Assessment of facial pain and headache before and after nasal polyposis surgery with the DyNaChron questionnaire

Copyright © 2016. Published by Elsevier Masson SAS..

OBJECTIVES: Facial pain/headache is reported in 16-67% of nasal polyposis (NP) patients. This wide range may be due to differences in assessment methods. The present prospective study assessed facial pain/headache and quality-of-life (QoL) impact before and after NP surgery.

METHODS: Pain was assessed on the DyNaChron self-administered questionnaire in patients undergoing NP surgery, the day before the procedure (V0) and 6 weeks (V1) and 7 months (V2) after. All patients underwent the same nasalization procedure, sparing the middle turbinates when possible. The questionnaire extract comprised 1 item assessing pain, 13 assessing physical impact and 4 assessing psychosocial impact, with responses on visual analog scales (VAS) graded 0 (no discomfort) to 10 (unbearable discomfort).

RESULTS: Sixty-three patients (mean age: 50.6±12.8 years; 32 male [50.8%], 31 female [49.2%]) were included. Thirty-seven patients (58.7%) had history of NP surgery. Fifty-two percent reported moderate to severe pain before surgery, 17.5% at 6 weeks, and 22.2% at 7 months. One-third reported no pain preoperatively, versus a half at 6 weeks and 7 months. Scores for the physical and psychosocial impact of pain were improved after surgery.

CONCLUSION: Headache/facial pain is frequent in patients for whom NP surgery is indicated. Endoscopic surgery relieves the symptom and its physical and psychosocial impacts. However, one-fifth of patients reported residual postoperative pain.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:133

Enthalten in:

European annals of otorhinolaryngology, head and neck diseases - 133(2016), 5 vom: 05. Nov., Seite 301-305

Sprache:

Englisch

Beteiligte Personen:

Nguyen, D T [VerfasserIn]
Felix-Ravelo, M [VerfasserIn]
Sonnet, M-H [VerfasserIn]
Rumeau, C [VerfasserIn]
Gallet, P [VerfasserIn]
Nguyen-Thi, P-L [VerfasserIn]
Jankowski, R [VerfasserIn]

Links:

Volltext

Themen:

DyNaChron questionnaire
Facial pain
Headache
Journal Article
Nasal polyposis
Nasalization
Quality of life

Anmerkungen:

Date Completed 07.08.2017

Date Revised 07.08.2017

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.anorl.2016.04.007

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM260355127