Patients' and Providers' Experience With Medialization Thyroplasty: A Prospective Observational Study.

IF 2.4 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice Pub Date : 2025-09-18 DOI:10.1016/j.jvoice.2025.09.001

Melissa Patry, Elnaz Roohi, Peter Rose, Shamir Karmali, Amanda Hu

{"title":"Patients' and Providers' Experience With Medialization Thyroplasty: A Prospective Observational Study.","authors":"Melissa Patry, Elnaz Roohi, Peter Rose, Shamir Karmali, Amanda Hu","doi":"10.1016/j.jvoice.2025.09.001","DOIUrl":null,"url":null,"abstract":"Objective: To qualitatively and quantitatively evaluate the patients', surgeons', and anesthesiologists' experience with procedural sedation for medialization thyroplasty (MT).Methods: Prospective observational study. Patients undergoing MT completed the validated Quality of Recovery Scale (QoR-15) preoperatively and postoperative days (PODs) 1 and 7. Patients also completed the validated Bauer Patient's Satisfaction Questionnaire on POD1. After surgery, the surgeon and anesthesiologist filled in a Provider's survey, including the validated Ramsay Sedation Scale (RSS) and the Visual Analog Scale (VAS). Nonparametric tests were conducted for statistical analysis.Results: Fifty-three patients (47% male), median age of 67 years (IQR 15), were recruited between March 2023 and February 2025. The median QoR-15 on POD7 was 141 (IQR 23), with no significant difference from the preoperative score 138 (IQR 28) (P = 0.856). For the Bauer Questionnaire, 74.5% and 63.8% of the patients were respectively very satisfied with the anesthesia care and pain management. For \"voice testing\" and \"closure,\" the RSS perception was the same for both providers in more than half of the cases (60.4% and 56.6%). The surgeons and anesthesiologists had different perceptions of patient's anxiety, movement, discomfort, optimal operating conditions, and communication with patient.Conclusions: Patients were satisfied with the procedural sedation with MT. Providers had different perceptions of the anesthesia, indicating the importance of communication for a successful surgery. This study was one of few prospective studies evaluating the patients' and providers' experience with MT.Level of evidence: 4: ","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Voice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jvoice.2025.09.001","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To qualitatively and quantitatively evaluate the patients', surgeons', and anesthesiologists' experience with procedural sedation for medialization thyroplasty (MT).

Methods: Prospective observational study. Patients undergoing MT completed the validated Quality of Recovery Scale (QoR-15) preoperatively and postoperative days (PODs) 1 and 7. Patients also completed the validated Bauer Patient's Satisfaction Questionnaire on POD1. After surgery, the surgeon and anesthesiologist filled in a Provider's survey, including the validated Ramsay Sedation Scale (RSS) and the Visual Analog Scale (VAS). Nonparametric tests were conducted for statistical analysis.

Results: Fifty-three patients (47% male), median age of 67 years (IQR 15), were recruited between March 2023 and February 2025. The median QoR-15 on POD7 was 141 (IQR 23), with no significant difference from the preoperative score 138 (IQR 28) (P = 0.856). For the Bauer Questionnaire, 74.5% and 63.8% of the patients were respectively very satisfied with the anesthesia care and pain management. For "voice testing" and "closure," the RSS perception was the same for both providers in more than half of the cases (60.4% and 56.6%). The surgeons and anesthesiologists had different perceptions of patient's anxiety, movement, discomfort, optimal operating conditions, and communication with patient.

Conclusions: Patients were satisfied with the procedural sedation with MT. Providers had different perceptions of the anesthesia, indicating the importance of communication for a successful surgery. This study was one of few prospective studies evaluating the patients' and providers' experience with MT.

Level of evidence: 4:

查看原文本刊更多论文

甲状腺成形术患者和提供者的经验：一项前瞻性观察研究。

目的：从定性和定量的角度评价患者、外科医生和麻醉师在甲状腺成形术（MT）中应用镇静的经验。方法：前瞻性观察研究。接受MT的患者在术前和术后第1天和第7天完成了经过验证的恢复质量量表（QoR-15）。患者在POD1上完成经验证的Bauer患者满意度问卷。手术后，外科医生和麻醉师填写一份供应商调查表，包括经过验证的Ramsay镇静量表（RSS）和视觉模拟量表（VAS）。进行非参数检验进行统计分析。结果：在2023年3月至2025年2月期间招募了53例患者（47%为男性），中位年龄67岁（IQR 15）。POD7的中位QoR-15为141 (IQR 23)，与术前评分138 （IQR 28）无显著差异（P = 0.856）。Bauer问卷中，74.5%的患者对麻醉护理非常满意，63.8%的患者对疼痛管理非常满意。对于“语音测试”和“关闭”，两个提供商的RSS感知在超过一半的情况下是相同的（60.4%和56.6%）。外科医生和麻醉师对患者的焦虑、运动、不适、最佳手术条件和与患者的沟通存在不同的认知。结论：患者对MT的程序性镇静满意。提供者对麻醉的看法不同，表明沟通对手术成功的重要性。本研究是为数不多的前瞻性研究之一，评估患者和医生对mt的经验。证据水平：

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Voice 医学-耳鼻喉科学

CiteScore

4.00

自引率

13.60%

发文量

395

审稿时长

59 days

期刊介绍： The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.