Factors Associated With Tolerance for In-Office Laryngeal Laser Procedures.
Adult
Aged
Ambulatory Surgical Procedures
/ adverse effects
Clinical Decision-Making
Counseling
Female
Humans
Laryngeal Diseases
/ diagnosis
Laryngoscopy
/ adverse effects
Larynx
/ pathology
Lasers, Solid-State
/ adverse effects
Male
Middle Aged
Pain Measurement
/ statistics & numerical data
Pain, Procedural
/ diagnosis
Patient Selection
Prognosis
Retrospective Studies
Risk Factors
Severity of Illness Index
Smoking
/ epidemiology
Endoscopy
benign lesions
papillomatosis
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
revised:
13
11
2020
received:
02
10
2020
accepted:
28
12
2020
pubmed:
7
1
2021
medline:
24
6
2021
entrez:
6
1
2021
Statut:
ppublish
Résumé
A variety of laryngeal pathologies are increasingly being managed with in-office KTP laser (IOKTP) endoscopic procedures. The primary goal of this study was to identify patient characteristics and disease-related features that correlated with tolerance for IOKTP. Retrospective chart review. The study was a retrospective review of adult patients undergoing office-based laryngeal laser procedures between November 2016 and December 2019 at a tertiary care center. Two blinded otolaryngologist reviewers scored videotaped recordings of IOKTP procedures and assessed severity and distribution of disease using a modified Derkay score, and evaluated procedure tolerance using a visual analog scale. A total of 56 patients who received IOKTP procedures for laryngeal pathology were reviewed, 42 male and 14 female, with a mean age of 61 years. Gender, age, and BMI were not correlated with tolerance. There was a moderate, negative correlation between tolerance and total number of pathological anatomic laryngeal subsites (rs(56) = -0.35, P = .01). There was a weak, negative correlation between tolerance and total modified Derkay score (rs(56) = -0.29, P = .03). The median tolerance score was lower for patients with posterior lesions (Mdn = 6.4) compared with patients with non-posterior lesions (Mdn = 7.4), P = .04, and lower for current or former smokers (Mdn = 6.5) compared with never smokers (Mdn = 7.3), P = .04. Patients with large disease burden or posterior lesions and patients with smoking history may exhibit poorer tolerance of IOKTP procedures, factors which can help guide pre-procedural counseling and management decisions. IV Laryngoscope, 131:E2292-E2297, 2021.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E2292-E2297Informations de copyright
© 2021 The American Laryngological, Rhinological and Otological Society, Inc.
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