scholarly journals CUIDADOS DE ENFERMAGEM AO PACIENTE ONCOLÓGICO EM PÓS-OPERATÓRIO DE CIRURGIA DE CABEÇA E PESCOÇO

2018 ◽  
Vol 7 (1) ◽  
pp. 249-262
Author(s):  
Arieli Cancelier Niero ◽  
Maria Salete Salvaro ◽  
Neiva Junkes Hoepers ◽  
Paula Ioppi Zugno
Keyword(s):  
Head And Neck ◽  
Nursing Care ◽  
Pain Control ◽  
Well Being ◽  
Neck Surgery ◽  
Specialized Knowledge ◽  
Cancer Nursing ◽  
Surgical Recovery ◽  
Specific Care

As neoplasias malignas em cabeça e pescoço, como o câncer na cavidade bucal, fossa nasal, glândula tireoide e laringe, necessitam de cuidados especiais. Pode-se considerar a enfermagem como uma área importante da oncologia, auxiliando nas atividades preventivas, bem como no processo de tratamento curativo e paliativo do paciente. Desta forma o enfermeiro necessita de conhecimento especializado e habilidades específicas para desenvolver as atividades relacionadas a esta área. O presente trabalho buscou identificar os cuidados de enfermagem necessários aos pacientes oncológicos submetidos às cirurgias de cabeça e pescoço a fim de proporcionar uma adequada recuperação dos pacientes em pós-operatório. Os resultados obtidos referentes às falas dos entrevistados mostram que os profissionais possuem conhecimento acerca dos cuidados prestados aos pacientes, visto que estes estão diretamente relacionados ao bem estar, como a realização do curativo diário, desobstrução de vias aéreas e controle da dor. Por fim, conclui-se que os cuidados de enfermagem corretamente prestados aos pacientes em pós-operatório de cirurgia de cabeça e pescoço são essenciais para a qualidade da assistência e para uma efetiva recuperação pós-cirúrgica. Sendo assim, o enfermeiro deve se fazer presente como um profissional de referência por meio do conhecimento técnico, prático e científico garantindo a assistência adequada aos cuidados específicos que tal complexidade exige e a recuperação do paciente.Palavras-chave: Câncer. Enfermagem. Cuidados. Cabeça e pescoço. ABSTRACT: The head and neck malignancies, such as cancer in the oral cavity, nostril, thyroid gland and larynx, require special care. One can consider nursing as an important area of Oncology, assisting in preventive activities, as well as in the process of curative treatment and palliation. In this way the nurse requires specialized knowledge and specific skills to develop activities related to this area. The present study sought to identify the required nursing care to cancer patients subjected to the head and neck surgeries in order to provide an adequate recovery of postoperative patients. The results obtained regarding lines of respondents show that the professionals have knowledge of care to patients, as they are directly related to the well-being, as the realization of the curative daily, clearing Airways and pain control. Finally, it is concluded that the nursing care provided to patients correctly in postoperative period of head and neck surgery are essential to the quality of care and to an effective post-surgical recovery. Therefore, the nurse should do this as a professional reference through the technical, practical and scientific knowledge by ensuring the appropriate assistance to the specific care that such complexity requires and the patient's recovery.Keywords: Cancer. Nursing. Care. Head and neck.

Predictors of Quality‐of‐Life Improvements Following Global Head and Neck Surgery Trips to Underserved Regions

2021 ◽  
Author(s):  
Bharat A. Panuganti ◽  
Aria Jafari ◽  
Sarek Shen ◽  
Jesse R. Qualliotine ◽  
Elizabeth A. Schueth ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Head And Neck ◽  
Neck Surgery ◽  
Head And Neck Surgery

scholarly journals Marginal mandibular nerve — a wandering enigma and ways to tackle it

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Adarsh Kudva ◽  
Kiruthika Babu ◽  
Mehul Saha ◽  
Smriti Puri ◽  
Lakshmi Pandey ◽  
...  
Keyword(s):  
Head And Neck ◽  
Neck Surgery ◽  
Mandibular Nerve ◽  
Surgical Approaches ◽  
Main Body ◽  
Branching Pattern ◽  
Marginal Mandibular Nerve ◽  
Critical Measure ◽  
Quality Of Surgery

