Postoperative Pain Treatment With Continuous Local Anesthetic Wound Infusion in Patients With Head and Neck Cancer

2021 ◽  
Author(s):  
Magdalena Gostian ◽  
Johannes Loeser ◽  
Carola Albert ◽  
Philipp Wolber ◽  
David Schwarz ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Postoperative Pain ◽  
Head And Neck ◽  
Neck Cancer ◽  
Local Anesthetic ◽  
Pain Treatment ◽  
Postoperative Pain Treatment

scholarly journals Efficacy of postoperative pain management in head and neck cancer patients

2018 ◽  
Vol 47 (1) ◽  
Author(s):  
Ashley Hinther ◽  
Steven C. Nakoneshny ◽  
Shamir P. Chandarana ◽  
T. Wayne Matthews ◽  
Joseph C. Dort
Keyword(s):  
Head And Neck Cancer ◽  
Pain Management ◽  
Postoperative Pain ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Postoperative Pain Management

Prevalence of pain in head and neck cancer out-patients

2010 ◽  
Vol 124 (7) ◽  
pp. 767-773 ◽  
Author(s):  
J E Williams ◽  
J T C Yen ◽  
G Parker ◽  
S Chapman ◽  
S Kandikattu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Pain Treatment ◽  
Breakthrough Pain ◽  
Treatment Protocol ◽  
Specific Risk ◽  
Study Population ◽  
Prevalence Of Pain

AbstractBackground:This study aimed to determine the prevalence of pain, and the adequacy of its treatment, amongst patients with head and neck cancer, and to determine whether specific groups could be identified as being at risk of pain.Methods:Consecutive patients attending head and neck oncology out-patient services were surveyed.Results:The prevalence of pain was 34 per cent, lower than that found in systematic reviews. No specific risk factors for pain were identified. Particular pain problems in this population comprised a high incidence of neuropathic pain, breakthrough pain and pain of non-malignant origin.Conclusion:The prevalence of unrelieved pain was high in this study population, although no specific risk factors were found. A further study is planned to determine the effect of using a routine screening tool and an immediate pain treatment protocol in this group of patients.

Head and Neck Cancer Pain

2018 ◽  
Author(s):  
Esther Caballero-Manrique ◽  
Carlos A. Pino
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Central Sensitization ◽  
Radiation Treatment ◽  
Pain Treatment ◽  
Mass Effect ◽  
The United States ◽  
Treatment Modalities ◽  
Experience Pain

In the United States, there are 48,000 new cases of head and neck cancer (HNC) annually. Although HNC used to be associated mainly with smoking and drinking, it is now found in many nonsmokers and nondrinkers in their 50s due to the spread of HPV. Pain is typically present at the time of diagnosis. Treatment usually includes radiation, chemotherapy, and/or surgery, which address the mass effect and pain. Yet, patients continue to experience pain during and after treatment, because the treatment modalities can cause significant inflammation and neuropathy and can lead to central sensitization. Painful mucositis is a complication of chemotherapy and radiation treatment; it can become severe, impacting patients’ ability to speak and eat, and sometimes limiting treatment. Pain treatment for HNC is multimodal, and includes preemptive approaches to prevent neuropathy and central sensitization with antiepileptics, such as gabapentin and pregabalin. Mucositis pain is treated using a stepwise protocol.

scholarly journals Postoperative pain relief with a PCA pump system for patients with head and neck cancer

2003 ◽  
Vol 49 (4) ◽  
pp. 252-256
Author(s):  
Hidetaka YOKOE ◽  
Keisuke TASHIRO ◽  
Toshihide WATANABE ◽  
Katsunori OGAWARA ◽  
Katsuhiro UZAWA ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Postoperative Pain ◽  
Pain Relief ◽  
Head And Neck ◽  
Neck Cancer ◽  
Postoperative Pain Relief ◽  
Pump System

Longitudinal Perioperative Pain Assessment in Head and Neck Cancer Surgery

2017 ◽  
Vol 126 (9) ◽  
pp. 646-653 ◽  
Author(s):  
Marisa R. Buchakjian ◽  
Andrew B. Davis ◽  
Sebastian J. Sciegienka ◽  
Nitin A. Pagedar ◽  
Steven M. Sperry
Keyword(s):  
Neuropathic Pain ◽  
Head And Neck Cancer ◽  
Postoperative Pain ◽  
Head And Neck ◽  
Neck Cancer ◽  
Pain Assessment ◽  
Preoperative Pain ◽  
Pain Diary ◽  
Perioperative Pain ◽  
Pain Scores

Objective: To evaluate perioperative pain in patients undergoing major head and neck cancer surgery and identify associations between preoperative and postoperative pain characteristics. Methods: Patients undergoing head and neck surgery with regional/free tissue transfer were enrolled. Preoperative pain and validated screens for symptoms (neuropathic pain, anxiety, depression, fibromyalgia) were assessed. Postoperatively, patients completed a pain diary for 4 weeks. Results: Twenty-seven patients were enrolled. Seventy-eight percent had pain prior to surgery, and for 38%, the pain had neuropathic characteristics. Thirteen patients (48%) completed at least 2 weeks of the postoperative pain diary. Patients with moderate/severe preoperative pain report significantly greater pain scores postoperatively, though daily pain decreased at a similar linear rate for all patients. Patients with more severe preoperative pain consumed greater amounts of opioids postoperatively, and this correlated with daily postoperative pain scores. Patients who screened positive for neuropathic pain also reported worse postoperative pain. Conclusion: Longitudinal perioperative pain assessment in head and neck patients undergoing surgery suggests that patients with worse preoperative pain continue to endorse worse pain postoperatively and require more narcotics. Patients with preoperative neuropathic pain also report poor pain control postoperatively, suggesting an opportunity to identify these patients and intervene with empiric neuropathic pain treatment.

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