Septorhinoplasty Post-operative Pain Control With SPG Nerve Block

Post-operative Pain Control With Sphenopalantine Ganglion Nerve Block in Septorhinoplasty Patients

Maxillary nerve blocks have been shown to significantly reduce post-operative pain and analgesic intake during the 24-hour period following sinus surgery. This randomized, double-blinded, placebo-controlled study will investigate blocks of the sphenopalatine ganglion using a suprazygomatic approach during septorhinoplasty surgery. It is the investigator's hypothesis that this technique will result in decreased post-operative pain and opioid use, and the morbidity associated with it.

Inclusion Criteria:

• Patient presenting for open or endoscopic septorhinoplasty
• Age 18-80
• Normal oral food and water intake before surgery
• ASA physical classification 1-3

Exclusion Criteria:

• Refusal to consent
• Patients without a cellular phone or who are unable to accept text messages
• Allergy to opioid narcotics
• ASA physical classification of 4 or higher
• Patient requires other surgery in addition to septorhinoplasty
• Age > 80 or <18
• Any underlying chronic pain condition or ongoing opioid use over the preceding 3 months
• Presence of any other factor which, at the discretion of any member of the study team, makes the patient a poor candidate for block placement.
• Presence of any other factor which, at the discretion of any member of the study team, makes the patient a poor candidate for research participation.
• Pregnant women