{Reference Type}: Journal Article
{Title}: A Scoping Review of Pain Management After Transoral Robotic Surgery.
{Author}: Snyder V;Kraft DO;Creamer A;Spector ME;Sridharan SS;
{Journal}: Otolaryngol Head Neck Surg
{Volume}: 0
{Issue}: 0
{Year}: 2024 Jun 21
{Factor}: 5.591
{DOI}: 10.1002/ohn.871
{Abstract}: <B>OBJECTIVE: </B>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.<BR><B>METHODS: </B>OVID Medline, CINAHL, Cochrane, Pubmed, and Embase databases were queried.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>Prospective studies are needed to characterize and address TORS-related pain.