European Journal of Therapeutics
Original Article

Effects of Bilateral Infraorbital-Supraorbital Nerve Block on Postoperative Pain Control and Drug Consumption in Rhinoplasty


Department of Anesthesiology and Reanimation, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey

Eur J Ther 2021; 27: 235-240
DOI: 10.5152/EurJTher.2021.20095
Read: 360 Downloads: 220 Published: 20 May 2021

Objective: Rhinoplasty is a common procedure performed in plastic surgery. Postoperative pain, edema and periorbital ecchymosis are the most common acute complications of this surgical procedure. In this study, we aimed to evaluate the postoperative pain and analgesic consumption after rhinoplasty of patients who had bilateral supraorbital and infraorbital nerve block.

Material and method: Eighty-four patients who underwent rhinoplasty under general anesthesia, between 17 and 41 years of age, who underwent intravenous patient-controlled morphine analgesia for postoperative analgesia were included in the study. The cases were divided into two groups: bilateral supra-infraorbital block with intravenous analgesic (Group B) and only intravenous analgesic (Group C). Demographic data, hemodynamic data, operation time, visual analog scale values, patient-controlled analgesia device records, complaints of nausea-vomiting and antiemetic drug use were recorded.

Results: The hemodynamic data of the cases included in the study were similar (p> 0.05). When compared with Group C, postoperative 1st, 6th and 24th hour VAS scores were found to be significantly lower in Group B (p <0.05). Morphine consumption at the end of the postoperative 24 hours was found to be significantly lower in Group B compared to Group C (p <0.05).

Conclusion: In this study, which cases undergoing bilateral supraorbital-infraorbital nerve block and IV morphine was used for postoperative analgesia after rhinoplasty, significant reductions were achieved in the postoperative VAS values and analgesic consumption of the cases where the block was used.

How to cite: Yılmaz R, Arıcan Ş , Hacıbeyog˘lu G, Uzun ST. Effects of Bilateral Infraorbital-Supraorbital Nerve Block on Postoperative Pain Control and Drug Consumption in Rhinoplasty. Eur J Ther 2021; 27(3): 235-240.

EISSN 2564-7040