{"id":"https://openalex.org/W7123954681","doi":"https://doi.org/10.1097/scs.0000000000012423","title":"Hemodynamic and Clinical Outcomes of Local Anesthetic Use in Patients Undergoing External Dacryocystorhinostomy","display_name":"Hemodynamic and Clinical Outcomes of Local Anesthetic Use in Patients Undergoing External Dacryocystorhinostomy","publication_year":2026,"publication_date":"2026-01-13","ids":{"openalex":"https://openalex.org/W7123954681","doi":"https://doi.org/10.1097/scs.0000000000012423","pmid":"https://pubmed.ncbi.nlm.nih.gov/41528298"},"language":"en","primary_location":{"id":"doi:10.1097/scs.0000000000012423","doi":"https://doi.org/10.1097/scs.0000000000012423","is_oa":false,"landing_page_url":"https://doi.org/10.1097/scs.0000000000012423","pdf_url":null,"source":{"id":"https://openalex.org/S36642063","display_name":"Journal of Craniofacial Surgery","issn_l":"1049-2275","issn":["1049-2275","1536-3732"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Craniofacial Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5079834989","display_name":"Seval K\u0131lbasanl\u0131","orcid":"https://orcid.org/0000-0003-4052-9593","observed_orcids":["https://orcid.org/0000-0003-4052-9593"]},"institutions":[{"id":"https://openalex.org/I198265615","display_name":"Ni\u011fde \u00d6mer Halisdemir \u00dcniversitesi","ror":"https://ror.org/03ejnre35","country_code":"TR","type":"education","lineage":["https://openalex.org/I198265615"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Seval Kilbasanli","raw_affiliation_strings":["Department of Anesthesiology and Reanimation, Ni\u011fde \u00d6mer Halisdemir University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Reanimation, Ni\u011fde \u00d6mer Halisdemir University","institution_ids":["https://openalex.org/I198265615"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100628996","display_name":"\u00d6mer \u00d6zer","orcid":"https://orcid.org/0000-0003-0329-0931","observed_orcids":["https://orcid.org/0000-0003-0329-0931"]},"institutions":[{"id":"https://openalex.org/I198265615","display_name":"Ni\u011fde \u00d6mer Halisdemir \u00dcniversitesi","ror":"https://ror.org/03ejnre35","country_code":"TR","type":"education","lineage":["https://openalex.org/I198265615"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"\u00d6mer \u00d6zer","raw_affiliation_strings":["Department of Ophthalmology, Ni\u011fde \u00d6mer Halisdemir University, Ni\u011fde"],"raw_orcid":"https://orcid.org/0000-0003-0329-0931","affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Ni\u011fde \u00d6mer Halisdemir University, Ni\u011fde","institution_ids":["https://openalex.org/I198265615"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106440913","display_name":"Burak \u00d6zkan","orcid":"https://orcid.org/0000-0002-6475-7470","observed_orcids":["https://orcid.org/0000-0002-6475-7470"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Burak \u00d6zkan","raw_affiliation_strings":["Department of Ophthalmology, Yunus Emre State Hospital, Eski\u015fehir"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Yunus Emre State Hospital, Eski\u015fehir","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002210097","display_name":"\u00d6zer Dursun","orcid":"https://orcid.org/0000-0003-4216-0814","observed_orcids":["https://orcid.org/0000-0003-4216-0814"]},"institutions":[{"id":"https://openalex.org/I51780484","display_name":"Mersin \u00dcniversitesi","ror":"https://ror.org/04nqdwb39","country_code":"TR","type":"education","lineage":["https://openalex.org/I51780484"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"\u00d6zer Dursun","raw_affiliation_strings":["Department of Ophthalmology, Mersin University, Mersin, Turkey"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Mersin University, Mersin, Turkey","institution_ids":["https://openalex.org/I51780484"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040984658","display_name":"Zeynep Y\u00fcksel Turhan","orcid":"https://orcid.org/0000-0002-8906-2149","observed_orcids":["https://orcid.org/0000-0002-8906-2149"]},"institutions":[{"id":"https://openalex.org/I198265615","display_name":"Ni\u011fde \u00d6mer Halisdemir \u00dcniversitesi","ror":"https://ror.org/03ejnre35","country_code":"TR","type":"education","lineage":["https://openalex.org/I198265615"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Zeynep Y\u00fcksel Turhan","raw_affiliation_strings":["Department of Anesthesiology and Reanimation, Ni\u011fde \u00d6mer Halisdemir University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Reanimation, Ni\u011fde \u00d6mer Halisdemir University","institution_ids":["https://openalex.org/I198265615"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5052750049","display_name":"Mustafa Ka\u00e7maz","orcid":"https://orcid.org/0000-0002-8655-3882","observed_orcids":["https://orcid.org/0000-0002-8655-3882"]},"institutions":[{"id":"https://openalex.org/I198265615","display_name":"Ni\u011fde \u00d6mer Halisdemir \u00dcniversitesi","ror":"https://ror.org/03ejnre35","country_code":"TR","type":"education","lineage":["https://openalex.org/I198265615"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Mustafa Ka\u00e7maz","raw_affiliation_strings":["Department of Anesthesiology and Reanimation, Ni\u011fde \u00d6mer Halisdemir University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Reanimation, Ni\u011fde \u00d6mer Halisdemir University","institution_ids":["https://openalex.org/I198265615"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5052750049","https://openalex.org/A5079834989"],"corresponding_institution_ids":["https://openalex.org/I198265615"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.02098582,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12523","display_name":"Nasolacrimal Duct Obstruction Treatments","score":0.9369999766349792,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12523","display_name":"Nasolacrimal Duct Obstruction Treatments","score":0.9369999766349792,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.04190000146627426,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11812","display_name":"Nasal Surgery and Airway Studies","score":0.0035000001080334187,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/external-dacryocystorhinostomy","display_name":"external dacryocystorhinostomy","score":0.996999979019165},{"id":"https://openalex.org/keywords/local-anesthesia","display_name":"local anesthesia","score":0.925000011920929},{"id":"https://openalex.org/keywords/lidocaine-with-epinephrine","display_name":"lidocaine with epinephrine","score":0.8980000019073486},{"id":"https://openalex.org/keywords/nasolacrimal-duct-obstruction","display_name":"nasolacrimal duct obstruction","score":0.8619999885559082},{"id":"https://openalex.org/keywords/intraoperative-bleeding","display_name":"intraoperative bleeding","score":0.9660000205039978},{"id":"https://openalex.org/keywords/hemodynamic-parameters","display_name":"hemodynamic parameters","score":0.9120000004768372},{"id":"https://openalex.org/keywords/postoperative-pain","display_name":"postoperative pain","score":0.9819999933242798},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.9340000152587891},{"id":"https://openalex.org/keywords/osteotomy","display_name":"osteotomy","score":0.47999998927116394}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9919999837875366},{"id":"https://openalex.org/C2780917750","wikidata":"https://www.wikidata.org/wiki/Q1136347","display_name":"Cauterization","level":2,"score":0.7703999876976013},{"id":"https://openalex.org/C2776742690","wikidata":"https://www.wikidata.org/wiki/Q1455662","display_name":"Local anesthesia","level":2,"score":0.6948000192642212},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.6090999841690063},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5917999744415283},{"id":"https://openalex.org/C2778994108","wikidata":"https://www.wikidata.org/wiki/Q1868462","display_name":"Local anesthetic","level":2,"score":0.5090000033378601},{"id":"https://openalex.org/C178853913","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Hemodynamics","level":2,"score":0.4641999900341034},{"id":"https://openalex.org/C2779190853","wikidata":"https://www.wikidata.org/wiki/Q526920","display_name":"Nasolacrimal