Your browser doesn't support javascript.
loading
The Efficacy of Intercostal Nerve Block in the Management of Postoperative Pain After Costal Cartilage Harvest for Craniofacial Reconstruction Systematic Review and Meta-analysis.
Alhindi, Nawaf; Alnaim, Muna F; Almalki, Ziyad Tarek; Moamina, Ahmed Samir; Alsaedi, Ahmed Sulaiman; Bamakhrama, Basma; Arab, Khalid.
Afiliación
  • Alhindi N; Faculty of Medicine, King Abdulaziz University, Rabigh, Saudi Arabia. Inawafalhindi@gmail.com.
  • Alnaim MF; Faculty of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia.
  • Almalki ZT; Faculty of Medicine, King Abdulaziz University, Rabigh, Saudi Arabia.
  • Moamina AS; Faculty of Medicine, King Abdulaziz University, Rabigh, Saudi Arabia.
  • Alsaedi AS; Faculty of Medicine, King Abdulaziz University, Rabigh, Saudi Arabia.
  • Bamakhrama B; Division of Plastic and Reconstructive Surgery, Department of Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.
  • Arab K; Department of Plastic and Reconstructive Surgery, National Guard Hospital, Jeddah, Saudi Arabia.
Aesthetic Plast Surg ; 48(5): 803-815, 2024 Mar.
Article en En | MEDLINE | ID: mdl-37679560
INTRODUCTION: Autologous costal cartilage harvest is a common procedure in craniofacial reconstruction due to its stability, dependability, and diversity. However, such a procedure is associated with severe donor-site pain postoperatively. Therefore, we aim through this study to compare the efficacy of intercostal nerve block in the management of postoperative pain in patients undergoing costal cartilage harvest for craniofacial reconstruction. METHOD: This systematic review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. The study systematically reviewed MEDLINE, Cochrane, and EMBASE databases without time-limitation. RESULTS: As a result of reviewing the literature, 33 articles were screened by full-text resulting in 14 articles which met our inclusion/exclusion criteria. However, only four high-quality RCT articles were included in the quantitative synthesis (meta-analysis). The findings of this study suggest that there is no significant difference in pain scores between ICNB and control groups at 12, 24, and 48 h postoperatively, both at rest and with coughing. Therefore, both techniques are considered safe and effective. CONCLUSION: Our results show evidence of favorable outcome of preventive donor-site analgesia with ICNB for harvesting autologous costal cartilage in multiple studies. However, the overall outcomes were insignificant between the two arms. NO LEVEL ASSIGNED: This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cartílago Costal Tipo de estudio: Systematic_reviews Límite: Animals / Humans Idioma: En Revista: Aesthetic Plast Surg Año: 2024 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cartílago Costal Tipo de estudio: Systematic_reviews Límite: Animals / Humans Idioma: En Revista: Aesthetic Plast Surg Año: 2024 Tipo del documento: Article País de afiliación: Arabia Saudita Pais de publicación: Estados Unidos