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Effects of two different local anaesthetic methods vs no anaesthesia on pain scores for intratympanic injections

Published online by Cambridge University Press:  08 November 2016

N Ata ,
O Erdur ,
M H Görgülü  and
E Yilmaz
N Ata
Affiliation:
Department of Otorhinolaryngology, Gaziantep 25 Aralık State Hospital, Turkey
O Erdur*
Affiliation:
Department of Otorhinolaryngology, Selçuk University Faculty of Medicine, Konya, Turkey
M H Görgülü
Affiliation:
Department of Otorhinolaryngology, Bartın State Hospital, Turkey
E Yilmaz
Affiliation:
Department of Otorhinolaryngology, Konya Training and Research Hospital, Turkey
*
Address for correspondence: Dr O Erdur, Selcuk University Alaeddin Keykubad Campus, 42075 Konya, Turkey Fax: +90 332 241 60 65 E-mail: dromerdur@yahoo.com
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Abstract

Objective:

This study compared the pain associated with the intratympanic injection combined with various local anaesthetics vs without anaesthesia.

Methods:

The study included 40 patients (aged 18–78 years) who received intratympanic steroid injections for sudden idiopathic hearing loss or tinnitus. Each patient underwent all three injection methods at one-week intervals. Patients received one of two local anaesthetics (lidocaine injection or lidocaine spray) or no anaesthesia before intratympanic injection, and used a visual analogue scale to indicate the pain level after 5 and 45 minutes.

Results:

Five minutes after injection, patients who did not receive anaesthesia and those who received lidocaine spray reported lower pain scores than those who received a lidocaine injection (p < 0.05). There was no difference in pain scores for all three methods at 45 minutes after intratympanic injection.

Conclusion:

Neither of the local anaesthetics was found to be superior to having no anaesthesia.

Keywords

InjectionPainAnesthesiaPain MeasurementVisual Analog Scale
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 12 , December 2016 , pp. 1153 - 1157
Copyright
Copyright © JLO (1984) Limited 2016 

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