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Objective: To investigate the impact of music on patient tolerance during office-based laryngeal surgery (OBLS).
Methods: All patients undergoing OBLS between February 2024 to June 2024 were invited to participate in this study. They were divided into two subgroups, those with music in the background during surgery and those without. Following surgery, all patients were asked to fill IOWA tolerance score and the VAS for discomfort ranging from 0 to 10, with 0 indicating no discomfort and 10 indicating maximum discomfort.
Results: A total of 87 patients undergoing 95 office-based laryngeal surgeries (OBLS) were included, with a mean age of 54.7 years and a male-to-female ratio of 1.5. The most common procedure was blue laser therapy (45.3%), followed by vocal fold injection (29.5%). The mean IOWA tolerance score was 2.02. Patients who listened to music during OBLS showed a significantly higher mean IOWA tolerance score compared to those without music (2.48 vs. 1.55; < .001). Significant differences persisted when stratified by procedure type. Additionally, the mean VAS score for discomfort was lower with music (2.27 vs. 4.21; = .001), with a significant difference noted for laser therapy ( = .004).
Conclusion: The results of this investigation indicate that music has a positive effect on procedural tolerance in OBLS. Participants who underwent OBLS with music in the background had significantly higher tolerance score and less discomfort than those who had no music in the background. Music can be used as a safe nonpharmacologic modality to reduce stress and improve patient tolerance in awake OBLS.
Level Of Evidence: 2.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705437 | PMC |
http://dx.doi.org/10.1002/lio2.70064 | DOI Listing |
J Voice
August 2025
Department of Surgery, UMONS Research Institute for Health Sciences and Technology, University of Mons, Mons, Belgium; Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, School of Medicine, Paris Saclay University, Phonetics and Phonology Laboratory (UMR 7018 CNRS, Université Sorbon
Objective: To investigate the surgical and voice quality outcomes of office-based laryngeal surgery for patients with laryngeal dysplasia and leukoplakia.
Data Sources: PubMed, Google scholar, and Cochrane databases.
Review Methods: Three independent investigator search databases for studies reporting surgical or voice quality outcomes of patients treated with office-based surgery for vocal fold dysplasia or leukoplakia.
Cureus
June 2025
Otorhinolaryngology - Head and Neck Surgery, Tokyo Medical University, Tokyo, JPN.
Endoscopic marsupialization of vocal fold cysts under topical anesthesia was evaluated in 107 patients to determine its efficacy and outcomes. The recurrence rate was 4.7%, with all recurrent cases successfully treated with reoperation.
View Article and Find Full Text PDFJ Voice
July 2025
Department of Surgery, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium; Division of Laryngology and Bronchoesophagology, Department of Otolaryngology Head Neck Surgery, EpiCURA Hospital, Baudour, Saint-Ghislain, Belgium; Department of Otolaryng
Objective: To report surgical outcomes and learning curve findings of a single laryngeal surgeon throughout the implementation of an office-based laryngology setting.
Methods: From January 2022 to January 2025, 114 consecutive patients were treated with office-based laryngological procedures in the EpiCURA hospital (Belgium). The following outcomes were prospectively collected: gender, age, indications, laser settings, setting, anesthesia and procedure duration, pain (visual analog scale), laryngeal sensory testing, exposure, immediate adverse events, patient compliance, local anesthesia efficacy, and patient satisfaction.
Surg Clin North Am
August 2025
Division of Laryngeal Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Massachusetts General Hospital Voice Center, 1 Bowdoin Square, 11th Floor, Boston, MA 02114, USA. Electronic address:
Office-based laryngeal procedures comprise both diagnostic and therapeutic practices. They are an integral part of every laryngeal surgeon's practice. Topical anesthesia is utilized effectively along with anticipatory guidance and proper patient positioning to maximize patient comfort and increase the success in procedure completion.
View Article and Find Full Text PDFAm J Otolaryngol
August 2025
Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center Boston University Chobanian and Avedisian School of Medicine, Boston, MA, United States of America; Boston University Chobanian and Avedisian School of Medicine, Boston, MA, United States of America. Electronic address: Lauren
Objective: To analyze national trends and prevalence of office-based endoscopy with laryngeal biopsy procedures as compared to traditional operative biopsy procedures utilizing direct laryngoscopy with and without microlaryngoscopy.
Methodology: The US Medicare Part B claims database was queried for Current Procedural Terminology (CPT) codes 31,576 (flexible laryngoscopy with biopsy), 31,535 (operative direct laryngoscopy with biopsy), and 31,536 (operative direct microlaryngoscopy with biopsy). From 2013 to 2022, the total number of charges billed to the Medicare database in each calendar year was recorded and annual trends were analyzed.