Effects of single-injection intercostal nerve block as a component of multimodal analgesia for pediatrics undergoing autologous auricular reconstruction: A double-blinded, prospective, and randomized study

Zheng, Kang; Li, Bin; Sun, Jiangzhou

doi:10.1016/j.heliyon.2023.e13631

Cited by 2 publications

(3 citation statements)

References 25 publications

(21 reference statements)

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“…Postoperative pain management is crucial for patient recovery and well-being after costal cartilage harvest. [17][18][19][20][21] Single analgesic methods often fail to provide satisfactory analgesic effects after rib cartilage harvest. 17 Multimodal analgesia not only improves the analgesic effects but also reduces the need for opioid consumption and related adverse reactions.…”

Section: Discussionmentioning

confidence: 99%

“…[17][18][19][20][21] Single analgesic methods often fail to provide satisfactory analgesic effects after rib cartilage harvest. 17 Multimodal analgesia not only improves the analgesic effects but also reduces the need for opioid consumption and related adverse reactions. 22 In our study, multimodal analgesia consisting of ICNB and PCIA was employed for pain management for both groups.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative pain management is crucial for patient recovery and well‐being after costal cartilage harvest 17–21 . Single analgesic methods often fail to provide satisfactory analgesic effects after rib cartilage harvest 17 .…”

Section: Discussionmentioning

confidence: 99%

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Bilateral Costal Cartilage Harvest for Auricle Reconstruction: A New Technique to Prevent Postoperative Thoracic Deformity

Wang,

Chen,

Wang

et al. 2024

The Laryngoscope

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HypothesisUnilateral costal cartilage harvesting (UCCH) for auricle reconstruction in children tends to cause thoracic deformities. Therefore, our study aimed to develop a novel bilateral costal cartilage harvesting (BCCH) method to prevent and reduce thoracic deformities.MethodsPatients with unilateral microtia who underwent either UCCH (n = 50) or BCCH (n = 46) were enrolled in this study. The grafts for the BCCH group were harvested from the 6th costal cartilage of the ipsilateral hemithorax and the 7th and 8th cartilage from the other hemithorax. Computed tomography and physical examination were performed to identify any physical deformities in the chest contours post‐surgery. The cosmetic appearance of the thoracic scars post‐surgery was evaluated using the Scar Cosmesis Assessment and Rating Scale (SCAR) and Visual Analogue Scales (VAS cosmetic). The numerical rating scale (NRS) was used to quantify the pain in donor sites. The reconstructed ears were assessed during the follow‐up period.ResultNone of the patients in the BCCH group developed thoracic deformities, while 16 patients within the UCCH group developed mild (n = 12) or severe (n = 4) thoracic deformities (p < 0.001). The SCAR (3.09 vs. 2.92, p = 0.580) and VAS scores (0.96 vs. 0.90, p = 0.813) did not differ significantly between the two groups. For both treatment arms, the NRS scores were highest on the first‐day post‐surgery and gradually dropped over the 10 days. No significant differences were found in the NRS scores and the aesthetic outcomes of the reconstructed ears between the two groups.ConclusionThe BCCH method effectively reduced the incidence of thoracic deformity at the donor site without increasing postoperative pain and cosmetic concerns for patients. It could be used clinically to improve patient outcomes of costal cartilage grafts.Level of Evidence4 Laryngoscope, 2024

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