Universität zu Köln

Nachtsheim, Lisa, Pick, Carina, Klussmann, Jens Peter, Loeser, Johannes and Lueers, Jan-Christoffer (2019). Analysis and Management of postoperative Pain after Sialoendoscopy. Laryngo-Rhino-Otol., 98 (4). S. 252 - 257. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8685

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Abstract

Objective Sialendoscopy 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Nachtsheim, Lisa UNSPECIFIED UNSPECIFIED UNSPECIFIED Pick, Carina UNSPECIFIED UNSPECIFIED UNSPECIFIED Klussmann, Jens Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Loeser, Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Lueers, Jan-Christoffer UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-151438
DOI:	10.1055/a-0834-6147
Journal or Publication Title:	Laryngo-Rhino-Otol.
Volume:	98
Number:	4
Page Range:	S. 252 - 257
Date:	2019
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-8685
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SIALENDOSCOPY; QUALITY; THERAPY; EAR Multiple languages Otorhinolaryngology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/15143