Lidocaine spray versus tetracaine solution for monopolar submucosal diathermy for inferior turbinate hypertrophy

B-ENT. 2010;6(4):255-9.

Abstract

Objective: To compare the efficacy of lidocaine spray 10% to tetracaine 2% solution, as a local anaesthetic for patients undergoing monopolar submucosal diathermy of the inferior turbinate.

Methods: A prospective study was conducted on 48 patients undergoing submucosal diathermy of the inferior turbinate. Patients were randomly assigned to receive tetracaine 2% solution (24 patients) or to receive lidocaine spray 10% (24 patients). Patients were asked to evaluate the severity of pain during the procedure using a visual analogue scale. Patient data, pain scores, and potential complications were assessed statistically.

Results: The tetracaine group had significantly lower mean pain scores compared to the lidocaine group: 2.29 vs. 3.04 (p < 0.001). There were no complications or side effects from tetracaine.

Conclusion: Tetracaine 2% solution applied locally is an easy, safe, inexpensive, and effective analgesia for submucosal diathermy for inferior turbinate hypertrophy.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Anesthetics, Local / administration & dosage*
  • Electrocoagulation / methods*
  • Female
  • Humans
  • Hypertrophy
  • Lidocaine / administration & dosage*
  • Male
  • Middle Aged
  • Pain Measurement
  • Tetracaine / administration & dosage*
  • Turbinates / pathology*
  • Young Adult

Substances

  • Anesthetics, Local
  • Tetracaine
  • Lidocaine