title: Management of somatic pain induced by treatment of head and neck cancer: Postoperative pain. Guidelines of the French Oto-Rhino-Laryngology--Head and Neck Surgery Society (SFORL).
abstract: OBJECTIVE
  To present the guidelines of the French Oto-Rhino-Laryngology--Head and Neck Surgery Society (SFORL) concerning the management of somatic pain induced by the treatment of head and neck cancer, and in particular the management of early and late post-surgical pain.
  
  
  METHODS
  A multidisciplinary work group conducted a review of the scientific literature on the study topic. An editorial group subsequently read the resulting guidelines before validation.
  
  
  RESULTS
  It is recommended to prevent onset of pain caused by malpositioning on the operating table, as well as pain related to postoperative care. During surgery, it is recommended to spare nerve and muscle structures as far as possible to limit painful sequelae. Management of early postoperative pain upon tumor resection and flap harvesting sites requires patient-controlled analgesia by morphine pump. Physical therapy is recommended after flap harvesting to minimize painful sequelae.
  
  
  CONCLUSIONS
  Preventive and curative measures should be undertaken for appropriate management of post-surgical pain in the treatment of head and neck cancers.
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, hôpital Hôtel-Dieu, CHU, 1, place Alexis-Ricordeau, 44093 Nantes cedex, France. Electronic address: florent.espitalier@chu-nantes.fr.
authors.forename: F
authors.initials: F
authors.lastname: Espitalier
authors.affiliation: Service de chirurgie maxillo-faciale, CHU, place Victor-Pauchet, 80054 Amiens cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Testelin
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, centre François-Baclesse - centre de lutte contre le cancer Basse-Normandie, 3, avenue Général-Harris, BP 5026, 14076 Caen cedex 05, France.
authors.forename: D
authors.initials: D
authors.lastname: Blanchard
authors.affiliation: Service d'anesthésie, institut Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif, France.
authors.forename: M
authors.initials: M
authors.lastname: Binczak
authors.affiliation: Oncologie-radiothérapie, centre de radiothérapie Hartmann, 4, rue Kléber, 92300 Levallois-Perret, France.
authors.forename: M
authors.initials: M
authors.lastname: Bollet
authors.affiliation: Service de médecine physique et de réadaptation, hôpital de Bellevue, CHU, 42055 Saint-Étienne cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Calmels
authors.affiliation: Service de chirurgie maxillo-faciale, CHU Nord, place Victor-Pauchet, 80054 Amiens cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Couturaud
authors.affiliation: Service de cancérologie, hôpital Beaujon, 100, boulevard du Général-Leclerc, 92110 Clichy, France.
authors.forename: C
authors.initials: C
authors.lastname: Dreyer
authors.affiliation: Département d'anesthésie-réanimation, CHU de Saint-Étienne, 42055 Saint-Étienne cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Navez
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, CHU Bretonneau, 2, boulevard Tonnellé, 37000 Tours, France.
authors.forename: C
authors.initials: C
authors.lastname: Perrichon
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, hôpital Bretonneau, CHU, 2, boulevard Tonnellé, 37044 Tours cedex 9, France.
authors.forename: S
authors.initials: S
authors.lastname: Morinière
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, groupe hospitalier Bichat - Claude-Bernard, 46, rue Henri-Huchard, 75877 Paris cedex 18, France.
authors.forename: S
authors.initials: S
authors.lastname: Albert
mesh_terms: D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D059226:Nociceptive Pain / Q000628:therapy*; D059408:Pain Management / Q000592:standards*; D010149:Postoperative Pain / Q000628:therapy*
keywords: Analgesia; Flap; Head and neck cancer; Neck dissection; Pain; Physical therapy; Surgical treatment