Evidence map›Paper›PMID 28293792›Full record

ArticleClinical oral investigations2018

Bilateral sagittal split osteotomy-parameters and correlations of postoperative pain management.

Gregor F Raschke, Winfried Meissner, Andre Peisker, Gabriel Djedovic, Ulrich Rieger, Arndt Guentsch, Marta Gomez Dammeier, Stefan Schultze-Mosgau

2 registry-linked trialsAbstract readClinical Study
PubMed Publisher
In one paragraph

Article in Clinical oral investigations, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04442009 nawithdrawnnot on this mapstarted 2020, after this paper: background citation

Ultrasound-guided Superficial Cervical Plexus Block for Pain Management After Orthognathic Surgery.

TypeinterventionalSponsorMedipol UniversityRan2020 to 2022Enrolled0ConditionsMaxillofacial Injuries, Maxillofacial Trauma, Maxillofacial Abnormalities, Maxillofacial DysostosisArmsGroup SCPB
NCT04794504 phase2unknown statusnot on this mapstarted 2021, after this paper: background citation

Botulinum Toxin Type A Injected Into the Temporalis and Masseter Before Orthognathic Surgery to Improve Postoperative Pain

TypeinterventionalSponsorKingsway Oral & Maxillofacial SurgeryRan2021 to 2026Enrolled64ConditionsPain, PostoperativeArmsBotox 100 UNT Injection, 0.9% Saline Injection
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Gregor F RaschkeDepartment of Cranio-Maxillofacial & Plastic Surgery, Friedrich Schiller University Jena, Erlanger Allee 101, 07747, Jena, Germany. raschke.gregor@googlemail.com.
Winfried MeissnerDepartment of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University Jena, Erlanger Allee 101, 07747, Jena, Germany.
Andre PeiskerDepartment of Cranio-Maxillofacial & Plastic Surgery, Friedrich Schiller University Jena, Erlanger Allee 101, 07747, Jena, Germany.
Gabriel DjedovicDepartment of Plastic & Aesthetic, Reconstructive and Hand Surgery, St. Markus Hospital, Johann Wolfgang von Goethe University, Frankfurt/Main, Germany.
Ulrich RiegerDepartment of Plastic & Aesthetic, Reconstructive and Hand Surgery, St. Markus Hospital, Johann Wolfgang von Goethe University, Frankfurt/Main, Germany.
Arndt GuentschMarquette University School of Dentistry, Milwaukee, WI, USA.
Marta Gomez DammeierDepartment of Cranio-Maxillofacial & Plastic Surgery, Friedrich Schiller University Jena, Erlanger Allee 101, 07747, Jena, Germany.
Stefan Schultze-MosgauDepartment of Cranio-Maxillofacial & Plastic Surgery, Friedrich Schiller University Jena, Erlanger Allee 101, 07747, Jena, Germany.
Friedrich Schiller University Jena · DEAgaplesion Markus Hospital · DEGoethe University Frankfurt · DEMarquette University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPostoperative pain management is of utmost interest for patients undergoing orthognathic surgery. Currently, there is a lack of information regarding process and outcome parameters of postoperative pain management after bilateral sagittal split osteotomy. MATERIALS AND

methodsIn a prospective clinical study, 31 adults were evaluated on the first postoperative day following bilateral sagittal split osteotomy using the standardized questionnaire of the Germany-wide project Quality Improvement in Postoperative Pain Management (QUIPS). It allows a standardized assessment of patients' characteristics, pain parameters, outcome, and pain therapy process parameters.

resultsPain management consisted mainly of premedication with midazolam, sufentanil, and metamizol intraoperatively; piritramide in the recovery room; and metamizol and tramadol on ward. Twenty patients (64.5%) showed inadequate pain management with pain levels ≥4. Patients receiving tramadol as opioid on ward presented significantly higher maximum pain levels (p = .037). Significantly lower satisfaction with postoperative pain intensity (p > .001) and significantly higher desire for additional pain medication (p = .023) were detected, when duration of surgery was above the median of 107.5 min.

conclusionsInadequate pain management on the first postoperative day following bilateral sagittal split osteotomy was widespread on our ward. QUIPS helped us to identify it and thereby gave us the possibility to improve the situation. Prolonged duration of surgery seems to be a predictor of an elevated postoperative pain medication demand. CLINICAL RELEVANCE: Only the establishment of an ongoing monitoring of postoperative pain management can help to reduce or even avoid inadequate postoperative pain management. In accordance to the existing literature, we found inadequate postoperative pain management more widespread than thought.

Indexed as

Osteotomy, Sagittal Split RamusAdultAnalgesicsFemaleHumansMaleMalocclusion, Angle Class IIMalocclusion, Angle Class IIIPain ManagementPain MeasurementPatient SatisfactionPostoperative PainPremedicationProspective StudiesAnalgesicsBilateral sagittal split osteotomyOrthognathic surgeryPostoperative pain

Identifiers

PMID28293792
OpenAlexW2596453034

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.