Endoscopic sinus surgery in local anesthesia – why, how and whether perform it with patient’s comfort?

Jakub Kopeć; Tomasz Pastusiak; Tatiana Fijałkowska-Ratajczak; Katarzyna Lemańska-Trybus; Magdalena Urbaś; Marcin Walczak; Roland Zydroń; Agnieszka Koligat-Seitz; Magdalena Łęgowicz; Marta Szkudlarek; Weronika Baranowska; Łukasz Borucki

eISSN: 2084-9842
ISSN: 1643-9279

Postępy w chirurgii głowy i szyi/Advances in Head and Neck Surgery

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1/2023
vol. 22

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abstract:

Original paper

Endoscopic sinus surgery in local anesthesia – why, how and whether perform it with patient’s comfort?

Jakub Kopeć

¹

,

Tomasz Pastusiak

¹

,

Tatiana Fijałkowska-Ratajczak

¹

,

Katarzyna Lemańska-Trybus

¹

,

Magdalena Urbaś

¹

,

Marcin Walczak

¹

,

Roland Zydroń

¹

,

Agnieszka Koligat-Seitz

¹

,

Magdalena Łęgowicz

¹

,

Marta Szkudlarek

¹

,

Weronika Baranowska

¹

,

Łukasz Borucki

¹

Oddział Otolaryngologiczny, Szpital Miejski im. Franciszka Raszei w Poznaniu

Online publish date: 2023/05/22

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AMA

Kopeć J, Pastusiak T, Fijałkowska-Ratajczak T, et al. Endoscopic sinus surgery in local anesthesia – why, how and whether perform it with patient’s comfort?. Postępy w chirurgii głowy i szyi/Advances in Head and Neck Surgery. 2023;22(1):5-9.

APA

Kopeć, J., Pastusiak, T., Fijałkowska-Ratajczak, T., Lemańska-Trybus, K., Urbaś, M.,  & Walczak, M. et al. (2023). Endoscopic sinus surgery in local anesthesia – why, how and whether perform it with patient’s comfort?. Postępy w chirurgii głowy i szyi/Advances in Head and Neck Surgery, 22(1), 5-9.

Chicago

Kopeć, Jakub, Tomasz Pastusiak, Tatiana Fijałkowska-Ratajczak, Katarzyna Lemańska-Trybus, Magdalena Urbaś, Marcin Walczak,  and Roland Zydroń et al. 2023. "Endoscopic sinus surgery in local anesthesia – why, how and whether perform it with patient’s comfort?". Postępy w chirurgii głowy i szyi/Advances in Head and Neck Surgery 22 (1): 5-9.

Harvard

Kopeć, J., Pastusiak, T., Fijałkowska-Ratajczak, T., Lemańska-Trybus, K., Urbaś, M., Walczak, M., Zydroń, R., Koligat-Seitz, A., Łęgowicz, M., Szkudlarek, M., Baranowska, W.,  and Borucki, Ł. (2023). Endoscopic sinus surgery in local anesthesia – why, how and whether perform it with patient’s comfort?. Postępy w chirurgii głowy i szyi/Advances in Head and Neck Surgery, 22(1), pp.5-9.

MLA

Kopeć, Jakub et al. "Endoscopic sinus surgery in local anesthesia – why, how and whether perform it with patient’s comfort?." Postępy w chirurgii głowy i szyi/Advances in Head and Neck Surgery, vol. 22, no. 1, 2023, pp. 5-9.

Vancouver

Kopeć J, Pastusiak T, Fijałkowska-Ratajczak T, Lemańska-Trybus K, Urbaś M, Walczak M et al. Endoscopic sinus surgery in local anesthesia – why, how and whether perform it with patient’s comfort?. Postępy w chirurgii głowy i szyi/Advances in Head and Neck Surgery. 2023;22(1):5-9.

Introduction:
Endoscopic sinus surgery is performed in chronic rhinosinusitis in case of unsatisfied effects of pharmacological treatment. Usually this procedure is done under general anesthesia, but it is also possible to do it in local anesthesia.

Aim:
To evaluate effectiveness and perioperative patient’s comfort based on the developed local anesthesia protocol.

Material and methods:
Fifty patients were included in the survey. Local anesthesia protocol was developed, consisting of pterygopalatine ganglion blockade and lateral nasal wall infiltration. After the procedure, patients filled in a questionnaire marking pain level and comfort during and after the operation.

Results:
Based on the questionnaire, average pain level during the operation was at 4.2 in 10-point VAS scale. Average maximum pain during the operation was at 4.2, while average pain level during the anesthesia procedure was at 2.41. 41% and 50% of the patients felt safe and very safe during the operation, respectively. 68% of the patients were felling good level of comfort during the procedure, 26% very good. 58% of them were able to get back to normal activity in the same day. 85% of the patients would recommend the procedure in local anesthesia to the others.

Conclusions:
Based on the collected material, we believe that local anesthesia in endoscopic sinus surgery is a good alternative for selected group of patients. It is although essential to properly select right candidates for it.

keywords:

Endoscopic sinus surgery in local anesthesia – why, how and whether perform it with patient’s comfort?

Jakub Kopeć 1 , Tomasz Pastusiak 1 , Tatiana Fijałkowska-Ratajczak 1 , Katarzyna Lemańska-Trybus 1 , Magdalena Urbaś 1 , Marcin Walczak 1 , Roland Zydroń 1 , Agnieszka Koligat-Seitz 1 , Magdalena Łęgowicz 1 , Marta Szkudlarek 1 , Weronika Baranowska 1 , Łukasz Borucki 1

endoscopic sinus surgery, local anesthesia, chronic rhinosinusitis