Anesthetic injection pain and hematoma occurrence during upper blepharoplasty: Comparison between thin needles and thick needles
Background: Upper blepharoplasty is one of the most commonly performed esthetic surgeries, but injection pain during local anesthesia often disturbs patients. The objective of this study was to identify the pain levels associated with anesthetizing the upper eyelids in blepharoplasty and determine w...
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| Format: | Article |
| Language: | English |
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KeAi Communications Co. Ltd.
2022-06-01
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| Series: | Chinese Journal of Plastic and Reconstructive Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2096691122000255 |
| _version_ | 1828164858525253632 |
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| author | Pei Zou Kaili Zhang Yuping Zhou Yu Shi Guangpeng Liu |
| author_facet | Pei Zou Kaili Zhang Yuping Zhou Yu Shi Guangpeng Liu |
| author_sort | Pei Zou |
| collection | DOAJ |
| description | Background: Upper blepharoplasty is one of the most commonly performed esthetic surgeries, but injection pain during local anesthesia often disturbs patients. The objective of this study was to identify the pain levels associated with anesthetizing the upper eyelids in blepharoplasty and determine whether injection with thin needles is associated with less pain and bleeding than injection with thick needles. Methods: The study included 50 patients who underwent bilateral upper blepharoplasty. The eyelids were anesthetized using 2% lidocaine with 1:100 000 epinephrine. One upper eyelid was randomly injected with a thin needle (26G) and the other with a thick needle (22G). The pain level was scored by patients immediately after the injection of each eyelid using a visual analog scale (VAS) ranging from 0 to 10. The incidence of eyelid hematomas caused by the anesthetic injection was also recorded. Results: The VAS scores in eyelids injected with thin needles were not significantly lower than those in eyelids injected with thick needles (4.0 vs. 4.0, P=0.393). The formation of eyelid bruises caused by thin-needle injection was less frequent than that caused by thick-needle injection (16% vs. 26%), but there was no significant difference between the two groups (P=0.326). Conclusion: Using thin needles for local anesthesia during upper blepharoplasty could not significantly decrease injection pain or hematoma occurrence compared with that associated with using thick needles. |
| first_indexed | 2024-04-12T01:33:50Z |
| format | Article |
| id | doaj.art-3d7b30c3056f447bb37dc76c5dd68d49 |
| institution | Directory Open Access Journal |
| issn | 2096-6911 |
| language | English |
| last_indexed | 2024-04-12T01:33:50Z |
| publishDate | 2022-06-01 |
| publisher | KeAi Communications Co. Ltd. |
| record_format | Article |
| series | Chinese Journal of Plastic and Reconstructive Surgery |
| spelling | doaj.art-3d7b30c3056f447bb37dc76c5dd68d492022-12-22T03:53:22ZengKeAi Communications Co. Ltd.Chinese Journal of Plastic and Reconstructive Surgery2096-69112022-06-01426366Anesthetic injection pain and hematoma occurrence during upper blepharoplasty: Comparison between thin needles and thick needlesPei Zou0Kaili Zhang1Yuping Zhou2Yu Shi3Guangpeng Liu4Department of Plastic and Reconstructive Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai 200072, ChinaDepartment of Plastic and Reconstructive Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai 200072, ChinaDepartment of Anesthesiology, Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai 200443, ChinaDepartment of Medical Cosmetology, Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai 200443, China; Corresponding author. Department of Medical Cosmetology, Shanghai Skin Disease Hospital, Tongji University School of Medicine, 1278 Baode Road, Shanghai 200443, China.Department of Plastic and Reconstructive Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai 200072, China; Corresponding author. Department of Plastic and Reconstructive Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, 301 Middle Yanchang Road, Shanghai 200072, China.Background: Upper blepharoplasty is one of the most commonly performed esthetic surgeries, but injection pain during local anesthesia often disturbs patients. The objective of this study was to identify the pain levels associated with anesthetizing the upper eyelids in blepharoplasty and determine whether injection with thin needles is associated with less pain and bleeding than injection with thick needles. Methods: The study included 50 patients who underwent bilateral upper blepharoplasty. The eyelids were anesthetized using 2% lidocaine with 1:100 000 epinephrine. One upper eyelid was randomly injected with a thin needle (26G) and the other with a thick needle (22G). The pain level was scored by patients immediately after the injection of each eyelid using a visual analog scale (VAS) ranging from 0 to 10. The incidence of eyelid hematomas caused by the anesthetic injection was also recorded. Results: The VAS scores in eyelids injected with thin needles were not significantly lower than those in eyelids injected with thick needles (4.0 vs. 4.0, P=0.393). The formation of eyelid bruises caused by thin-needle injection was less frequent than that caused by thick-needle injection (16% vs. 26%), but there was no significant difference between the two groups (P=0.326). Conclusion: Using thin needles for local anesthesia during upper blepharoplasty could not significantly decrease injection pain or hematoma occurrence compared with that associated with using thick needles.http://www.sciencedirect.com/science/article/pii/S2096691122000255Upper blepharoplastyAnesthetic painHematomaThick needleThin needle |
| spellingShingle | Pei Zou Kaili Zhang Yuping Zhou Yu Shi Guangpeng Liu Anesthetic injection pain and hematoma occurrence during upper blepharoplasty: Comparison between thin needles and thick needles Chinese Journal of Plastic and Reconstructive Surgery Upper blepharoplasty Anesthetic pain Hematoma Thick needle Thin needle |
| title | Anesthetic injection pain and hematoma occurrence during upper blepharoplasty: Comparison between thin needles and thick needles |
| title_full | Anesthetic injection pain and hematoma occurrence during upper blepharoplasty: Comparison between thin needles and thick needles |
| title_fullStr | Anesthetic injection pain and hematoma occurrence during upper blepharoplasty: Comparison between thin needles and thick needles |
| title_full_unstemmed | Anesthetic injection pain and hematoma occurrence during upper blepharoplasty: Comparison between thin needles and thick needles |
| title_short | Anesthetic injection pain and hematoma occurrence during upper blepharoplasty: Comparison between thin needles and thick needles |
| title_sort | anesthetic injection pain and hematoma occurrence during upper blepharoplasty comparison between thin needles and thick needles |
| topic | Upper blepharoplasty Anesthetic pain Hematoma Thick needle Thin needle |
| url | http://www.sciencedirect.com/science/article/pii/S2096691122000255 |
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