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Ocular blood flow alterations during inferior turbinate radiofrequency reduction under local anesthesia

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dc.contributor.author Doğan, Sedat
dc.contributor.author Şimşek, Ali
dc.contributor.author Bayraktar, Cem
dc.contributor.author Yazıcı, Haşmet
dc.contributor.author Sarıkaya, Yasin
dc.contributor.author Karataş, Mehmet
dc.contributor.author Karadağ, Ayşe Sevgi
dc.contributor.author Çapkın, Musa
dc.date.accessioned 2022-12-14T06:16:48Z
dc.date.available 2022-12-14T06:16:48Z
dc.date.issued 2016
dc.identifier.issn 1945-8924
dc.identifier.uri http://dspace.adiyaman.edu.tr:8080/xmlui/handle/20.500.12414/4025
dc.description.abstract Background: Ocular blood flow alterations and blindness are uncommon and less-known adverse effects of nasal local anesthetic infiltrations. Our aim was to investigate ocular blood flow alterations during radiofrequency (RF) tissue reduction of inferior turbinates with the patient under local anesthesia by using a noninvasive method with optical coherence tomography. Methods: A total of 120 patients with inferior turbinate hypertrophy were prospectively randomized into two groups. In group 1, a total of 61 patients underwent RF tissue reduction while under local anesthesia with epinephrine. In group 2, a total of 59 patients underwent RF tissue reduction of inferior turbinates while under local anesthesia without epinephrine. Optical coherence tomography measurements were performed before surgery and at 5, 15, 30, 45, and 60 minutes after local anesthetic infiltration. Results: Choroid thickness measurements decreased gradually after local anesthetic infiltration until 30 minutes and increased to the same plane with the baseline at 60 minutes in group 1 (p < 0.05). In group 2, the choroid thickness measurement was significantly decreased after local anesthetic infiltration at 15 and 45 minutes (p < 0.05). When the choroid thickness measurements were compared between the groups, in group 1 blood flow was significantly lower than in group 2 at 30 minutes (p < 0.05). Conclusion: We observed a statistically significant reduction in choroid circulation after local anesthetic with epinephrine infiltration into inferior turbinates. Otolaryngologists should be careful after local anesthetic infiltration, and monitor the vision. Further studies with larger series would be needed to discuss safety of local anesthetics. tr
dc.language.iso en tr
dc.publisher Sage Publıcatıons Inc tr
dc.subject Vısual-Loss tr
dc.subject Septoplasty tr
dc.subject Injectıon tr
dc.subject Epınephrıne tr
dc.subject Retınopathy tr
dc.subject Neuropathy tr
dc.subject Secondary tr
dc.title Ocular blood flow alterations during inferior turbinate radiofrequency reduction under local anesthesia tr
dc.type Article tr
dc.contributor.authorID 0000-0002-0960-6805 tr
dc.contributor.authorID 0000-0002-3469-2653 tr
dc.contributor.authorID 0000-0003-4504-1335 tr
dc.contributor.authorID 0000-0001-8974-3414 tr
dc.contributor.authorID 0000-0002-7662-6531 tr
dc.contributor.department Adiyaman Univ, Fac Med, Otolaryngol Clin, tr
dc.contributor.department Adiyaman Univ, Fac Med, Ophthalmol Clin, tr
dc.contributor.department Balikesir Univ, Clin Otolaryngol, Fac Med, tr
dc.identifier.endpage E188 tr
dc.identifier.issue 5 tr
dc.identifier.startpage E185 tr
dc.identifier.volume 30 tr
dc.source.title Amerıcan Journal Of Rhınology & Allergy tr


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