Di Carlo R, Lombardo P, Modugno V, Pastore A
Clinica ORL, Università di Ferrara.
Acta Otorhinolaryngol Ital. 2001 Oct;21(5):287-9.
The analgesic effect of EMLA anesthetic cream is evaluated during contact turbinoplasty with a Neodymium: yttrium-aluminum-garnet (Nd: Yag) laser. A total of 48 patients were selected and randomized in two groups. EMLA was applied on the nasal mucosa, respectively, for 15 and 30 minutes after using vasoconstrictor cottonoids. Both groups underwent turbinate reduction by contact with Nd: Yag laser using three discharge incisions traced parallel on the medial surface of the lower turbinate working from the tail to the head. The pain induced by the surgical procedure was evaluated with a visual analogic scale. The score obtained was significantly lower in the 1st group than in the 2nd group and this difference was statistically significant (p < 0.01). The EMLA anesthetic cream applied on the mucosa for 15 minutes allows to obtain a good analgesia during the functional contact turbinate surgery with a Nd: Yag laser and thus can be considered a valid alternative to anesthesia by local infiltration.
钇铝石榴石（Nd：Yag）激光进行接触性鼻甲成形术期间，评估了复方利多卡因麻醉乳膏的镇痛效果。总共选择了48例患者并随机分为两组。在使用血管收缩棉片后，分别在鼻黏膜上涂抹复方利多卡因乳膏15分钟和30分钟。两组均使用Nd：Yag激光进行鼻甲缩小，在鼻甲内侧面从尾到头平行划出三个放电切口。用视觉模拟量表评估手术过程中引起的疼痛。第一组获得的分数明显低于第二组，且这种差异具有统计学意义（p <0.01）。在黏膜上涂抹15分钟的复方利多卡因麻醉乳膏能够在使用Nd：Yag激光进行功能性接触性鼻甲手术期间获得良好的镇痛效果，因此可被视为局部浸润麻醉的有效替代方法。
