국소마취와 전신마취로 시행된 비성형술의 환자 만족도과 합병증 비교 (Comparison of Patient Satisfaction and Complications of Rhinoplasty between Local and General Anesthesia)

서지정보

· 발행기관 : 대한이비인후과학회
· 수록지 정보 : 대한이비인후-두경부외과학회지 / 61권 / 5호 / 247 ~ 251페이지
· 저자명 : 허성재, 차은주, 조현수, 박지혜, 이진걸, 김정수

초록

Background and Objectives Since rhinoplasty techniques require meticulous and delicatemanipulation, proper anesthesia is essential. The aim of the current study is to comparepatient satisfaction and complication of rhinoplasty performed under local anesthesia againstgeneral anesthesia.
Subjects and Method Patients who underwent rhinoplasty by a single surgeon betweenMarch 2014 and January 2017 were enrolled in this study. Midazolam was utilized to sedatethe patient during local anesthesia. Pain and memory of surgery under local anesthesia, satisfactionof anesthesia, and willingness to undergo the surgery with the same anesthesia methodagain were evaluated. Cardiopulmonary events, nausea, and vomiting were assessed as complications.
Aesthetic satisfaction of patients and the doctor was evaluated 6 month after thesurgery. The parameters were compared between local and general anesthesia.
Results A total 120 patients were included in this study. The degree of pain was low duringsurgery under local anesthesia. Although most of patients remembered the process of surgeryduring local anesthesia, satisfaction of local anesthesia was high. The satisfaction of anesthesiaand willingness to undergo surgery with same anesthesia were not signifcantly different betweenlocal and general anesthesia. No serious complications developed during local anesthesiaand there were no signifcant differences of aesthetic satisfaction between local and generalanesthesia.
Conclusion Patient satisfaction and aesthetic results of rhinoplasty performed under localanesthesia were comparable to general anesthesia, indicating that surgeons do not need to beafraid of applying local anesthesia in rhinoplasty.

영어초록

Background and Objectives Since rhinoplasty techniques require meticulous and delicatemanipulation, proper anesthesia is essential. The aim of the current study is to comparepatient satisfaction and complication of rhinoplasty performed under local anesthesia againstgeneral anesthesia.
Subjects and Method Patients who underwent rhinoplasty by a single surgeon betweenMarch 2014 and January 2017 were enrolled in this study. Midazolam was utilized to sedatethe patient during local anesthesia. Pain and memory of surgery under local anesthesia, satisfactionof anesthesia, and willingness to undergo the surgery with the same anesthesia methodagain were evaluated. Cardiopulmonary events, nausea, and vomiting were assessed as complications.
Aesthetic satisfaction of patients and the doctor was evaluated 6 month after thesurgery. The parameters were compared between local and general anesthesia.
Results A total 120 patients were included in this study. The degree of pain was low duringsurgery under local anesthesia. Although most of patients remembered the process of surgeryduring local anesthesia, satisfaction of local anesthesia was high. The satisfaction of anesthesiaand willingness to undergo surgery with same anesthesia were not signifcantly different betweenlocal and general anesthesia. No serious complications developed during local anesthesiaand there were no signifcant differences of aesthetic satisfaction between local and generalanesthesia.
Conclusion Patient satisfaction and aesthetic results of rhinoplasty performed under localanesthesia were comparable to general anesthesia, indicating that surgeons do not need to beafraid of applying local anesthesia in rhinoplasty.

참고자료

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