OBJECTIVE: To determine postoperative pain in different types of ear, nose, and throat (ENT) surgery and their psychological preoperative predictors. DESIGN: Prospective cohort study. SETTING: Academic hospital. PATIENTS: A total of 217 patients undergoing ENT surgery. INTERVENTIONS: All ENT, neck, and salivary gland surgery. MAIN OUTCOME MEASURES: Postoperative pain and predictors for postoperative pain. RESULTS: Fifty percent of the patients undergoing surgery on the oral, pharyngeal, and laryngeal region and on the neck and salivary gland region had a visual analog scale score higher than 40 mm on day 1. In the patients who underwent oropharyngeal region operations the VAS score remained high on all 4 days. A VAS pain score higher than 40 mm was found in less than 30% of patients after endoscopic procedures and less than 20% after ear and nose surgery. After bivariate analysis, 6 variables--age, sex, preoperative pain, expected pain, short-term fear, and pain catastrophizing--had a predictive value. Multivariate analysis showed only preoperative pain, pain catastrophizing, and anatomical site of operation as independent predictors. CONCLUSIONS: Differences exist in the prevalence of unacceptable postoperative pain between ENT operations performed on different anatomical sites. A limited set of variables can be used to predict the occurrence of unacceptable postoperative pain after ENT surgery.
OBJECTIVE: To determine postoperative pain in different types of ear, nose, and throat (ENT) surgery and their psychological preoperative predictors. DESIGN: Prospective cohort study. SETTING: Academic hospital. PATIENTS: A total of 217 patients undergoing ENT surgery. INTERVENTIONS: All ENT, neck, and salivary gland surgery. MAIN OUTCOME MEASURES: Postoperative pain and predictors for postoperative pain. RESULTS: Fifty percent of the patients undergoing surgery on the oral, pharyngeal, and laryngeal region and on the neck and salivary gland region had a visual analog scale score higher than 40 mm on day 1. In the patients who underwent oropharyngeal region operations the VAS score remained high on all 4 days. A VAS pain score higher than 40 mm was found in less than 30% of patients after endoscopic procedures and less than 20% after ear and nose surgery. After bivariate analysis, 6 variables--age, sex, preoperative pain, expected pain, short-term fear, and pain catastrophizing--had a predictive value. Multivariate analysis showed only preoperative pain, pain catastrophizing, and anatomical site of operation as independent predictors. CONCLUSIONS: Differences exist in the prevalence of unacceptable postoperative pain between ENT operations performed on different anatomical sites. A limited set of variables can be used to predict the occurrence of unacceptable postoperative pain after ENT surgery.
Authors: Lauren K Dunn; Marcel E Durieux; Lucas G Fernández; Siny Tsang; Emily E Smith-Straesser; Hasan F Jhaveri; Shauna P Spanos; Matthew R Thames; Christopher D Spencer; Aaron Lloyd; Russell Stuart; Fan Ye; Jacob P Bray; Edward C Nemergut; Bhiken I Naik Journal: J Neurosurg Spine Date: 2017-11-10
Authors: D Wittekindt; C Wittekindt; G Schneider; W Meissner; O Guntinas-Lichius Journal: Eur Arch Otorhinolaryngol Date: 2011-12-01 Impact factor: 2.503
Authors: Gregor F Raschke; Winfried Meissner; Andre Peisker; Gabriel Djedovic; Ulrich Rieger; Arndt Guentsch; Marta Gomez Dammeier; Stefan Schultze-Mosgau Journal: Clin Oral Investig Date: 2017-03-14 Impact factor: 3.573
Authors: Gregor F Raschke; Andre Peisker; Ulrich Rieger; Gabriel Djedovic; Arndt Guentsch; Oliver Schaefer; Eric Venth; Marta Gomez Dammeier; Winfried Meissner Journal: Clin Oral Investig Date: 2014-07-25 Impact factor: 3.573