Postoperative pain and analgesic consumption after endoscopic and microscopic ear procedures

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F22%3A10157196" target="_blank" >RIV/00098892:_____/22:10157196 - isvavai.cz</a>

Alternative codes found

RIV/61989592:15110/22:73608975

Result on the web

<a href="https://biomed.papers.upol.cz/artkey/bio-202201-0006_postoperative-pain-and-analgesic-consumption-after-endoscopic-and-microscopic-ear-procedures.php" target="_blank" >https://biomed.papers.upol.cz/artkey/bio-202201-0006_postoperative-pain-and-analgesic-consumption-after-endoscopic-and-microscopic-ear-procedures.php</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5507/bp.2021.006" target="_blank" >10.5507/bp.2021.006</a>

Result language

angličtina

Original language name

Postoperative pain and analgesic consumption after endoscopic and microscopic ear procedures

Original language description

Objective. Endoscopic ear surgery (EES) is considered a minimally invasive technique. It is hypothesized that patients after endoscopic procedures experience less pain and require fewer painkillers. Our aim was to compare patients&apos; postoperative pain and need for analgesics in patients undergoing microscopic and endoscopic ear surgeries. Methods. a single-institution, prospective study included 92 patients undergoing ear procedures (48 cholesteatoma and 44 reconstructive);(43 endoscopic and 49 microscopic) during 1/2016-1/2018. The postoperative pain (visual analogue scale (VAS) 0-10) and painkillers consumption were recorded and compared in each subgroup. Results. VAS (P=0.02) and analgesics consumption (P=0.06) were lower after endoscopic ear surgeries. In the cholesteatoma group, 94% of endoscopic patients reported VAS 0-2 in contrast to 58 % of microscopic patients on day 1 (P=0.04). Similar tendencies were revealed in reconstructive cases, i.e. 92% compared to 73% (P&gt;0.05). On day 1, 92% of endoscopic, and 77% of microscopic reconstruction patients received no painkillers group (P=0.06). In the cholesteatoma patients, 88% of endoscopic patients, 43% of microscopic patients using endaural approach, and 75% of microscopic patients using retroauricular approach, required no painkillers on the postoperative day 1 (P&gt;0.05). Conclusions. Our study revealed that the EES is associated with less postoperative pain than the conventional microscopic ear surgery. It seems that it is rather the transmeatal approach, and not the endoscope itself that reduces postoperative pain. The removal of the same size cholesteatoma using endoscope (rather than using microscope) leads to less intensive postoperative pain. Consequently, it was not surprising that patients after endoscopic ear surgery very rarely took painkillers.

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30206 - Otorhinolaryngology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Biomedical Papers-Olomouc

ISSN

1213-8118

e-ISSN

1804-7521

Volume of the periodical

166

Issue of the periodical within the volume

1

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

5

Pages from-to

46-50

UT code for WoS article

000731344200001

EID of the result in the Scopus database

2-s2.0-85126490844