Efficacy of Topical Epinephrine in Tympanoplasty

List, Marna A.; Dirain, Carolyn O.; Haberman, Rex S.; Antonelli, Patrick J.

doi:10.1002/lary.29688

Cited by 2 publications

(2 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the 4 mm-diameter endoscope occupies a certain amount of space, which frequently requires the treatment of a large area of mucosa and the excision of one or both middle turbinates during the nasal phase. Hemostasis of the mucosa should reach the highest grade in otolaryngology, known as Boezart grade 1 ( 16 ). Extensive intervention in the nasal mucosa and excision of the middle turbinate have been documented to frequently cause postoperative nasal discomfort, requiring periodic clearance of nasal crusts every 2 to 3 weeks ( 3 , 17 ).…”

Section: Discussionmentioning

confidence: 99%

Application of binasal speculum in endoscopic endonasal surgery for lesions in sellar region

Liu,

Zhang,

Yin

et al. 2023

Front. Endocrinol.

View full text Add to dashboard Cite

ObjectiveThis study aims to access the efficacy of the binasal speculum in endoscopic endonasal surgery by evaluating clinical outcomes and examining its utility through process-based performance measures in both surgeons and assistants.MethodsA total of 59 patients with lesions in sellar region who underwent endoscopic endonasal surgery with the binasal speculum between September 2020 and March 2023 were included in this study. We assessed the extent of resection and documented postoperative nasal condition. Both surgeons and assistants completed post-use surveys to exam the utility of the binasal speculum and provide an overall grading.ResultsGross total resection (GTR) was successfully achieved in 94.9% (56/59) of patients, with subtotal resection (STR) observed in 5.1% (4/59) of patients. Intraoperative cerebrospinal fluid (CSF) leakage occurred in 23.7% (14/59) of cases, and nasoseptal flap (NSF) reconstruction was required in 55.9% (33/59) of cases. The nasal airway patency rapidly recovered within 14 days in a significant majority of patients (94.9%, 56/59). Moreover, olfactory function was regained within three months postoperatively by 91.5% (54/59) of patients. The overall post-use survey mean score was 26.4. Specifically, surgeons had a mean score of 26.5, while assistants had a slightly lower mean score of 26.2. The mean overall grading for the binasal speculum was 3. Both surgeons and assistants provided a mean overall grading of 3.ConclusionThe binasal speculum provides nasal mucosa protection and reduces the risk of an endoscopic lens clouded by mucosa or blood. It plays a crucial role in accurate guidance and facilitates the swift delivery of surgical instruments, particularly in left-blinded nasal cavities. The binasal speculum reduces the learning curve, especially for endoscopic surgeons with limited experience, while enhancing collaboration and coordination between surgeons and assistants during surgery. Both surgeons and assistants rated the overall utility of the binasal speculum as “excellent.”

show abstract

Section: Discussionmentioning

confidence: 99%

Application of binasal speculum in endoscopic endonasal surgery for lesions in sellar region

Liu,

Zhang,

Yin

et al. 2023

Front. Endocrinol.

View full text Add to dashboard Cite

show abstract

“…Even these very low concentrations can impair inner ear perfusion though not causing any relevant clinical complications [3,4]. Besides that epinephrine can be applied superficially on the bleeding tissue in a high concentration (1:1.000) to diminish or stop bleeding in situations when surgical hemostatic methods fail or are technically not feasible, such es endoscopic or microscopic ear surgery [5][6][7][8]. It is believed that this may have an effect on local circulation as well as on pain perception, this phenomenon has not been investigated yet.…”

Section: Introductionmentioning

confidence: 99%

Effect of Topic Epinephrine on Opioid Consumption in Ear Surgery

Prusak¹,

DT²,

Emich³

et al. 2022

austinjanesthesiaandanalgesia

View full text Add to dashboard Cite

Background and Objectives: Topically applied epinephrine is used routinely in ear surgery to stop bleeding in the operating field. The data on its effect on postoperative pain perception has been missing so far. Materials and Methods: We carried out a single center retrospective cohort study of patients undergoing ear surgery over a period of 12 months. Epinephrine given intraoperatively was compared to piritramide dose given postoperatively. Patients receiving no piritramide intraoperatively were additionally compared to postoperative VAS score. Results: There was no difference in piritramid dose required for pain therapy as well as in VAS score in 230 patients included in the analysis. Conclusions: Epinephrine used in ear surgery has no effect on pain perception and thus may not be taken in consideration in postoperative pain management.

show abstract

Efficacy of Topical Epinephrine in Tympanoplasty

Cited by 2 publications

References 32 publications

Application of binasal speculum in endoscopic endonasal surgery for lesions in sellar region

Application of binasal speculum in endoscopic endonasal surgery for lesions in sellar region

Effect of Topic Epinephrine on Opioid Consumption in Ear Surgery

Contact Info

Product

Resources

About