAS score. In herpes zoster and headache patients, two methods is expected to show different VAS score changes.
Recently transnasal sphenopalatine ganglion block (SPGB) were conducted in patients with facial pain or head and neck pain. In transnasal approach, two different methods have been frequently used. One is the drip method, and the other is the topical method. Drip method was compared with topical method in facial temperature changes and visual analogue scale (VAS) changes after transnasal SPGB.
Material & Methods
Medical records were retrospectively reviewed. A total of 73 patients who visited pain clinic and received transnasal SPGB were enrolled. A total of 156 transnasal SPGB procedures were performed in 73 patients. Patients were divided in Drip-method group and Topical-method group. Facial temperatures were measured in six area of right and left forehead, maxilla, and mandible before and 30 minutes after completion of the transnasal SPGB. Temperatures were compared between before and 30 minutes after SPGB in each group and between two groups. VAS scores were measured at the same time of measuring temperatures in both group of patients with herpes zoster and headache. VAS scores were compared in each group and between two groups.
Results
In Drip-method group, facial temperatures increased in all six area, and there were significant differences in temperature changes before and 30 minutes after the transnasal SPGB. In Topical-method group, there was no significant difference in temperature change before and 30 minutes after SPGB except in left maxilla (p=0.048), left mandible (p=0.004). There were statistically significant differences in facial temperature changes between two groups in right forehead (p<0.001), left forehead (p=0.008). In herpes zoster, there were statistically significant differences in VAS score (p<0.001). In headache, there were statistically significant differences in VAS score (p=0.010).
Conclusions
Transnasal SPGB by two different methods is expected to show different temperature changes and VAS score. In herpes zoster and headache patients, two methods is expected to show different VAS score changes.