Topical Anesthesia in Office-Based Laryngeal Surgery

Hamdan, Abdul‐Latif; Sataloff, Robert T.; Hawkshaw, Mary J.

doi:10.1007/978-3-030-91936-8_6

Cited by 2 publications

(3 citation statements)

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“…Despite the advances in the delivery of local anesthesia to the upper airway, using the "laryngeal gargle," percutaneous injections, or a nebulizer, surgery is limited by the short window of time that rarely exceeds 12-15 min. 15 This study is the first to report patient tolerance to blue laser inoffice laryngeal surgery, nevertheless, it has its limitations; one is its…”

Section: Discussionmentioning

confidence: 97%

“…This emphasizes the need for high dexterity and surgical skills to achieve the desired surgical outcome in a limited period. Despite the advances in the delivery of local anesthesia to the upper airway, using the “laryngeal gargle,” percutaneous injections, or a nebulizer, surgery is limited by the short window of time that rarely exceeds 12–15 min 15 …”

Section: Discussionmentioning

confidence: 99%

“…Despite the advances in the delivery of local anesthesia to the upper airway, using the “laryngeal gargle,” percutaneous injections, or a nebulizer, surgery is limited by the short window of time that rarely exceeds 12–15 min. 15 …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Patient tolerance in office‐based blue laser therapy for lesions of the vocal folds: Correlation with patients' characteristics, disease type and procedure‐related factors

Hamdan

Hosri

Feghali

et al. 2023

Laryngoscope Investig Oto

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ObjectiveTo report patient tolerance in office‐based blue laser therapy for vocal fold lesions.MethodsA retrospective review of the medical records of patients who underwent office‐based blue laser therapy for lesions of the vocal folds between November 2021 and February 2023 was conducted. A total of 48 patients were included. Patient tolerance was assessed using the Iowa Satisfaction with Anesthesia Scale (IOWA). Patient tolerance was analyzed in relation to patients' demographic characteristics, disease type and severity, and procedure‐related factors.ResultsThe mean tolerance score of the study group was 1.51 ± 1.1. There was a significant difference in the mean tolerance score between smokers and non‐smokers (p = .038). Patients with vocal fold cyst (n = 3) had the highest mean tolerance score followed by patients with vocal fold polyps (n = 15). There was a nonsignificant difference in the mean tolerance score between benign lesions of the vocal folds and leukoplakia. Patients with lesions extending to more than half the vocal fold had less tolerance than those with lesions limited to less than half the vocal fold (1.91 vs. 1.27, p value .041). There was a moderate and significant negative correlation between vocal fold movement VAS, swallowing VAS, and tolerance score. The mean total duration of the procedures was 10.38 ± 4.8 min. There was a mild negative correlation between the duration of the procedure and tolerance.ConclusionOffice‐based blue laser therapy for vocal fold lesions is a well‐tolerated procedure. Patient should be instructed how to breathe quietly and avoid swallows to improve tolerance to surgery.Level of Evidence4.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%