Introduction: In the realm of postoperative pain management following functional endoscopic sinus surgery (FESS), our study delves into a novel avenue by examining the effectiveness of fentanyl nasal packing. FESS, a common procedure for sinus and nasal conditions, often involves discomfort and pain during the recovery phase. To address this issue, our research explores the potential of fentanyl, an opioid medication, administered through nasal packing to alleviate postoperative pain. Through a comprehensive evaluation, we aim to contribute valuable insights into tailored pain relief solutions for patients undergoing FESS. Material and Methods: We enrolled 60 ASA I and II patients, aged 18 to 65, scheduled for elective FESS. Exclusion criteria included certain medical conditions and recent drug use. Anesthesia induction used propofol and rocuronium, followed by fentanyl for analgesia and sevoflurane for maintenance. Bilateral polyvinyl alcohol sponges were applied at surgery’s end. Group F received fentanyl-soaked packing, Group NS got normal saline. Postoperative analgesia included paracetamol and dexketoprofen. Pain assessment utilized VAS at intervals up to 24 hours post-surgery. Data analysis involved SPSS 20.0 software, using appropriate tests for comparison. Results: Baseline characteristics between Group F (Fentanyl) and Group NS (Normal Saline) were similar, showing no significant differences in age, gender, ASA physical status, or surgical duration. Preoperative pain scores were also comparable in both groups. Throughout the postoperative period, pain scores assessed using the Visual Analog Scale (VAS) were consistently lower in Group F compared to Group NS. At 1 hour post-surgery, the mean pain score in Group F was 3.5 (± 1.2), while in Group NS, it was 5.2 (± 1.6). This trend continued at subsequent time intervals: 2, 4, 8, 12, and 24 hours postoperatively, as well as during nasal tampon removal. No significant complications were observed in either group. Conclusion: In summary, our study demonstrates that fentanyl nasal packing effectively reduces postoperative pain after functional endoscopic sinus surgery (FESS). This personalized pain relief approach holds promise for improved outcomes in FESS patients.

Introduction: In the realm of postoperative pain management following functional endoscopic sinus surgery (FESS), our study delves into a novel avenue by examining the effectiveness of fentanyl nasal packing. FESS, a common procedure for sinus and nasal conditions, often involves discomfort and pain during the recovery phase. To address this issue, our research explores the potential of fentanyl, an opioid medication, administered through nasal packing to alleviate postoperative pain. Through a comprehensive evaluation, we aim to contribute valuable insights into tailored pain relief solutions for patients undergoing FESS. Material and Methods: We enrolled 60 ASA I and II patients, aged 18 to 65, scheduled for elective FESS. Exclusion criteria included certain medical conditions and recent drug use. Anesthesia induction used propofol and rocuronium, followed by fentanyl for analgesia and sevoflurane for maintenance. Bilateral polyvinyl alcohol sponges were applied at surgery’s end. Group F received fentanyl-soaked packing, Group NS got normal saline. Postoperative analgesia included paracetamol and dexketoprofen. Pain assessment utilized VAS at intervals up to 24 hours post-surgery. Data analysis involved SPSS 20.0 software, using appropriate tests for comparison. Results: Baseline characteristics between Group F (Fentanyl) and Group NS (Normal Saline) were similar, showing no significant differences in age, gender, ASA physical status, or surgical duration. Preoperative pain scores were also comparable in both groups. Throughout the postoperative period, pain scores assessed using the Visual Analog Scale (VAS) were consistently lower in Group F compared to Group NS. At 1 hour post-surgery, the mean pain score in Group F was 3.5 (± 1.2), while in Group NS, it was 5.2 (± 1.6). This trend continued at subsequent time intervals: 2, 4, 8, 12, and 24 hours postoperatively, as well as during nasal tampon removal. No significant complications were observed in either group. Conclusion: In summary, our study demonstrates that fentanyl nasal packing effectively reduces postoperative pain after functional endoscopic sinus surgery (FESS). This personalized pain relief approach holds promise for improved outcomes in FESS patients.