ABSTRACT
BACKGROUND: The aim of this study was to evaluate efficacy of Merocel nasal package rehydration with tetracaine 0.25% solution, in reducing discomfort of nasal packing removal after septoplasty. METHODS: A prospective study was conducted on patients undergoing pure septoplasty. Merocel packing was applied in each side and kept for 2 days postoperatively. Merocel was rehydrated before removal, with 4 mL of saline on one side and 4 mL of tetracaine 0.25% solution on the other side. Patients were asked to evaluate severity of pain during nasal packing removal on each side by a visual analog scale. Patients' data, pain score, and potential complications were placed in a database and statistically assessed. RESULTS: Our series consisted of 141 persons. Statistical analysis showed significant lower pain score in favor of the tetracaine group. No tetracaine complications or side effects occurred. CONCLUSION: Merocel packing rehydration with tetracaine 0.25% solution is an easy, safe, inexpensive, and effective analgesia method for nasal packing removal in septoplasty.
Subject(s)
Anesthetics, Local/administration & dosage , Formaldehyde/administration & dosage , Hemostatics/administration & dosage , Pain, Postoperative/drug therapy , Polyvinyl Alcohol/administration & dosage , Tetracaine/administration & dosage , Adolescent , Adult , Anesthetics, Local/therapeutic use , Evaluation Studies as Topic , Female , Humans , Male , Middle Aged , Nasal Septum/surgery , Nose/surgery , Pain Measurement , Prospective Studies , Sodium Chloride/administration & dosage , Sodium Chloride/therapeutic use , Solutions/administration & dosage , Solutions/therapeutic use , Tampons, Surgical , Tetracaine/therapeutic useABSTRACT
Malignant myoepithelioma is a rare salivary gland neoplasm that can arise either de novo or within a pre-existing pleomorphic adenoma. We report a case of malignant myoepithelioma arising from a pleomorphic adenoma of the soft palate. A 70-year-old woman presented in our department with a very large tumor of the soft palate. The patient had a history of a pleomorphic adenoma at the same location that was surgically removed 2 years ago. A second operation, with intraoral excision of the tumor was performed. Histological examination of the recurrence revealed a malignant spindle cell neoplasm with an infiltrative growth pattern and a high mitotic rate. Immunohistochemical investigation confirmed the diagnosis of a low-grade carcinoma of myoepithelial origin with free surgical margins. The patient remains free of disease for more than twelve months after the end of treatment.
