Department of Otolaryngology, Far Eastern Memorial Hospital, 21, Section 2, Nan-Ya South Road, Pan Chiao 220 Taipei, Taiwan. E-mail: [email protected] or [email protected]Search for more papers by this author

Wu-Chia Lo MD,

Wu-Chia Lo MD

Department of Otolaryngology, Far Eastern Memorial Hospital, Taipei, Taiwan

Oriental Institute of Technology, Taipei, Taiwan

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Po-Wen Cheng MD, PhD,

Po-Wen Cheng MD, PhD

Department of Otolaryngology, Far Eastern Memorial Hospital, Taipei, Taiwan

Oriental Institute of Technology, Taipei, Taiwan

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Chi-Te Wang MD, MSc,

Chi-Te Wang MD, MSc

Department of Otolaryngology, Far Eastern Memorial Hospital, Taipei, Taiwan

Oriental Institute of Technology, Taipei, Taiwan

Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan

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Shu-Tin Yeh MD,

Shu-Tin Yeh MD

Endocrine and Metabolism, Department of Internal Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan

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Li-Jen Liao MD, MSc,

Corresponding Author

Li-Jen Liao MD, MSc

Department of Otolaryngology, Far Eastern Memorial Hospital, Taipei, Taiwan

Oriental Institute of Technology, Taipei, Taiwan

Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan

First published: 01 June 2013

https://doi.org/10.1002/hed.23303

Citations: 11

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Abstract

Background

The purpose of this study was to evaluate the pain levels associated with ultrasound-guided fine-needle aspiration biopsy (FNAB) of neck masses.

Methods

The pain immediately and 5 minutes after the procedure without use of local anesthesia was evaluated via 100-mm visual analog scale (VAS), 11-point numeric rating scale (NRS), and 4-category verbal rating scale (VRS) in 154 patients.

Results

The mean scores (SDs) for VAS, NRS, and VRS immediately versus 5 minutes after the procedure were 30.5 (24.4) versus 7.3 (13.7), 3.3 (2.2) versus 0.8 (1.6), and 1.3 (0.6) versus 0.3 (0.6), respectively (all ps < .001). Immediately after ultrasound-guided FNAB, the pain scores associated with lymph node aspiration (VAS, 36.7 [25.5]; NRS, 3.9 [2.1]) were significantly higher (both ps < .05) than those associated with thyroid nodule aspiration (VAS, 25.0 [21.2]; NRS, 2.8 [2.0]).

Conclusion

Ultrasound-guided FNAB of thyroid nodules was less painful than that of cervical lymphadenopathy. Most patients tolerated mild transient pain after the procedure without use of local anesthesia. Nevertheless, local anesthesia was necessary for the small subgroup of patients who experienced significant pain. © 2013 Wiley Periodicals, Inc. Head Neck 36: 252–256, 2014

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Volume36, Issue2

February 2014

Pages 252-256

Pain levels associated with ultrasound-guided fine-needle aspiration biopsy for neck masses

Abstract

Background

Methods

Results

Conclusion

REFERENCES

Citing Literature

References

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Pain levels associated with ultrasound-guided fine-needle aspiration biopsy for neck masses

Abstract

Background

Methods

Results

Conclusion

REFERENCES

Citing Literature

References

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