Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai New York, New York, New York, USA.
Otolaryngol Head Neck Surg. 2024 Dec;171(6):1617-1627. doi: 10.1002/ohn.871. Epub 2024 Jun 21.
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.
OVID Medline, CINAHL, Cochrane, Pubmed, and Embase databases were queried.
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.
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.
Prospective studies are needed to characterize and address TORS-related pain.
经口机器人手术（TORS）后的疼痛是不良结果的驱动因素，并可能导致再次入院和治疗延迟。本研究进行了范围综述，以描述 TORS 相关疼痛，并确定文献中使用的关键管理策略。
在 OVID Medline、CINAHL、Cochrane、Pubmed 和 Embase 数据库中进行了查询。
两名团队成员独立筛选标题和摘要，并完成全文审查。纳入了研究 TORS 治疗 OPSCC 并具有定量疼痛数据的研究。本研究遵循 PRISMA 指南。
共导入 1467 项研究进行筛选，最终纳入 25 项研究。平均研究样本量为 89 名参与者。68%的研究在单一中心学术环境中进行。使用 13 种不同的指标在不同时间点评估疼痛，时间长达 3 年。疼痛在术后数天至数周达到峰值，此后恢复到基线。术后疼痛是发病率的一个重要原因，关于最佳管理的数据有限。
需要前瞻性研究来描述和解决 TORS 相关疼痛。
