Peri-Operative Pain Management in Maxillofacial Surgery

Cillo, Joseph E.

doi:10.1007/978-3-319-58868-1_11

Cited by 3 publications

(2 citation statements)

References 126 publications

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“…Planning and surgical skills are critical during preoperative diagnosis and postoperative management 2 . Postoperative pain is a well-known phenomenon that commonly occurs after almost all oral and maxillofacial surgeries 3 . In the early postoperative period, pain reaches its maximum intensity, and analgesics are often required 4 .…”

Section: Introductionmentioning

confidence: 99%

Correlation between preoperative pressure pain assessments and anxiety and postoperative pain in impacted lower third molar surgery

Hoşgör

Coşkunses

Tokuç

2021

JKAOMS

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Objectives: The aim of this study was to evaluate correlations between anxiety and preoperative pressure pain assessments and postoperative pain and analgesic requirements in impacted lower third molar tooth surgery. Materials and Methods: This prospective study enrolled 60 patients who underwent impacted lower third molar surgery. The preoperative State-Trait Anxiety Inventory-I (STAI-I), pressure pain threshold, and pressure pain tolerance scores were measured. At 2, 4, 6, 12, and 24 hours, and at 6 days following surgery, the patients scored their pain on the visual analogue scale and recorded their analgesic drug usage. The data were evaluated, and the results were statistically analyzed. Results: Of the 60 patients, 38 were female. Mean age was 24.62±7.42 years. The study found no relationship between preoperative pressure pain assessments and postoperative pain (P>0.05). There was also no relationship observed between preoperative STAI-I scores and postoperative pain (P>0.05). However, there was a positive correlation between operation time and total medication taken (P<0.05). Conclusion: Preoperative pressure pain threshold, pressure pain tolerance, and anxiety level had no significant effects on postoperative pain and analgesic requirements in impacted lower third molar surgery.

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Section: Introductionmentioning

confidence: 99%

Correlation between preoperative pressure pain assessments and anxiety and postoperative pain in impacted lower third molar surgery

Hoşgör

Coşkunses

Tokuç

2021

JKAOMS

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“…Additionally, the reflection of the bleeding control on shorter surgery duration was not observed [26]. Moreover, pain is frequently observed in orthognathic surgery, therefore, adequate pain control is crucial [27]. DH leads to decreased metabolism of the drugs, due to induced hypotension and lowered pain threshold, as a result improved perioperative pain management is accomplished.…”

Section: Methodsmentioning

confidence: 99%

Hypotensive Anaesthesia in Maxillofacial Surgery

Jackevičiūtė¹,

Kraujalytė²,

Razukevičius³

et al. 2018

Public Health

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Introduction. Deliberate hypotension (DH) is a widely used anaesthesia technique for decreasing intraoperative bleeding and improving the visibility of the operating field. Orofacial region has rich blood supply, therefore adequate bleeding management is needed. Methods. A literature search was performed using the search terms and was limited to English language. We used specific databases for our literature search. Discussion. The positive effect of DH is associated with mechanism of action leading to reduction of blood loss and reduced blood transfusion rate, accompanied by proper pain management. However, adverse effects are distinguishable, although the presentation completely depends on the hypotensive anaesthetic used for induction of DH. Conclusion. The application of controlled hypotension in maxillofacial surgery is highly advisable. Despite the positive effects, constant monitoring of the vital signs and drug induced side effects in perioperative period is needed.

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