<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-7986</journal-id>
<journal-title><![CDATA[Revista ORL]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. ORL]]></abbrev-journal-title>
<issn>2444-7986</issn>
<publisher>
<publisher-name><![CDATA[Ediciones Universidad de Salamanca]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-79862022000400002</article-id>
<article-id pub-id-type="doi">10.14201/orl.28188</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Characterization of pain in the first two weeks after tonsillectomy in children 3 to 8 years old. A pilot study]]></article-title>
<article-title xml:lang="es"><![CDATA[Caracterización del dolor en las primeras dos semanas tras amigdalectomía en niños de 3 a 8 años. Un estudio piloto]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Granados-Sitges]]></surname>
<given-names><![CDATA[Juan Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Rosa]]></surname>
<given-names><![CDATA[Alex]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Granell]]></surname>
<given-names><![CDATA[Jose]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Calvín]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Rey Juan Carlos Servicio de Otorrinolaringología ]]></institution>
<addr-line><![CDATA[Móstoles Madrid]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Europea de Madrid Facultad de Ciencias Biomédicas y de la Salud ]]></institution>
<addr-line><![CDATA[Villaviciosa de Odon Madrid]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Quirónsalud Madrid Servicio de Otorrinolaringología ]]></institution>
<addr-line><![CDATA[Pozuelo Madrid]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>13</volume>
<numero>3</numero>
<fpage>203</fpage>
<lpage>210</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2444-79862022000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2444-79862022000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2444-79862022000400002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY:  Introduction and objective: To study the pain in children is a challenge. Tonsillectomy is a very common and painful surgical procedure in which there are still barriers to warrant an adequate pain management. The purpose of this study is to characterize the pain after surgery in children between 3 and 8 years-old who underwent tonsillectomy.  Method: We performed a descriptive, observational and prospective study in children aged 3 to 8 who underwent tonsillectomy. The data collection was made through a pain questionnaire based in the intensity of pain from 0-10 in the Wong Baker scale (based on drawn faces). Parents also fulfilled other questions about the days that the children could not attend the school and the working days that the parents themselves lost. The analgesic treatment that each child received was also recorded.  Results: Twenty-nine patient were included, 14 girls and 15 boys with a median age of 4. The highest level of pain was found the second day with a median value of 3,0. This second day was so chosen to compare the level of pain between indications. The median pain was 3,0 when it was for obstructive disease, but 4,0 when obstruction was associated with facial growth disorders. Children lost a median of 8 days at school and their parents 2 days at work each one.  Discussion: Our limited data suggest that the long-term side effects of the upper airway obstruction due to tonsillar hypertrophy like disorders of facial growth made the surgery more painful and that the pain had in our environment a greater impact in patients and their parents lifes. It appears to be important to stablish a scheduled analgesic treatment for the first 10 days after surgery.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN:  Introducción y objetivo: El dolor en niños ha sido siempre un reto terapéutico. La amigdalectomía es una cirugía muy prevalente y dolorosa, la cual aun presenta barreras para garantizar un adecuado control analgésico. El objetivo fue describir la mediana de dolor postoperatorio en niños entre 3 y 8 años que han sido intervenidos de una cirugía amigdalar.  Método: Se realizó un estudio descriptivo, observacional, prospectivo y longitudinal en niños de 3 a 8 años del Hospital Universitario Quirón Pozuelo Madrid intervenidos de amigdalectomía durante el año 2020. La recogida de datos se realizó mediante un cuestionario de dolor, marcando la intensidad de este del 0-10 en la escala de dolor de Wong Baker (basado en dibujos con caras). Además, completaron otras preguntas sobre la indicación quirúrgica, los días lectivos perdidos por el niño y los laborables por los padres y la analgesia que recibió el niño.  Resultados: Se incluyeron 29 pacientes, 14 niñas y 15 niños con una mediana de edad de 4. La mediana de dolor más alto se encontró el 2º día con un valor de 3,0. Por tanto, elegimos el 2º día para comparar la magnitud de dolor entre las distintas indicaciones. En función de la indicación quirúrgica, la mediana de dolor por obstrucción fue de 3,0, en cambio fue de 4,0 en los intervenidos por obstrucción en conjunto con alteraciones del crecimiento facial. Los niños perdieron una mediana de 8 días en el colegio y los padres perdieron una mediana de 2 días cada uno en el trabajo.  Discusión: Los datos límitados que tenemos sugieren que la cronicidad de la obstrucción por la hipertrofia amigdalar dando lugar a alteraciones del crecimiento facial hizo la operación más dolorosa y además, el dolor tuvo unas mayores consecuencias en la vida diaria del paciente y sus progenitores. Es de gran importancia esforzarnos en cumplir una pauta analgésica en el postoperatorio los 10 primeros días.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[pain]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
<kwd lng="en"><![CDATA[tonsillectomy]]></kwd>
<kwd lng="en"><![CDATA[Wong Baker scale]]></kwd>
<kwd lng="es"><![CDATA[dolor]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="es"><![CDATA[amigdalectomía]]></kwd>
<kwd lng="es"><![CDATA[Wong Baker]]></kwd>
</kwd-group>
</article-meta>
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