title: Assessment of facial pain and headache before and after nasal polyposis surgery with the DyNaChron questionnaire.
abstract: OBJECTIVE
  Facial pain/headache is reported in 16-67% of nasal polyposis (NP) patients. This wide range may be due to differences in assessment methods. The present prospective study assessed facial pain/headache and quality-of-life (QoL) impact before and after NP surgery.
  
  
  METHODS
  Pain was assessed on the DyNaChron self-administered questionnaire in patients undergoing NP surgery, the day before the procedure (V0) and 6 weeks (V1) and 7 months (V2) after. All patients underwent the same nasalization procedure, sparing the middle turbinates when possible. The questionnaire extract comprised 1 item assessing pain, 13 assessing physical impact and 4 assessing psychosocial impact, with responses on visual analog scales (VAS) graded 0 (no discomfort) to 10 (unbearable discomfort).
  
  
  RESULTS
  Sixty-three patients (mean age: 50.6±12.8 years; 32 male [50.8%], 31 female [49.2%]) were included. Thirty-seven patients (58.7%) had history of NP surgery. Fifty-two percent reported moderate to severe pain before surgery, 17.5% at 6 weeks, and 22.2% at 7 months. One-third reported no pain preoperatively, versus a half at 6 weeks and 7 months. Scores for the physical and psychosocial impact of pain were improved after surgery.
  
  
  CONCLUSIONS
  Headache/facial pain is frequent in patients for whom NP surgery is indicated. Endoscopic surgery relieves the symptom and its physical and psychosocial impacts. However, one-fifth of patients reported residual postoperative pain.
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, CHRU de Nancy, hôpitaux de Brabois, bâtiment Louis-Mathieu, rue du Morvan, 54500 Vandoeuvre-les-Nancy, France. Electronic address: dt.nguyen@chru-nancy.fr.
authors.forename: D T
authors.initials: DT
authors.lastname: Nguyen
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, CHRU de Nancy, hôpitaux de Brabois, bâtiment Louis-Mathieu, rue du Morvan, 54500 Vandoeuvre-les-Nancy, France.
authors.forename: M
authors.initials: M
authors.lastname: Felix-Ravelo
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, CHRU de Nancy, hôpitaux de Brabois, bâtiment Louis-Mathieu, rue du Morvan, 54500 Vandoeuvre-les-Nancy, France.
authors.forename: M-H
authors.initials: MH
authors.lastname: Sonnet
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, CHRU de Nancy, hôpitaux de Brabois, bâtiment Louis-Mathieu, rue du Morvan, 54500 Vandoeuvre-les-Nancy, France.
authors.forename: C
authors.initials: C
authors.lastname: Rumeau
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, CHRU de Nancy, hôpitaux de Brabois, bâtiment Louis-Mathieu, rue du Morvan, 54500 Vandoeuvre-les-Nancy, France.
authors.forename: P
authors.initials: P
authors.lastname: Gallet
authors.affiliation: Service d'épidémiologie et évaluation cliniques, CHRU, rue du Morvan, 54500 Vandoeuvre-les-Nancy, France.
authors.forename: P-L
authors.initials: PL
authors.lastname: Nguyen-Thi
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, CHRU de Nancy, hôpitaux de Brabois, bâtiment Louis-Mathieu, rue du Morvan, 54500 Vandoeuvre-les-Nancy, France.
authors.forename: R
authors.initials: R
authors.lastname: Jankowski
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005157:Facial Pain / Q000209:etiology*; D005260:Female; D006261:Headache / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009298:Nasal Polyps / Q000150:complications* / Q000601:surgery*; D010149:Postoperative Pain / Q000209:etiology*; D057234:Preoperative Period; D011446:Prospective Studies; D011788:Quality of Life; D011795:Surveys and Questionnaires; D064232:Visual Analog Scale; D055815:Young Adult
keywords: DyNaChron questionnaire; Facial pain; Headache; Nasal polyposis; Nasalization; Quality of life