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Characterization of pain after tympanoplasty and tympanomastoidectomy and analysis of risk factors. A prospective cohort study

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

To characterize postoperative pain after tympanoplasty and tympanomastoidectomy and correlate between pain severity and various technical aspects of the surgery.

Methods

We carried out a prospective cohort study of patients undergoing ear surgery in a tertiary referral center between 7/2018 and 7/2019. Patients filled in a pain questionnaire and scored pain intensity on a visual analog scale preoperatively and on postoperative days (POD) 1–4, 21, and 49. The responses were correlated with clinical and operative data, including surgical technique-related details.

Results

Sixty-two patients participated in the study (27 males and 35 females, average age 41.1 ± 20.02 years [range 18–68]). The median preoperative VAS was 5, followed by 6 on POD1, 5 on POD3, and 1 at 3 and 9 weeks. The preoperative questionnaire score normalized to 10 was 4.5 (32/70), 5.1 on POD1, 4.7 on POD3, 0.85 at 3 weeks and 0.85 at 9 weeks. The predictive factors for increased postoperative pain were younger age, the presence of a comorbidity, revision surgery, preoperative dizziness or tinnitus and postoperative tinnitus. The predictive factors for decreased pain were smoking and the addition of a mastoidectomy. None of the factors related to the surgical technique (e.g., surgical approaches, type of reconstruction, specific surgeon) significantly affected the questionnaire responses or the pain VAS intensity scores.

Conclusions

We demonstrated that younger age, the presence of a comorbidity, revision surgery, preoperative dizziness or tinnitus and postoperative tinnitus were predictors of increased pain after tympanoplasty and tympanomastoidectomy, while the inclusion of a mastoidectomy was a predictor of decreased pain.

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Funding

None to declare.

Author information

Author notes

  1. Narin Nard Carmel Neiderman and Mor Frisch have contributed equally to the manuscript.

Authors and Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, Tel Aviv Sourasky Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Narin Nard Carmel Neiderman, Mor Frisch, Ophir Handzel, Omer J. Ungar, Yahav Oron & Oren Cavel

  2. Department of Otolaryngology, Head and Neck Surgery, Queen Fabiola Children University Hospital (HUDERF), Université Libre de Bruxelles, Brussels, Belgium

    Oren Cavel

Authors
  1. Narin Nard Carmel Neiderman
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  2. Mor Frisch
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  3. Ophir Handzel
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  4. Omer J. Ungar
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  5. Yahav Oron
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  6. Oren Cavel
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Corresponding author

Correspondence to Oren Cavel.

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Study was performed in accordance with the ethical standards, approved by the institutional ethics committee and informed consent was achieved from all subjects.

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Cite this article

Carmel Neiderman, N.N., Frisch, M., Handzel, O. et al. Characterization of pain after tympanoplasty and tympanomastoidectomy and analysis of risk factors. A prospective cohort study. Eur Arch Otorhinolaryngol 279, 1765–1775 (2022). https://doi.org/10.1007/s00405-021-06845-y

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  • DOI: https://doi.org/10.1007/s00405-021-06845-y

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