Transoral robotic surgery - time for consensus on pain assessment. A review.
Acta Otolaryngol
; 143(10): 902-911, 2023 Oct.
Article
em En
| MEDLINE
| ID: mdl-37991140
ABSTRACT
BACKGROUND:
In Head and Neck surgery Transoral Robotic Surgery (TORS) is evolving as a key treatment option for benign and malignant lesions in the oropharynx. Even so, postoperative pain is one of the primary early complaints following TORS. Well established evidence-based procedure specific pain treatment guidelines are available for a variety of other surgical specialties. However, there are no guidelines for TORS.AIM:
This review describes the available data of early pain intensity following TORS during rest and procedure related activity.METHODS:
Literature concerning pain in the immediate postoperative phase following TORS were obtained from two literature databases.RESULTS:
Most data on pain intensity following TORS are based upon a numeric rating scale, e.g. the Visual Analogue Scale and/or analgesic demands. Only one randomized clinical trial is available reflecting that the literature is mainly based on retrospective and a few prospective studies. Only one study analyzed pain during relevant functionality, i.e. swallowing. Overall, the studies suffer from a non-standardized approach and there is a need for transparent information concerning the timing of pain ratings and methodology.CONCLUSIONS:
The evidence for optimal pain control is limited, particularly during surgical relevant activity. Postoperative pain rating during activity is a fundamental element in pain trials in order to enhance recovery thereby calling for future consensus on assessment methodology.Palavras-chave
Texto completo:
1
Temas:
ECOS
/
Aspectos_gerais
Bases de dados:
MEDLINE
Assunto principal:
Carcinoma de Células Escamosas
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Neoplasias Orofaríngeas
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Procedimentos Cirúrgicos Robóticos
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Neoplasias de Cabeça e Pescoço
Limite:
Humans
Idioma:
En
Revista:
Acta Otolaryngol
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Dinamarca