Effect of Infraorbital and/or Infratrochlear Nerve Blocks on Postoperative Care in Patients with Septorhinoplasty: A Meta-Analysis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Search Strategy and Study Selection
2.2. Data Extraction and Risk of Bias Assessment
2.3. Statistical Analyses
3. Results
3.1. Effect of Preoperative Infraorbital and/or Infratrochlear Nerve Blocks on Patient-Reported Pain Score and the Quantity and Frequency of Administered Analgesic Medication Compared to the Control Group
3.2. Effect of Preoperative Infraorbital and/or Infratrochlear Nerve Blocks on the Incidence of Postoperative Nausea and Vomiting, Emergence Agitation, and Occurrence of Side Effects Compared to the Control Group
3.3. Sensitivity Analysis
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Study (Year) | Study Design | Number of Patients | Sex (Male/Female) | Age, Median (Range) or Mean (SD), y | Nation | Procedure | Medication | Anesthesia | Medication | Outcomes |
---|---|---|---|---|---|---|---|---|---|---|
Choi (2019) [8] | RCT | 62 | NA | 21.97 ± 1.47 | Korea | bilateral infraorbital and infratrochlear nerve blocks | 0.5% ropivacaine | G/A | Isotonic saline | Postoperative pain score, used analgesic amount, frequency of used analgesic drug, incidence of postoperative nausea and vomiting, incidence of emergence agitation, incidence rate of edema and hematoma |
Boselli (2016) [9] | RCT | 36 | 13/23 | 38 ± 14 | France | bilateral infraorbital and infratrochlear nerve blocks | 10 mL of 0.25% levobupivacaine | G/A | Isotonic saline | Postoperative pain score, used analgesic amount, frequency of used analgesic drug, incidence of postoperative nausea and vomiting, incidence rate of edema and hematoma |
Kacar (2020) [11] | RCT | 52 | 24/28 | 27.38 ± 7.09 | Turkey | bilateral infraorbital and infratrochlear nerve blocks | 4 mL of 0.5% bupivacaine | G/A | G/A only | Postoperative pain score, used analgesic amount, frequency of used analgesic drug, incidence of emergence agitation |
Elsayed (2020) [10] | Observational Study | 40 | 26/14 | 26 (8) | Saudi Arabia | bilateral infraorbital and infratrochlear nerve blocks | 5 mL of 0.25% levobupivacaine with 5 mL of diluted adrenaline 1:10,000 | G/A | G/A only | Frequency of used analgesic drug |
Yılmaz (2021) [12] | Observational Study | 84 | 26/58 | 26.88 ± 5.45 | Turkey | bilateral infraorbital and supraorbital nerve blocks | 5 mg bupivacaine and 10 mg lidocaine for a total of 1.5 mL | G/A | G/A only | Postoperative pain score, used analgesic amount |
Efe Atila (2022) [13] | Observational Study | 60 | 27/33 | 30.5 ± 4 | Turkey | bilateral infraorbital nerve blocks | 15 mg bupivacaine hydrochloride to infraorbital foramen | G/A | G/A only | Postoperative pain score, frequency of used analgesic drug |
Schumacher (2023) [14] | Observational Study | 80 | NA | 27.6 | USA | bilateral infraorbital nerve blocks | 1.5 mL preoperative and postoperative bupivacaine | NA | NA | Incidence of postoperative nausea and vomiting |
Study | Selection a | Comparability b | Exposure c | Newcastle–Ottawa Scale Score | ||||||
---|---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5A | 5B | 6 | 7 | 8 | ||
Elsayed (2020) [10] | Yes | No | Yes | Yes | No | No | Yes | Yes | Yes | 6 |
Yılmaz (2021) [12] | Yes | No | No | Yes | Yes | Yes | Yes | Yes | Yes | 7 |
Efe Atila (2022) [13] | Yes | No | Yes | Yes | No | No | Yes | Yes | Yes | 6 |
Schumacher (2023) [14] | Yes | Yes | Yes | Yes | No | No | Yes | Yes | Yes | 7 |
Study | Random Sequence Generation | Allocation Concealment | Blinding of Participants and Personnel | Blinding of Outcome Assessment | Incomplete Outcome Data Addressed | Free of Selective Reporting | Risk of Bias of Randomized Studies |
---|---|---|---|---|---|---|---|
Choi (2019) [8] | Yes | Yes | Yes | Yes | Yes | Yes | Low |
Boselli (2016) [9] | Yes | Yes | Yes | No | Yes | Yes | Low |
Kacar (2020) [11] | Yes | Yes | Yes | No | Yes | Yes | High |
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Kim, D.H.; Park, J.-B.; Kim, S.W.; Stybayeva, G.; Hwang, S.H. Effect of Infraorbital and/or Infratrochlear Nerve Blocks on Postoperative Care in Patients with Septorhinoplasty: A Meta-Analysis. Medicina 2023, 59, 1659. https://doi.org/10.3390/medicina59091659
Kim DH, Park J-B, Kim SW, Stybayeva G, Hwang SH. Effect of Infraorbital and/or Infratrochlear Nerve Blocks on Postoperative Care in Patients with Septorhinoplasty: A Meta-Analysis. Medicina. 2023; 59(9):1659. https://doi.org/10.3390/medicina59091659
Chicago/Turabian StyleKim, Do Hyun, Jun-Beom Park, Sung Won Kim, Gulnaz Stybayeva, and Se Hwan Hwang. 2023. "Effect of Infraorbital and/or Infratrochlear Nerve Blocks on Postoperative Care in Patients with Septorhinoplasty: A Meta-Analysis" Medicina 59, no. 9: 1659. https://doi.org/10.3390/medicina59091659
APA StyleKim, D. H., Park, J.-B., Kim, S. W., Stybayeva, G., & Hwang, S. H. (2023). Effect of Infraorbital and/or Infratrochlear Nerve Blocks on Postoperative Care in Patients with Septorhinoplasty: A Meta-Analysis. Medicina, 59(9), 1659. https://doi.org/10.3390/medicina59091659