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Medica Jadertina, Vol. 52 No. Suplement 1, 2022.

Meeting abstract

Factors associated with postoperative pain following functional sinus surgery

Sunčica Kružić orcid id orcid.org/0000-0002-0240-1081 ; General hospital Vinkovci, Department of otorhinolaryngology
Borna Miličić orcid id orcid.org/0000-0002-4221-7334 ; UHC Zagreb, Department of otorhinolaryngology and head and neck surgery
Katarina Vuković Đurić orcid id orcid.org/0000-0003-4763-6711 ; UHC Zagreb, Department of otorhinolaryngology and head and neck surgery
Marcel Marjanović Kavanagh orcid id orcid.org/0000-0001-9084-6787 ; UHC Zagreb, Department of otorhinolaryngology and head and neck surgery

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Abstract

Introduction: Functional endoscopic sinus surgery is a minimally invasive technique used to restore
sinus ventilation and normal function. Nowadays, it is a common procedure with minimal complication rate.
As with any other surgical procedure, post-operative pain is something to expect.
Methods: We conducted a retrospective study of postoperative pain using a VAS score scale. Statistical
analysis was performed using the Mann Whitney U test and Pearson test for correlation between postoperative
pain and the extension of intraoperative nasal packing and administered anestetics, perioperative antibiotis
administration, age and duration of operation.
Results: 124 patients were enrolled in this study, the median age was 48 (21-75) years, the average
duration of surgery was 103 (±46.43) minutes, in 73.4% of patients surgery was bilateral, in 33% the procedure
was revisional. 43.5% of patients received antibiotic therapy perioperatively. The mean VAS score was higher
in the second postoperative day in patients with more extended nasal packing (p=0.02). We did not find any
significant association between the age, duration of surgery, antibiotic therapy, remifentanil intraoperatively
and VAS scale. In the first postoperative day, in patients older than 50, the mean VAS score was 1.52 vs 0.97
in those younger than 50 (p=0.19).
Conclusion: Post-operative pain affects recovery, risk of post-operative complications and equally
important – the quality of life. Preoperative evaluation with careful perioperative planning and individualized
treatment can reduce post-operative pain and improve the quality of life of our patients. Our findings show us
the need for better monitoring of post-operative pain.

Keywords

postoperative pain; sinus surgery; quality of life

Hrčak ID:

272872

URI

https://hrcak.srce.hr/272872

Publication date:

27.2.2022.

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