Journal Reviews

Otolaryngology - Head and Neck Surgery journal cover

Sphenopalatine ganglion block in endoscopic sinus surgery reduces intra and post-operative morbidity

1 September 2019 | | Rhinology / Sinus | adverse effect, bleeding, endoscopic sinus surgery, meta-analysis, postoperative pain, sphenopalatine ganglion block

The authors present results of a meta-analysis to investigate the role of sphenopalatine ganglion block (SPGB) in reducing postoperative pain in endoscopic sinus surgery (ESS). An electronic database search (Pubmed, SCOPUS, Google Scholar, Embase, and the Cochrane Register of Controlled...

A novel way to reduce postoperative nausea and vomiting

1 January 2019 | | complications, functional endoscopic sinus surgery, incidence, lidocaine, nausea, sphenopalatine ganglion block, vomiting

This is an interesting RCT which evaluates the prophylactic effect of bilateral endoscopic injection of local anaesthetic in the sphenopalatine ganglion (SPG) on postoperative nausea and vomiting (PONV). It has a robust design, and is sufficiently powered and blinded, with...