Effects of music intervention on anxiety and pain reduction in ambulatory maxillofacial and otorhinolaryngology surgery: a descriptive survey of 27 cases

• Published in: Oral and maxillofacial surgery 2017-06, Vol.21 (2), p.227-232
• Main Authors: Keilani, Chafik, Simondet, Nicolas, Maalouf, Ramzi, Yigitoglu, Ahmet, Bougrine, Alexandre, Simon, Didier, Fligny, Isabelle
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Ambulatory Surgical Procedures - psychology; Anxiety; Anxiety Disorders - psychology; Anxiety Disorders - therapy; Dental Anxiety - psychology; Dental Anxiety - therapy; Dentistry; Evaluation Studies as Topic; Human health and pathology; Humans; Life Sciences; Listening; Maxillofacial surgery; Medicine; Medicine & Public Health; Middle Aged; Music; Music Therapy; Oral and Maxillofacial Surgery; Original Article; Otolaryngology; Otorhinolaryngologic Surgical Procedures - psychology; Pain; Pain Measurement; Pain, Postoperative - psychology; Pain, Postoperative - therapy; Patient Satisfaction; Plastic surgery; Surgery; Surgery, Oral - psychology; Surveys and Questionnaires; Young Adult
• ISSN: 1865-1550; 1865-1569
• DOI: 10.1007/s10006-017-0616-3

Purpose The aim of this study is to determine patients’ opinion regarding listening to music before an ambulatory maxillofacial surgery and effects on anxiety and pain reduction. Methods This study was conducted on outpatients having a maxillofacial surgery between December 2015 and April 2016 at Poissy/Saint-Germain-en-Laye hospital (France). Patients listened with headphones to an easy-listening music in the operation theater before the first ambulation. A questionnaire including a visual analog scale (VAS) for pain and anxiety was given to participants. The primary endpoint was to determine patients’ opinion regarding listening to music before surgery. Secondary endpoints were to determine VAS pain mean, VAS anxiety mean before surgery, VAS anxiety mean after surgery, and if patients wanted to listen to their own playlist. We decided to compare VAS anxiety and pain mean between patients who accepted to listen to music (ALM) and who refused to listen to music (RLM). Results Nineteen patients ALM and 8 patients RLM to music. 78.9% of patients considered that listening to music before surgery decreased their anxiety. In patients who ALM, the mean (standard deviation, SD) of VAS pain after surgery was 3.42 (1.95), the mean (SD) of VAS anxiety before surgery was 3.1 (2.3), and the mean (SD) of VAS anxiety was 1.21 (0.85). There was a statistically significantly difference of the VAS anxiety mean (SD) before surgery between patients who ALM 3.10 (2.30) and who RLM 6.12 (1.88) ( p  = 0.005). There was a statistically significantly difference of the VAS anxiety mean (SD) after surgery between patients who ALM 1.21 (0.85) and who RLM 2.62 (1.30) ( p  = 0.009). Fifty percent of the patients wanted to choose their own music. Conclusion Music seems to reduce anxiety before maxillofacial surgery. An interventional randomized study is needed to demonstrate the positive impact of music on anxiety before maxillofacial surgery.