Effects of two different local anaesthetic methods vs no anaesthesia on pain scores for intratympanic injections.
OBJECTIVE
This study compared the pain associated with the intratympanic injection combined with various local anaesthetics vs without anaesthesia.


METHODS
The study included 40 patients (aged 18-78 years) who received intratympanic steroid injections for sudden idiopathic hearing loss or tinnitus. Each patient underwent all three injection methods at one-week intervals. Patients received one of two local anaesthetics (lidocaine injection or lidocaine spray) or no anaesthesia before intratympanic injection, and used a visual analogue scale to indicate the pain level after 5 and 45 minutes.


RESULTS
Five minutes after injection, patients who did not receive anaesthesia and those who received lidocaine spray reported lower pain scores than those who received a lidocaine injection (p < 0.05). There was no difference in pain scores for all three methods at 45 minutes after intratympanic injection.


CONCLUSIONS
Neither of the local anaesthetics was found to be superior to having no anaesthesia.
Department of Otorhinolaryngology,Gaziantep 25 Aralık State Hospital,Turkey.
N
N
Ata
Department of Otorhinolaryngology,Selçuk University Faculty of Medicine,Konya,Turkey.
O
O
Erdur
Department of Otorhinolaryngology,Bartın State Hospital,Turkey.
M H
MH
Görgülü
Department of Otorhinolaryngology,Konya Training and Research Hospital,Turkey.
E
E
Yilmaz
D000287:Administration, Topical; D000293:Adolescent; D000328:Adult; D000368:Aged; D000779:Anesthetics, Local / Q000008:administration & dosage* / Q000627:therapeutic use; D003907:Dexamethasone / Q000627:therapeutic use*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use*; D003639:Hearing Loss, Sudden / Q000188:drug therapy*; D006801:Humans; D000069555:Injection, Intratympanic; D007279:Injections, Subcutaneous; D008012:Lidocaine / Q000008:administration & dosage* / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000503:physiopathology / Q000517:prevention & control*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000503:physiopathology / Q000517:prevention & control; D014012:Tinnitus / Q000188:drug therapy*; D055815:Young Adult
D000779:Anesthetics, Local; D005938:Glucocorticoids; D003907:Dexamethasone; D008012:Lidocaine
Anesthesia; Injection; Pain; Pain Measurement; Visual Analog Scale