duct","level":2,"score":0.4471000134944916},{"id":"https://openalex.org/C2775942659","wikidata":"https://www.wikidata.org/wiki/Q3700745","display_name":"Dacryocystorhinostomy","level":2,"score":0.3725999891757965},{"id":"https://openalex.org/C2778162923","wikidata":"https://www.wikidata.org/wiki/Q4990531","display_name":"Anesthetic","level":2,"score":0.2858000099658966},{"id":"https://openalex.org/C123403432","wikidata":"https://www.wikidata.org/wiki/Q654068","display_name":"Visibility","level":2,"score":0.2547000050544739}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1097/scs.0000000000012423","doi":"https://doi.org/10.1097/scs.0000000000012423","is_oa":false,"landing_page_url":"https://doi.org/10.1097/scs.0000000000012423","pdf_url":null,"source":{"id":"https://openalex.org/S36642063","display_name":"Journal of Craniofacial Surgery","issn_l":"1049-2275","issn":["1049-2275","1536-3732"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Craniofacial Surgery","raw_type":"journal-article"},{"id":"pmid:41528298","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41528298","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of craniofacial surgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.5561842918395996}],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W1985459161","https://openalex.org/W1989498324","https://openalex.org/W1992871802","https://openalex.org/W2024000485","https://openalex.org/W2094049882","https://openalex.org/W2098576584","https://openalex.org/W2171825443","https://openalex.org/W4244903465","https://openalex.org/W4402865619"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,185],"aim":[2],"of":[3,11,59,149,225],"this":[4],"study":[5,74],"is":[6,217,242],"to":[7,23],"evaluate":[8],"the":[9,16,68,73,97,132,155,158,177,213,226],"effect":[10],"using":[12,131],"local":[13,84,221],"anesthesia":[14,85,222],"at":[15,44,96,115,138],"incision":[17,98],"area":[18],"during":[19,100,122,219],"external":[20,42],"dacryocystorhinostomy":[21,43],"(E-DCR)":[22],"control":[24],"intraoperative":[25,160],"hemorrhage":[26,161],"on":[27],"hemodynamic":[28],"and":[29,38,47,53,90,104,124,142,195,200,234,245],"clinical":[30],"outcomes.":[31],"METHODS:":[32],"All":[33],"patients":[34,151,249],"aged":[35],"18":[36],"years":[37],"older":[39],"who":[40,82,106],"underwent":[41],"Ni\u011fde":[45],"Training":[46],"Research":[48],"Hospital":[49],"between":[50,176],"January":[51],"2024":[52],"March":[54],"2025":[55],"with":[56,250],"a":[57,243],"diagnosis":[58],"primary":[60],"acquired":[61,251],"nasolacrimal":[62,252],"duct":[63,253],"obstruction":[64],"were":[65,75,113,152],"included":[66,71,153],"in":[67,72,154,165,170,192,197,203],"study.":[69,156],"Patients":[70],"randomly":[76],"divided":[77],"into":[78],"2":[79],"groups:":[80],"those":[81,105],"used":[83,218],"(20":[86],"mg/mL":[87,92],"lidocaine":[88],"hydrochloride":[89],"0.0125":[91],"epinephrine,":[93],"3":[94],"mL)":[95],"site":[99],"surgery":[101],"(group":[102,109],"1)":[103],"did":[107],"not":[108],"2).":[110],"Hemodynamic":[111],"parameters":[112],"measured":[114],"three":[116],"different":[117],"time":[118],"points:":[119],"before":[120],"osteotomy,":[121,123],"after":[125],"osteotomy.":[126],"Postoperative":[127],"pain":[128],"was":[129,162,179,190],"assessed":[130],"visual":[133],"analog":[134],"scale":[135],"(VAS)":[136],"score":[137,189],"0,":[139],"2,":[140,199],"6,":[141],"12":[143],"hours":[144],"postoperatively.":[145],"RESULTS:":[146],"A":[147],"total":[148],"39":[150],"While":[157],"average":[159,186],"4.2\u00b11.0":[163],"mL":[164,169],"group":[166,171,193,198,204],"1,":[167],"6.6\u00b11.2":[168],"2.":[172],"This":[173,240],"difference":[174],"observed":[175],"groups":[178],"statistically":[180],"significant":[181],"(":[182,206],"P":[183,207],"<0.001).":[184,208],"patient":[187,238],"satisfaction":[188],"8.4\u00b10.8":[191],"1":[194,205],"7.4\u00b10.7":[196],"significantly":[201],"higher":[202],"CONCLUSIONS:":[209],"In":[210],"conclusion,":[211],"when":[212],"appropriate":[214],"anatomical":[215],"approach":[216,241],"E-DCR,":[220],"improves":[223],"visibility":[224],"surgical":[227],"area.":[228],"It":[229],"also":[230],"prevents":[231],"unnecessary":[232],"cauterization":[233],"may":[235],"increase":[236],"postoperative":[237],"satisfaction.":[239],"safe":[244],"effective":[246],"method":[247],"for":[248],"obstruction.":[254]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2026-01-14T00:00:00"}