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      Greater palatine canal injections reduce operative bleeding during endoscopic sinus surgery: a systematic review and meta-analysis.

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          Abstract

          The use of greater palatine canal (GPC) injections of a local anesthetic and a vasoconstrictor to decrease surgical bleeding during endoscopic sinus surgery (ESS) is controversial. We investigated the role of a preoperative GPC injection to minimize intraoperative bleeding during ESS in patients with chronic sinusitis through a meta-analysis of the relevant literature.

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          Author and article information

          Journal
          Eur Arch Otorhinolaryngol
          European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
          Springer Science and Business Media LLC
          1434-4726
          0937-4477
          Jan 2019
          : 276
          : 1
          Affiliations
          [1 ] Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
          [2 ] Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Bucheon St. Mary's Hospital, The Catholic University of Korea, 327 Sosa-ro, Bucheon-si, Gyeonggi-do, 14647, Republic of Korea.
          [3 ] Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. entkjm@catholic.ac.kr.
          [4 ] Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Bucheon St. Mary's Hospital, The Catholic University of Korea, 327 Sosa-ro, Bucheon-si, Gyeonggi-do, 14647, Republic of Korea. entkjm@catholic.ac.kr.
          Article
          10.1007/s00405-018-5138-6
          10.1007/s00405-018-5138-6
          30238311
          84058d52-9468-410b-a4fe-727137dd06f2
          History

          Bleeding,Adverse effect,Meta-analysis,Adrenalin,Endoscopic sinus surgery

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