Dynamic pain after laser‐assisted‐Uvulo‐palatoplasty (LAUP) can instantaneously be mitigated by topical regimens

Li, Lieber P.H.; Lee, Shan S.; Chuang, Ann Yi-Chiun; Niddam, David M.; Tung, Tao Hsin; Chen, Joshua K.C.

doi:10.1002/lsm.21122

Cited by 3 publications

(8 citation statements)

References 14 publications

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“…Regions of “sweet spots” could always be easily identified just lateral to the junction of the medial and lateral halves of the surgically reconstructed soft palate (ie, the superior-lateral corner of the surgical wounds) with a length of five to eight millimeters and a bilateral symmetrical distribution (Figure 1). 6 The “sweet spot” area generally occupied one-fourth to one-third of the surgical wounds.…”

Section: Resultsmentioning

confidence: 99%

“…Local treatment (Figure 2) : 6 Local treatment with triamcinolone was applied to the regions of “sweet spots” within the surgical wounds on the first day postoperatively. “Sweet spots” were easily located over superior-lateral corners of the surgical wounds with a bilateral symmetrical distribution.…”

Section: Methodsmentioning

confidence: 99%

“…“Sweet spots” were easily located over superior-lateral corners of the surgical wounds with a bilateral symmetrical distribution. 6 Before each treatment, a clean and dry cotton swab was used to clear saliva from the wound so that the triamcinolone could easily be applied. 8 The side with the most painful sensation was treated first.…”

Section: Methodsmentioning

confidence: 99%

“…We previously verified that dynamic pain after laser-assisted-uvulo-palatoplasty (LAUP) could immediately be effectively mitigated by local treatment with topical triamcinolone, an innocuous and readily available/affordable compound, on the “sweet spots” of the wounds. 6 Sweet spots can easily be located over superior-lateral corners of the surgical wounds with a bilateral symmetrical distribution. 6 It is therefore reasonable to infer that the feasibility of local treatments on regions of “sweet spots” can also be expected in other oropharyngeal surgeries for the management of snoring/OSAS, since wounds for these procedures (ie, LAUP, tonsillectomy, and UPPP) share a similar vicinity in terms of the distribution of nerve endings.…”

Section: Introductionmentioning

confidence: 99%

“…6 Sweet spots can easily be located over superior-lateral corners of the surgical wounds with a bilateral symmetrical distribution. 6 It is therefore reasonable to infer that the feasibility of local treatments on regions of “sweet spots” can also be expected in other oropharyngeal surgeries for the management of snoring/OSAS, since wounds for these procedures (ie, LAUP, tonsillectomy, and UPPP) share a similar vicinity in terms of the distribution of nerve endings. However, few studies have investigated this issue, and the effectiveness of local treatment of regions of “sweet spots” in patients undergoing tonsillectomy/UPPP remains unclear.…”

Section: Introductionmentioning

confidence: 99%

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Topical Triamcinolone on “Sweet Spots” to Block Dynamic Pain after Tonsillectomy and Uvulo-Palato-Pharyngo-Plasty

Chen

Niddam

Tung

et al. 2020

Ann Otol Rhinol Laryngol

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Objectives: Severe pain on swallowing (or dynamic pain) has long been a problem in patients receiving tonsillectomy and uvulopalatopharyngoplasty for the treatment of obstructive sleep apnea syndrome and/or snoring. We have previously verified that dynamic pain after laser-assisted uvulopalatoplasty could immediately be mitigated by local treatments with topical triamcinolone on the “sweet spots” of the wounds. This study aimed to assess the efficacy of applying triamcinolone on “sweet spot” in surgical incisions instead of whole surgical wounds to alleviate dynamic pain of some oropharyngeal surgeries such as tonsillectomy and uvulopalatopharyngoplasty. Methods: This study is a retrospective case series based on chart review of the participants. Forty-five subjects (31 males; 12~68 years, mean 34 years) with obstructive sleep apnea syndrome and/or snoring treated with tonsillectomy or uvulopalatopharyngoplasty were studied. Local treatments were done to sweet spots with triamcinolone on the 1st, 2nd, 3rd, and 7th days after the surgery. Evaluation of dynamic pain relief was performed by using a visual analogous scale. Results: Sweet spots treatment led to instantaneous reduction of dynamic pain. The average improvement level was ≥72% ( P ≤ .002). No gender effect was noted. Conclusion: Dynamic pain after tonsillectomy and uvulopalatopharyngoplasty could immediately be mitigated by local treatments upon sweet spots. Local treatments upon sweet spots were highly suggested to begin early post-operatively and be included in the take-home routines for patients receiving tonsillectomy and uvulopalatopharyngoplasty.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%