A Scoping Review of Pain Management After Transoral Robotic Surgery.

IF 2.6 3区医学 Q1 OTORHINOLARYNGOLOGY Otolaryngology- Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-06-21 DOI:10.1002/ohn.871

Vusala Snyder, Daniel O Kraft, Andrew Creamer, Matthew E Spector, Shaum S Sridharan

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Abstract

Objective: Pain following transoral robotic surgery (TORS) is a driver of adverse outcomes and can lead to readmission and treatment delays. A scoping review was conducted to characterize TORS-related pain and identify key management strategies utilized in the literature.

Data sources: OVID Medline, CINAHL, Cochrane, Pubmed, and Embase databases were queried.

Review methods: Two team members independently screened titles and abstracts and completed full-text reviews. Studies examining TORS for OPSCC with quantitative pain data were included. The study followed the PRISMA guidelines.

Results: A total of 1467 studies were imported for screening and 25 studies were ultimately included. The average study sample size was 89 participants. 68% were conducted in a single-center academic setting. Pain was assessed on varying timelines up to 3 years using 13 different metrics. Pain peaks days-weeks postoperatively and returns to baseline thereafter. Postoperative pain is a significant cause of morbidity and limited data exist about optimal management.

Conclusion: Prospective studies are needed to characterize and address TORS-related pain.

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经口机器人手术后疼痛管理范围综述

目的：经口机器人手术（TORS）后的疼痛是不良后果的驱动因素，可导致再次入院和治疗延迟。我们进行了一项范围综述，以描述 TORS 相关疼痛的特征，并确定文献中使用的主要管理策略：检索了 OVID Medline、CINAHL、Cochrane、Pubmed 和 Embase 数据库：两名小组成员独立筛选标题和摘要，并完成全文综述。纳入了对 TORS 治疗 OPSCC 进行研究并提供疼痛定量数据的研究。研究遵循 PRISMA 指南：共有 1467 项研究被导入进行筛选，最终有 25 项研究被纳入。研究的平均样本量为 89 人。68%的研究在单中心学术环境中进行。使用 13 种不同的指标对不同时间段的疼痛进行了评估，最长时间为 3 年。疼痛在术后数天至数周内达到高峰，随后恢复至基线。术后疼痛是发病的一个重要原因，而关于最佳治疗方法的数据却很有限：结论：需要进行前瞻性研究，以确定 TORS 相关疼痛的特征并加以解决。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学

CiteScore

6.70

自引率

2.90%

发文量

250

审稿时长

2-4 weeks

期刊介绍： Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.