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 |
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Erscheinungsjahr: |
2016 |
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Erschienen: |
2016 |
Enthalten in: |
Zur Gesamtaufnahme - volume:133 |
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Enthalten in: |
European annals of otorhinolaryngology, head and neck diseases - 133(2016), 5 vom: 05. Nov., Seite 301-305 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Nguyen, D T [VerfasserIn] |
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Links: |
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Themen: |
DyNaChron questionnaire |
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Anmerkungen: |
Date Completed 07.08.2017 Date Revised 07.08.2017 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1016/j.anorl.2016.04.007 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM260355127 |
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520 | |a Copyright © 2016. Published by Elsevier Masson SAS. | ||
520 | |a 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 | ||
520 | |a 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) | ||
520 | |a 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 | ||
520 | |a 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 | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a DyNaChron questionnaire | |
650 | 4 | |a Facial pain | |
650 | 4 | |a Headache | |
650 | 4 | |a Nasal polyposis | |
650 | 4 | |a Nasalization | |
650 | 4 | |a Quality of life | |
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700 | 1 | |a Gallet, P |e verfasserin |4 aut | |
700 | 1 | |a Nguyen-Thi, P-L |e verfasserin |4 aut | |
700 | 1 | |a Jankowski, R |e verfasserin |4 aut | |
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