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Related Experiment Videos

Lisa Nachtsheim1, Carina Pick1, Jens Peter Klußmann1

  • 1Uniklinik Köln Klinik und Poliklinik für HNO-Heilkunde, Kopf- und Hals-Chirurgie.

Laryngo- Rhino- Otologie
|February 2, 2019
PubMed
Summary
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Sialendoscopy for salivary gland issues results in moderate postoperative pain, manageable with non-opioid pain relief. This study evaluated pain levels and management strategies following the procedure.

Area of Science:

  • Otolaryngology
  • Minimally Invasive Surgery
  • Pain Management

Background:

  • Sialendoscopy is a minimally invasive technique for diagnosing and treating salivary gland diseases.
  • Anesthesia choice (general vs. local) can impact postoperative pain.
  • Understanding pain levels is crucial for effective patient management.

Purpose of the Study:

  • To investigate the level of postoperative pain following sialendoscopy.
  • To evaluate pain management strategies after sialendoscopy.

Main Methods:

  • 103 patients undergoing parotid or submandibular sialendoscopy under local anesthesia were included.
  • Postoperative pain was assessed using the Numeric Rating Scale (NRS 0-10) at rest and during stress.
  • Pain was evaluated on the day of surgery and the first two days post-surgery.

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Main Results:

  • Postoperative pain levels were generally low, particularly by the second day after surgery.
  • Pain at rest was 0.9 ± 1.9 on surgery day, decreasing to 0.75 ± 1.6 by day two.
  • Analgesic therapy primarily involved non-opioid medications like Metamizol and Ibuprofen, with decreasing use over time.

Conclusions:

  • Sialendoscopy for parotid and submandibular glands is associated with moderate postoperative pain.
  • Non-opioid analgesic therapy is effective in managing pain after sialendoscopy.