Laryngo- rhino- otologie · 2019
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СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Nachtsheim Lisa, Pick Carina, Klußmann Jens Peter, Löser Johannes, Lüers Jan-Christoffer
Аннотация
OBJECTIVE: Sialendocopy is a minimal-invasive technique used for the diagnosis and treatment of salivary gland diseases. The minimal-invasive character of sialendoscopy can be modified by using different surgical techniques. This is why both general and local anaesthesia are applied to perform this procedure and can be of great influence regarding the postoperative pain of those patients. The following study was performed to investigate the level of postoperative pain after sialendoscopy and its pain management.
MATERIAL AND METHODS: 103 patients who were treated with a sialendoscopy of the parotid gland or submandibular gland in local anaesthesia between 2013-2015 were included in the study. The postoperative pain level was evaluated at rest and during periods of stress on the day of surgery and the first and second day after surgery. The pain level was analysed according to the numeric rating scale (NRS 0-10), which is used in the QUIPS project (Quality improvement of postoperative pain).
RESULTS: The pain level on the day of surgery was 0,9 ± 1,9 at rest and 0,7 ± 1,4 during periods of stress. On the first postoperative day, pain levels of 1,2 ± 1,8 at rest and 0,9 ± 1,9 during stress were evaluated. On the second day after surgery there was a decrease of pain with a level of 0,75 ± 1,6 at rest and 0,73 ± 1,5 during stress. The analgesic therapy that was mostly used was Metamizol and Ibuprofen. 37,9 % of all patients received analgesic therapy on the day of surgery whereas on the first day after surgery only 26,2 % of all patients and on the second day after surgery only 12,6 % received pain medication.
CONCLUSION: Sialendoscopy of the parotid gland and the submandibular gland is associated with moderate postoperative pain, which can be managed by using non-opioid analgesic therapy.
MATERIAL AND METHODS: 103 patients who were treated with a sialendoscopy of the parotid gland or submandibular gland in local anaesthesia between 2013-2015 were included in the study. The postoperative pain level was evaluated at rest and during periods of stress on the day of surgery and the first and second day after surgery. The pain level was analysed according to the numeric rating scale (NRS 0-10), which is used in the QUIPS project (Quality improvement of postoperative pain).
RESULTS: The pain level on the day of surgery was 0,9 ± 1,9 at rest and 0,7 ± 1,4 during periods of stress. On the first postoperative day, pain levels of 1,2 ± 1,8 at rest and 0,9 ± 1,9 during stress were evaluated. On the second day after surgery there was a decrease of pain with a level of 0,75 ± 1,6 at rest and 0,73 ± 1,5 during stress. The analgesic therapy that was mostly used was Metamizol and Ibuprofen. 37,9 % of all patients received analgesic therapy on the day of surgery whereas on the first day after surgery only 26,2 % of all patients and on the second day after surgery only 12,6 % received pain medication.
CONCLUSION: Sialendoscopy of the parotid gland and the submandibular gland is associated with moderate postoperative pain, which can be managed by using non-opioid analgesic therapy.