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Related Experiment Videos

An alternative technique for nasal biopsy.

M A Thornton1, P Walshe, R W Costello

  • 1Department of Otolaryngology-Head and Neck Surgery, RCSI Smurfit Education and Research Centre, Beaumont Hospital, Dublin, Ireland. mthornton@rcsi.ie

The Laryngoscope
|June 5, 2004
PubMed
Summary

Co-phenylcaine effectively numbs nasal passages for biopsies, with most patients reporting no pain. This topical anesthetic is suitable for nasal mucosal biopsy procedures.

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Area of Science:

  • Otolaryngology
  • Anesthesiology

Background:

  • Nasal mucosal biopsy is a common procedure.
  • Effective topical anesthesia is crucial for patient comfort and procedural success.

Purpose of the Study:

  • To evaluate co-phenylcaine as a topical anesthetic for nasal mucosal biopsy.
  • To assess patient-reported pain and post-procedure complications.

Main Methods:

  • A prospective study involving nasal mucosal biopsy.
  • Topical anesthesia with co-phenylcaine was administered.
  • Pain was assessed using a visual analogue scale (VAS), and patients were monitored for epistaxis.

Main Results:

  • 82% of patients reported no discomfort (VAS 0) after the biopsy.

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  • Mild discomfort was reported by 10 patients (VAS 1-3), and pain by 6 (VAS 5-7).
  • Minimal bleeding occurred in 7 patients, controlled with local pressure; no systemic side effects were noted.
  • Conclusions:

    • Co-phenylcaine is a suitable topical anesthetic for nasal mucosal biopsy.
    • The procedure, performed anterior to the inferior turbinate, yields adequate tissue for histology.
    • Co-phenylcaine offers a safe and effective option for nasal biopsy anesthesia.