Abstract Background This study aims to propose surgical approaches intended to localize and preserve the marginal mandibular nerve (MMN) during routinely performed head and neck surgical procedures. Main body of abstract Preservation of the functional integrity of the MMN is a critical measure in the success of orofacial surgeries involving the submandibular triangle. This study systematically reviews the anatomical description of the nerve including origin, course relative to fascial planes, relation to the parotid gland and facial pedicle, branching pattern and anastomosis of nerve and consolidate the findings of several significant studies to determine the “surgically safe” approaches to avoid iatrogenic injury to MMN. Short conclusion The systematic approaches described in this study have helped the authors precisely determine which particular MMN preserving approach to be adopted for each aspect of head and neck surgery. This has definitely enhanced the quality of surgery performed and the postoperative satisfaction of the patients.

scholarly journals Efeito dos gabapentinoides no controle da dor pós-operatória em pacientes submetidos à cirurgia de cabeça e pescoço / Effect of gabapentinoids on postoperative pain control in patients undergoing head and neck surgery

2021 ◽  
Vol 4 (2) ◽  
pp. 5170-5181
Author(s):  
Mirlane Guimaraes de Melo Cardoso ◽  
José Eduardo Martins Adorno ◽  
Hugo Arão Costa Brasil Filho ◽  
Mewryane Câmara Brandão Ramos ◽  
Ivandete Coelho Pereira Pimentel ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Head And Neck ◽  
Pain Control ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Postoperative Pain Control

Quality of Life Assessment in Patients Undergoing Head and Neck Surgery As Evaluated by Lay Caregivers

1999 ◽  
Vol 109 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Daniel G. Deschler ◽  
Kathleen A. Walsh ◽  
Stephanie Friedman ◽  
Richard E. Hayden
Keyword(s):  
Quality Of Life ◽  
Head And Neck ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Life Assessment ◽  
Quality Of Life Assessment

Multimodal Analgesia Protocol after Head and Neck Surgery: Effect on Opioid Use and Pain Control

2019 ◽  
Vol 161 (3) ◽  
pp. 424-430 ◽  
Author(s):  
Eugenie Du ◽  
Zainab Farzal ◽  
Elizabeth Stephenson ◽  
April Tanner ◽  
Katherine Adams ◽  
...  
Keyword(s):  
Head And Neck ◽  
Pain Control ◽  
Neck Surgery ◽  
Multimodal Analgesia ◽  
Quality Improvement Initiative ◽  
Opioid Use ◽  
Protocol Implementation ◽  
Pain Scores ◽  
Before And After ◽  
Average Pain

Objective To assess the effect that implementation of a multimodal analgesic plan has on opioid requirements and pain control in head and neck (H&N) surgery patients. Study Design Prospective cohort. Setting Tertiary academic hospital. Subjects and Methods An institutional review board (IRB)–approved quality improvement initiative was undertaken to implement a multimodal analgesic protocol for all admitted H&N surgery patients starting November 2017. Postprotocol data from January to May 2018 were compared to preprotocol data from May to October 2017. Data were obtained from the electronic health records as well as through preoperative and postoperative surveys. Average pain scores and opioid use in morphine milligram equivalents (MMEs) before and after protocol implementation were compared. Results In total, 139 postprotocol patients were compared to 89 preprotocol patients. The adjusted MMEs in the first 24 hours after surgery decreased significantly from 93.7 mg to 58.6 mg ( P = .026) with protocol implementation. When averaged over the length of stay (MME/hospital day), the change was no longer statistically significant (57.9 vs 46.8 mg, P = .211). The average pain score immediately after surgery and on day of discharge did not change with protocol implementation. Conclusion Implementation of a multimodal analgesia plan reduced opioid use immediately after surgery but not over the course of hospitalization without any change in reported pain scores. This study shows that multimodal opioid-sparing analgesia after H&N surgery is feasible. Future studies are needed further refine the optimal analgesic strategy for H&N patients and assess the long-term efficacy, safety, and cost of such regimens.

Advances in regenerative medicine for otolaryngology/head and neck surgery

BMJ ◽  
2020 ◽  
pp. m718
Author(s):  
Michael J McPhail ◽  
Jeffrey R Janus ◽  
David G Lott
Keyword(s):  
Regenerative Medicine ◽  
Head And Neck ◽  
Vocal Communication ◽  
Sense Of Self ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Current Standard ◽  
Vital Functions ◽  
Neck Disorders

ABSTRACT Head and neck structures govern the vital functions of breathing and swallowing. Additionally, these structures facilitate our sense of self through vocal communication, hearing, facial animation, and physical appearance. Loss of these functions can lead to loss of life or greatly affect quality of life. Regenerative medicine is a rapidly developing field that aims to repair or replace damaged cells, tissues, and organs. Although the field is largely in its nascence, regenerative medicine holds promise for improving on conventional treatments for head and neck disorders or providing therapies where no current standard exists. This review presents milestones in the research of regenerative medicine in head and neck surgery.

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