Non-pharmacological treatment of post-tonsillectomy pain - 19/08/14
, C. Wood bBienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
Tonsillectomy is a very frequent procedure, particularly subject to postoperative pain that is considered long lasting and intense. Regulatory changes in the analgesic armamentarium, especially in children, are making the management of post-tonsillectomy pain more difficult. The present article provides an update on non-medical treatments that can be associated to classical analgesia.
Materials and methods |
A literature review of all studies of non-medical management in tonsillectomy and postoperative analgesia, without restrictions of date, was performed on the Pubmed and Embase databases.
Results |
The treatment modalities described in the 24 selected studies could be categorized as behavioral, local, acupuncture and general.
Conclusion |
Although most studies reported benefit in terms of post-tonsillectomy pain, the small number of studies per category precluded recommendations for current practice. It nevertheless seems useful to consider and assess these techniques, to determine whether they have a role to play in the post-tonsillectomy analgesic armamentarium.
Le texte complet de cet article est disponible en PDF.Keywords : Tonsillectomy, Pain, Non-medical treatment, Behavioral therapy, Local care, Acupuncture
Plan
Vol 131 - N° 4
P. 239-241 - septembre 2014 Retour au numéro
Article précédent
- How to replace codeine after tonsillectomy in children under 12 years of age? Guidelines of the French Oto-Rhino-Laryngology – Head and Neck Surgery Society (SFORL)
- I. Constant, S. Ayari Khalfallah, A. Brunaud, V. Deramoudt, P. Fayoux, A. Giovanni, C. Mareau, R. Marianowski, J. Michel, M. Mondain, A. Paganelli, S. Pondaven, P. Schultz, J.M. Treluyer, C. Wood, R. Nicolas, SFORL work group
- Management of somatic pain induced by head-and-neck cancer treatment: Definition and assessment. Guidelines of the French Oto-Rhino-Laryngology- Head and Neck Surgery Society (SFORL)
- SFORL work group, M. Binczak, M. Navez, C. Perrichon, D. Blanchard, M. Bollet, P. Calmels, C. Couturaud, C. Dreyer, F. Espitalier, S. Testelin, S. Albert, S. Morinière
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