■在头颈部手术中,经口机器人手术(TORS)正在发展成为口咽良性和恶性病变的关键治疗选择。即便如此,术后疼痛是TORS后的主要早期主诉之一.建立良好的循证程序特异性疼痛治疗指南可用于各种其他外科专业。然而,没有TORS的指导方针。
■本综述描述了在休息和手术相关活动期间TORS后早期疼痛强度的可用数据。
■关于TORS术后即刻疼痛的文献来自两个文献数据库。
■关于TORS后疼痛强度的大多数数据是基于数字评定量表,例如视觉模拟量表和/或镇痛需求。只有一项随机临床试验可用,反映文献主要基于回顾性研究和一些前瞻性研究。只有一项研究分析了相关功能期间的疼痛,即吞咽。总的来说,这些研究受到非标准化方法的困扰,并且需要有关疼痛评级和方法的时间安排的透明信息.
■最佳疼痛控制的证据有限,特别是在手术相关活动期间。活动过程中的术后疼痛评分是疼痛试验中的基本要素,以增强恢复,从而呼吁在评估方法上达成共识。
UNASSIGNED: In Head and Neck surgery Transoral Robotic Surgery (TORS) is evolving as a key treatment option for benign and malignant lesions in the oropharynx. Even so, postoperative pain is one of the primary early complaints following TORS. Well established evidence-based procedure specific pain treatment
guidelines are available for a variety of other surgical specialties. However, there are no
guidelines for TORS.
UNASSIGNED: This review describes the available data of early pain intensity following TORS during rest and procedure related activity.
UNASSIGNED: Literature concerning pain in the immediate postoperative phase following TORS were obtained from two literature databases.
UNASSIGNED: Most data on pain intensity following TORS are based upon a numeric rating scale, e.g. the Visual Analogue Scale and/or analgesic demands. Only one randomized clinical trial is available reflecting that the literature is mainly based on retrospective and a few prospective studies. Only one study analyzed pain during relevant functionality, i.e. swallowing. Overall, the studies suffer from a non-standardized approach and there is a need for transparent information concerning the timing of pain ratings and methodology.
UNASSIGNED: The evidence for optimal pain control is limited, particularly during surgical relevant activity. Postoperative pain rating during activity is a fundamental element in pain trials in order to enhance recovery thereby calling for future
consensus on assessment methodology.