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<p>Although TORS is increasingly being used in head and neck surgery, the literature on effective post-TORS pain control is limited. We aim to establish postoperative pain levels in our cohort and to determine the efficacy and cost-effectiveness of our regime. Retrospective cohort study including a series of 28 patients, operated for oropharyngeal cancer. The pain was patient-evaluated two-hourly, using the local trust-approved pain scale (0-3). All patients received our post-TORS analgesia regime consisting of oral paracetamol, ibuprofen, MST and 3 doses of dexamethasone post-operatively. Rescue medication consisted of oral morphine. The pain was most severe on the day of surgery but improved remarkably the next day. The differences in pain level between the variations of TORS procedures was not statistically significant (<i>p</i>=0.811). The average LOS was 3.36 days. There was a weak positive but not significant correlation (<i>r</i>=0.057) between pain intensity and LOS (<i>p</i>=0.775). Our protocol cost £8.40 per day. Our analgesia protocol is simple, effective and cheap.</p>

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An Effective and Affordable Analgesia Protocol After TORS

  • 期刊论文

  • 发表日期：

    2026年6月22日

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  • Maria Kiakou,
  • Billy L. K. Wong,
  • Mark Puvanendran

摘要

Although TORS is increasingly being used in head and neck surgery, the literature on effective post-TORS pain control is limited. We aim to establish postoperative pain levels in our cohort and to determine the efficacy and cost-effectiveness of our regime. Retrospective cohort study including a series of 28 patients, operated for oropharyngeal cancer. The pain was patient-evaluated two-hourly, using the local trust-approved pain scale (0-3). All patients received our post-TORS analgesia regime consisting of oral paracetamol, ibuprofen, MST and 3 doses of dexamethasone post-operatively. Rescue medication consisted of oral morphine. The pain was most severe on the day of surgery but improved remarkably the next day. The differences in pain level between the variations of TORS procedures was not statistically significant (p=0.811). The average LOS was 3.36 days. There was a weak positive but not significant correlation (r=0.057) between pain intensity and LOS (p=0.775). Our protocol cost £8.40 per day. Our analgesia protocol is simple, effective and cheap.