Comparison of Two Methods of Transnasal Sphenopalatine Ganglion Block

Sphenopalatine Ganglion Block Clinical Trial

Official title:

Comparison of Temperature and Pain Changes Between the Drip and Topical Methods of Administering the Transnasal Sphenopalatine Ganglion Block

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04479176
• Other study ID #: AJIRB-MED-MDB-20-565
• Status: Completed
• Start date: March 10, 2021
• Est. completion date: October 1, 2021

Study information

• Verified date: October 2021
• Source: Ajou University School of Medicine
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The transnasal sphenopalatine ganglion block(SPGB) is administered to patients with facial or head and neck pain. In the transnasal approach, the drip and topical methods are frequently used. We compared facial temperatures and VAS after transnasal SPGB.

Description:

The objective of this study was to compare facial temperatures and visual analogue scale (VAS) between drip method and topical method of transnasal sphenopalatine ganglion block (SPGB). The transnasal SPGB is administered to patients with facial or head and neck pain. In the transnasal approach, the drip and topical methods are frequently used. We compared facial temperatures and VAS after transnasal SPGB. Medical records of 74 patients who visited the pain clinic and underwent transnasal SPGB were retrospectively reviewed. A total of 156 transnasal SPGB were performed. The patients were divided into the drip-method and topical-method groups. Facial temperatures were measured in six areas of the right and left forehead, maxilla, and mandible before and 30 min after completion of the transnasal SPGB. Temperatures were compared before and 30 min after SPGB in each group and between the two groups. VAS scores were compared at same times of SPGB in each group and between the two groups.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 74
• Est. completion date: October 1, 2021
• Est. primary completion date: October 1, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years and older

Eligibility

Inclusion Criteria:

(1) age over 20 years ; (2) head and neck pain; (3) pain score > 4 on the VAS in the head and neck; and (4) having undergone a transnasal SPGB and having had facial temperatures measured. Exclusion Criteria: (1) patients with a history of head and neck surgery, (2) treatment with a vasodilator or vasoconstrictor, (3) contraindication to treatment using a transnasal approach, (4) clinically significant systemic disease or any reduced organ failure, and (5) missing data.

Related Conditions & MeSH terms

• Ganglion Cysts
• Sphenopalatine Ganglion Block

Intervention

Procedure:
• Transnasal Sphenopalatine Ganglion Block
In transnasal approach, several authors described the traditional technique using sterile 10cm cotton tipped applicators that are dipped in the chosen anesthetic and then advanced along the superior border of the middle turbinate, until it reaches the posterior wall of the nasopharynx. Some other techniques had described dripping one or two ml of the anesthetics into the nostril.

Locations

Country	Name	City	State
Korea, Republic of	Ajou University Hospital	Suwon	Gyunggi

Sponsors (1)

Lead Sponsor	Collaborator
Ajou University School of Medicine

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Facial temperatures	Facial temeratures changes after transnasal SPGB	Before, and 30 minutes after completion of transnasal sphenopalatine ganglion block
Primary	Visual analogue scale(VAS)	11 points pain scale score from 0 to 10	Before, and 30 minutes after completion of transnasal sphenopalatine ganglion block