Pain relief in a patient with massive sino-nasal tumor

Abstract

Maxillofacial neoplasms, though relatively rare, are potentially devastating tumors, that may require medical or surgical intervention. Among all the head and neck tumors, sino-nasal tumors make up 3%. Such tumors can be very vascular as well as extremely painful. Conventional analgesic treatment in a cascading manner usually proves to be inadequate and unsatisfactory. Interventional pain management offers promising long term pain relief. Sphenopalatine ganglion block can be offered to such patients for pain relief. Here we present a case report of a patient with painful large sino-nasal tumor for which spheno-palatine ganglion (SPG) block was performed with successful pain relief.

Key words: Pain; Pain management; Tumor; Spheno-palatine ganglion

Abbreviations: SPG - spheno-palatine ganglion; NSAIDs – non-steroidal anti-inflammatory drugs; PACU - post anesthesia care unit; RFA - radiofrequency ablation; PRF- pulsed radiofrequency

Citation: Usman A, Butt FR, Durrani RS, Ghafoor AR. Pain relief in a patient with massive sino-nasal tumor. Anaesth. Pain Intensive Care 2020;24(4):457-459.

Received: 22 June 2020, Reviewed: 24 June 2020, Accepted: 29 June 2020