Portuguese Version

Year:  2000  Vol. 66   Ed. 2 - ()

Artigos Originais

Pages: 150 to 153

Preliminary Results of Topic Antibiotic Effect in the Post LAUP Pain Control.

Author(s): Mercedes N. Silva*,
Juan C. Vallejo*,
José A. A. de Oliveira**,
Denilson S. Fomin***.

Keywords: pain, laup, antibiotic

Abstract:
Introduction: LAUP (Laser assisted uvulopalatoplasty) is an already recognized technique to treat snoring and mild obstructive sleep apnea syndrome. Since the beginning of this procedure, pain has been the main problem in the post operative period. Laser produce a superficial termal vaporization of the soft palate mucosa and leads to an acute inflamatory process with secondary bacterial colonization and infection by the normal orofaringeal flora. Aim: We studied the effec-tivaness of topic antibiotic in the post operative pain control of the patients submitted to LAUP patients. Material and methods: We assessed prospectively 28 patients with mean age of 47 years old, divided into 2 groups: A control group of 15 patients received 75 mg. of potasium diclofenac (intramuscular) continuing post operatively with oral potasium diclofenac and dipirona, benzocaine spray and frequents garglings. The problem group of 13 patients received topic and sistemic analgesic medication and garglings similar to the control group. It was added to the benzocaine spray, rifocin spray, admistred on the operated area during 10 days. Results: We observed diferences in all of the analized parameters. In the problem group an intermitent and a lesser pain level was registred with, late begining and little influence with the habitual nourishment than the control group. Conclusion: A topic antibiotic treatment associated to analgesic and antinflamatory medication is usefull to control the post LAUP pain, reducing the infectares process produced on the operatedt area.

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