All 4 faces pain scales were found to be adequately supported by psychometric data .
When given a choice between faces scales , children preferred the WBFPRS .
Confounding of pain intensity with affect caused by use of smiling and crying anchor faces is a disadvantage of the WBFPRS .
: For clinical use , we found no grounds to switch from 1 faces scale to another when 1 of the scales is in use .
CONTEXT : Numerous faces scales have been developed for the measurement of  pain intensity in children .
It remains unclear whether any one of the faces scales is better for a particular purpose with regard to validity , reliability , feasibility , and preference .
OBJECTIVES : To summarize and systematic ally review faces pain scales most commonly used to obtain self-report of pain intensity in children for evaluation of reliability and validity and to compare the scales for preference and utility .
Cold dissection versus coblation-assisted adenotonsillectomy in children.
OBJECTIVE To compare intraoperative efficiency and postoperative recovery between cold dissection adenotonsillectomy ( CDA ) and coblation-assisted adenotonsillectomy ( CAA ) . METHODS A prospect i ve , r and omized , single-blind trial of pediatric patients aged 2 to 16 years undergoing adenotonsillectomy  was conducted . Patients were r and omized to undergo either CDA or CAA . Measured intraoperative parameters included surgical duration and intraoperative blood loss . Measured postoperative parameters included a 14 day caregiver question naire that recorded a daily pain rating using the Wong-Baker FACES pain scale , pain medication use , days to return to a normal diet , and days to return to a normal caregiver routine . Postoperative complications were also recorded . Intraoperative and postoperative measures were statistically compared between groups . RESULTS Forty-six children with a mean age of 6.7 years ( 23 CDA and 23 CAA ) were r and omized and completed the study . Mean age and sex distributions were similar between groups ( P > .05 ) . Surgical times were significantly shorter for the CAA group versus the CDA group ( 11.2 min vs. 17.0 min , P < .001 ) . Intraoperative blood loss was statistically lower for both the adenoidectomy and tonsillectomy portions of the procedure for the CAA group versus the CDA group ( P < .001 and P < .001 , respectively ) . There was no statistically significant difference in reported daily pain scores between groups ( P = .296 , analysis of variance ) . Both groups returned to normal diet ( P = .982 ) , and caregivers returned to their normal routine on similar postoperative days ( P = .631 ) . CONCLUSIONS CAA offers better operative speed and intraoperative hemostasis as compared with CDA . However , CAA does not result in poorer postoperative pain scores or recoveries despite these intraoperative advantages
All 4 faces pain scales were found to be adequately supported by psychometric data .
When given a choice between faces scales , children preferred the WBFPRS .
Confounding of pain intensity with affect caused by use of smiling and crying anchor faces is a disadvantage of the WBFPRS .
: For clinical use , we found no grounds to switch from 1 faces scale to another when 1 of the scales is in use .
CONTEXT : Numerous faces scales have been developed for the measurement of  pain intensity in children .
It remains unclear whether any one of the faces scales is better for a particular purpose with regard to validity , reliability , feasibility , and preference .
OBJECTIVES : To summarize and systematic ally review faces pain scales most commonly used to obtain self-report of pain intensity in children for evaluation of reliability and validity and to compare the scales for preference and utility .