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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
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Published on: November 6, 2019

Complex evaluation of pain after tonsillectomy.

Michael Vaiman1, H Gavrieli

  • 1Department of Otolaryngology, Assaf Harofe Medical Center, Tel Aviv University, Israel. vaimed@yahoo.com

Acta Oto-Laryngologica
|August 23, 2007
PubMed
Summary
This summary is machine-generated.

Postoperative odynophagia after tonsillectomy can be objectively assessed using surface electromyography (sEMG) alongside pain scores and clinical data. sEMG provides a quantitative measure that correlates better with clinical recovery than subjective pain scores alone.

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An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
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An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)

Published on: January 27, 2010

Area of Science:

  • Otorhinolaryngology
  • Neurology
  • Biomedical Engineering

Background:

  • Tonsillectomy frequently leads to postoperative odynophagia, impacting patient recovery.
  • Assessing the severity and progression of odynophagia is crucial for effective patient management.

Purpose of the Study:

  • To objectively evaluate postoperative odynophagia following tonsillectomy.
  • To compare the efficacy of subjective pain scores with objective measures like surface electromyography (sEMG).

Main Methods:

  • Fifty adult patients undergoing tonsillectomy were assessed using the visual analogue scale (VAS) pain score, clinical data, and sEMG.
  • sEMG measured muscle activity (timing, amplitude, patterns) in masseter, infrahyoid, and submental-submandibular muscles during deglutition.
  • Data were collected 12 hours post-surgery and monitored for 30 days, compared against a normative database.

Main Results:

  • Clinical recovery signs did not consistently align with visual analogue scale (VAS) pain score trends.
  • Surface electromyography (sEMG) demonstrated better concordance with clinical recovery compared to VAS pain scores.
  • Significantly higher electric activity was observed in masseter and submental-submandibular muscles post-tonsillectomy.

Conclusions:

  • Postoperative odynophagia assessment requires a multi-modal approach including subjective (VAS), objective qualitative (clinical data), and objective quantitative (sEMG) methods.
  • sEMG offers a valuable tool for quantitative odynophagia evaluation, particularly when non-organic factors are suspected.
  • Tonsillectomy significantly alters muscle activity during deglutition, necessitating comprehensive assessment.