Moffett’s Solution Causes Significantly Greater Postoperative Throat Pain Compared to Cophenylcaine in Sinonasal Surgery
Aim. Preoperative decongestion with Moffett’s solution is routine practice in sinonasal procedures providing an ideal operative field. Anecdotally, it is related to postoperative throat pain, yet a quantitative relationship has not been established. We compare the incidence and severity of postopera...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Hindawi Limited
2019-01-01
|
Series: | International Journal of Otolaryngology |
Online Access: | http://dx.doi.org/10.1155/2019/3738647 |
id |
doaj-b3a06484dcab497d92041ac987097326 |
---|---|
record_format |
Article |
spelling |
doaj-b3a06484dcab497d92041ac9870973262020-11-25T02:36:02ZengHindawi LimitedInternational Journal of Otolaryngology1687-92011687-921X2019-01-01201910.1155/2019/37386473738647Moffett’s Solution Causes Significantly Greater Postoperative Throat Pain Compared to Cophenylcaine in Sinonasal SurgeryDominic Ku0Kartik Vasan1Eugene Wong2Evan Tseros3Narinder Pal Singh4Department of Otolaryngology, Westmead Hospital, Sydney, New South Wales, AustraliaDepartment of Otolaryngology, Westmead Hospital, Sydney, New South Wales, AustraliaDepartment of Otolaryngology, Westmead Hospital, Sydney, New South Wales, AustraliaDepartment of Otolaryngology, Westmead Hospital, Sydney, New South Wales, AustraliaDepartment of Otolaryngology, Westmead Hospital, Sydney, New South Wales, AustraliaAim. Preoperative decongestion with Moffett’s solution is routine practice in sinonasal procedures providing an ideal operative field. Anecdotally, it is related to postoperative throat pain, yet a quantitative relationship has not been established. We compare the incidence and severity of postoperative throat pain after application of Moffett’s solution against Cophenylcaine decongestion. Methodology. A total of thirty patients from two consultants were recruited. The intervention arm (twenty) was decongested with Moffett’s solution and the control arm (ten) with Cophenylcaine. The primary outcome was self-reported postoperative throat pain as measured by visual analogue scale (VAS) at 2 hours, 4 hours, 6 hours, and next morning. Results. There was a significantly higher VAS for throat pain in patients decongested with Moffett’s solution in the early postoperative period (2 hours p=0.03, 4 hours p=0.04). Conclusion. Moffett’s solution is associated with a greater severity of transient postoperative throat pain compared to topical Cophenylcaine. We recommend further studies to identify means to minimise this side effect. Clinical Trial Registration. This paper has been registered with the Australian and New Zealand Clinical Trials Registry under the registration number: ACTRN12619000772145.http://dx.doi.org/10.1155/2019/3738647 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dominic Ku Kartik Vasan Eugene Wong Evan Tseros Narinder Pal Singh |
spellingShingle |
Dominic Ku Kartik Vasan Eugene Wong Evan Tseros Narinder Pal Singh Moffett’s Solution Causes Significantly Greater Postoperative Throat Pain Compared to Cophenylcaine in Sinonasal Surgery International Journal of Otolaryngology |
author_facet |
Dominic Ku Kartik Vasan Eugene Wong Evan Tseros Narinder Pal Singh |
author_sort |
Dominic Ku |
title |
Moffett’s Solution Causes Significantly Greater Postoperative Throat Pain Compared to Cophenylcaine in Sinonasal Surgery |
title_short |
Moffett’s Solution Causes Significantly Greater Postoperative Throat Pain Compared to Cophenylcaine in Sinonasal Surgery |
title_full |
Moffett’s Solution Causes Significantly Greater Postoperative Throat Pain Compared to Cophenylcaine in Sinonasal Surgery |
title_fullStr |
Moffett’s Solution Causes Significantly Greater Postoperative Throat Pain Compared to Cophenylcaine in Sinonasal Surgery |
title_full_unstemmed |
Moffett’s Solution Causes Significantly Greater Postoperative Throat Pain Compared to Cophenylcaine in Sinonasal Surgery |
title_sort |
moffett’s solution causes significantly greater postoperative throat pain compared to cophenylcaine in sinonasal surgery |
publisher |
Hindawi Limited |
series |
International Journal of Otolaryngology |
issn |
1687-9201 1687-921X |
publishDate |
2019-01-01 |
description |
Aim. Preoperative decongestion with Moffett’s solution is routine practice in sinonasal procedures providing an ideal operative field. Anecdotally, it is related to postoperative throat pain, yet a quantitative relationship has not been established. We compare the incidence and severity of postoperative throat pain after application of Moffett’s solution against Cophenylcaine decongestion. Methodology. A total of thirty patients from two consultants were recruited. The intervention arm (twenty) was decongested with Moffett’s solution and the control arm (ten) with Cophenylcaine. The primary outcome was self-reported postoperative throat pain as measured by visual analogue scale (VAS) at 2 hours, 4 hours, 6 hours, and next morning. Results. There was a significantly higher VAS for throat pain in patients decongested with Moffett’s solution in the early postoperative period (2 hours p=0.03, 4 hours p=0.04). Conclusion. Moffett’s solution is associated with a greater severity of transient postoperative throat pain compared to topical Cophenylcaine. We recommend further studies to identify means to minimise this side effect. Clinical Trial Registration. This paper has been registered with the Australian and New Zealand Clinical Trials Registry under the registration number: ACTRN12619000772145. |
url |
http://dx.doi.org/10.1155/2019/3738647 |
work_keys_str_mv |
AT dominicku moffettssolutioncausessignificantlygreaterpostoperativethroatpaincomparedtocophenylcaineinsinonasalsurgery AT kartikvasan moffettssolutioncausessignificantlygreaterpostoperativethroatpaincomparedtocophenylcaineinsinonasalsurgery AT eugenewong moffettssolutioncausessignificantlygreaterpostoperativethroatpaincomparedtocophenylcaineinsinonasalsurgery AT evantseros moffettssolutioncausessignificantlygreaterpostoperativethroatpaincomparedtocophenylcaineinsinonasalsurgery AT narinderpalsingh moffettssolutioncausessignificantlygreaterpostoperativethroatpaincomparedtocophenylcaineinsinonasalsurgery |
_version_ |
1724801781986230272 |