Abstract

Research Article

Clinical significance of Vibration Anesthesia on reducing pain of Ring-Block (Subcutaneous Injections) in the patients undergoing Hair Restoration Surgery

Muhammad Ahmad* and Mohammad Humayun Mohmand

Published: 18 October, 2017 | Volume 1 - Issue 1 | Pages: 001-005

Pain is a complex phenomenon which is unpleasant. Different cosmetic procedures are associated with varying degrees of pain. Various modalities are adopted to decrease the severity of pain. The commonly used is the administration of analgesics (opioid or non-steroidal). The pain is carried to the brain by pain fibres. There are various theories about the pain [1,2]. Many attempts have been undertaken to find the modalities which decrease the perception of pain by the brain. The famous ‘gate theory’ was proposed in 1965 by Melzack et al. [3]. It was proposed that the pain experience can be reduced by the activation of nerve fibres that conduct non-toxic stimuli. The theory suggested that the stimulation of larger diameter fibres (A-beta) can close a neural ‘gate’ to nocioceptive signals and can reduce the perception of the pain. The ‘gate’ is proposed to lie within the spinal cord/brainstem and inhibits the transmission of nocioceptive action potentials to higher centres in the central nervous system [4]. The “post-synaptic inhibitory and fascilitatory mechanism” provide a basis for explaining the pain reducing strategies such as rubbing the painful area or applying cold or vibration to decrease the perception of the pain. Various topical irritants used in a few ‘magic’ creams also work on the same principle.

Every effort is made to decrease the perception of pain in cosmetic surgery procedures especially hair restoration. A surgeon who can perform a hair restoration without pain has an edge over his competitors. The potential patients undergoing hair restoration are very anxious about the pain level to be perceived during the procedure. Vibration anaesthesia is becoming increasing used in hair restoration to decrease pain perception. Various recent studies have demonstrated the effective use if vibrations to decrease the pain of local anaesthesia injections [5,7]. The pain of the injection has basically two components; the first is the actual needle prick and second is the discomfort felt due to the tissue stretch by the local anaesthetic drugs [8].

The following study was conducted to compare the pain level of ring block in the patients undergoing hair restoration with and without the use of vibration

Read Full Article HTML DOI: 10.29328/journal.adr.1001001 Cite this Article Read Full Article PDF

References

  1. Dubner R, Sesele BJ, Storey AT. The neural basis of oral and facial function. New York: Plenum. 1978. 1979; 75: 695. Ref: https://goo.gl/JK63qN
  2. Moayedi M, Davis KD. Theories of pain from specificity to gate control. J Neurophysiol. 2013; 109: 5-12. Ref: https://goo.gl/ZrRAQP
  3. Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965; 150: 971-979. Ref: https://goo.gl/vbeHwh
  4. Nanitsos E, Vartuli R, Forte A, Dennison PJ, Peck CC. The effect of vibration on pain during local anaesthesia injections. Aust Dent J. 2009; 54: 94-100. Ref: https://goo.gl/Gr5gF9
  5. Shahidi Bonjar AH. Syringe micro vibrator (SMV) a new device deing introduced in dentistry to alleviate pain and anxiety of intraoral injections and a comparative study with a similar device. Ann Surg Innov Res. 2011; 5: 1. Ref: https://goo.gl/sNxbgB
  6. Nasehi A, Bhardwaj S, Kamath AT, Gadicherla S, Pentapati KC. Clinical pain evaluation with introral vibration device during local anaesthetic injections. J Clin Exp Dent. 2015; 7: 23-27. Ref: https://goo.gl/7E8qSt
  7. Sharma P, Czyz CN, Wulc AE. Investigating the efficacy of vibration anaesthesia to reduce pain from cosmetic Botulinum toxin injections. Aesthet Surg J. 2011; 31: 966-971. Ref: https://goo.gl/tbjToJ
  8. Ahmad M, Mohmand MH. Use of vibration anaesthesia in hair restoration surgery. J Pak Assoc Dermatol. 2017; 27.
  9. : https://goo.gl/lg5y3n .
  10. Johansson RS, Landstrom U, Lundstrom R. Responses of mechanoreceptive afferent units in the glabrous skin of the human hand to sinusoidal skin displacements. Brain Res. 1982; 244: 17-25. Ref: https://goo.gl/yCFH2A
  11. Hasan Z, Houk AC. Analysis of response properties of deeferented mammalian spindle receptors based on frequency response. J Nerophysiol. 1975; 38: 663-672. Ref: https://goo.gl/w537Un
  12. Kohn T, Zari S. Local anaesthesia techniques in hair restoration surgery. J Cut Med Surg. 2016; 20: 610-612. Ref: https://goo.gl/8mp4pt
  13. Seager DJ, Simmons C. Local anaesthesia in hair transplantation. Dermatol Surg. 2002; 28: 320-328. Ref: https://goo.gl/q7Ncwo
  14. Cem Ungor1, Emre Tosun, Ezher Hamza Dayisoylu, Fatih Taskesen, Figen Cizmeci Senel. The effects of vibration on pain and anxiety during local anaesthesia administration. JSM Dent. 2014; 2: 1022. Ref: https://goo.gl/UwPGr5
  15. Fayers T, Morris DS, Dolman PJ. Vibration-assisted anaesthesia in eyelid surgery. Ophthalmology. 2010; 117: 1453-1457. Ref: https://goo.gl/wTK4LF
  16. Muhammad Ahmad, Humayun Mohmand. Nerve blocks or subcutaneous injections: comparison of pain levels in patients undergoing hair transplant surgery. Pak J Plast Surg 2015; 4:19-22. Ref: https://goo.gl/y7fT3E

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