Tolerance of Patients Using Different Approaches in Laryngeal Office-Based Procedures
| Autor: | Abdul-Latif Hamdan, Elie Khalifee, Anthony Ghanem, Aya El Hage, Christopher Jabbour |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Office based
medicine.medical_specialty Patient anxiety Percutaneous business.industry Significant difference Percutaneous approach LPN and LVN Surgery 030507 speech-language pathology & audiology 03 medical and health sciences Speech and Hearing 0302 clinical medicine Patient satisfaction Otorhinolaryngology Tolerability medicine Anxiety medicine.symptom 030223 otorhinolaryngology 0305 other medical science business |
| Zdroj: | Journal of voice : official journal of the Voice Foundation. |
| ISSN: | 1873-4588 |
| Popis: | Summary Objective To evaluate the tolerance, overall experience, procedure discomfort, and patient anxiety using different routes in office-based laryngeal procedures. Subjects and methods We performed a retrospective analysis of patients undergoing office-based laryngeal procedures for the treatment or diagnosis of laryngeal lesions via transnasal, transoral, or percutaneous routes. Tolerability, overall experience, procedure discomfort, and patient's anxiety were evaluated and reported on a custom scale over 5. Results A total 178 procedures performed on 154 patients were reviewed. The video-recordings and data on 15 procedures were missing. A total of 163 procedures were included in this study. These were stratified as follows; 128 procedures via the transnasal fiberoptic approach, 16 procedures via the transoral fiberoptic approach, and 19 procedures via the percutaneous approach. There was no significant difference in the mean score of overall experience across the three different approaches (P= 0.926). The mean overall experience score for the transnasal approach was 1.85, vs 1.93 and 1.94 for the transoral and percutaneous approach, respectively. Similarly, there was no significant difference in the mean score of tolerability across the three different approaches. The mean tolerability score was 1.68 using the transnasal approach, compared to 1.6 using the transoral approach, and 1.84 using the percutaneous approach (P= 0.77). Anxiety scores, and procedure discomfort scores did not differ either among the three groups (P= 0.138 and P= 0.656, respectively). Conclusions There was no significant difference in tolerability, anxiety, procedure discomfort, and overall experience regarding the different approaches employed. |
| Databáze: | OpenAIRE |
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