Patient tolerance of in-office pulsed dye laser treatments to the upper aerodigestive tract

Recent advances in technology have facilitated a movement toward unsedated in-office treatment of laryngeal, tracheal, and esophageal lesions. The objective of this study was to determine patient tolerance of inoffice pulsed-dye laser (PDL) treatment of upper aerodigestive tract pathoses via the tra...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2006-06, Vol.134 (6), p.1023-1027
Main Authors: Rees, Catherine J., Halum, Stacey L., Wijewickrama, Rohan C., Koufman, Jamie A., Postma, Gregory N.
Format: Article
Language:English
Subjects:
Adult
Ambulatory Surgical Procedures - methods
Ambulatory Surgical Procedures - psychology
Conscious Sedation
Esophagoscopy - methods
Esophagoscopy - psychology
Esophagus - surgery
Female
Humans
Larynx - surgery
Laser Therapy - methods
Laser Therapy - psychology
Male
Outpatients - psychology
Patient Satisfaction
Surveys and Questionnaires
Trachea - surgery
Upper Gastrointestinal Tract - surgery
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Summary:Recent advances in technology have facilitated a movement toward unsedated in-office treatment of laryngeal, tracheal, and esophageal lesions. The objective of this study was to determine patient tolerance of inoffice pulsed-dye laser (PDL) treatment of upper aerodigestive tract pathoses via the transnasal esophagoscope. Three hundred twenty-eight unsedated in-office PDL cases were performed at a university-based tertiary referral center in 131 patients. These procedures were performed for various upper aerodigestive pathoses, including recurrent respiratory papillomatosis, chronic granulomas, and recurrent leukoplakia. Eighty-nine subjects completed a phone survey concerning their discomfort level after the PDL procedure. They were also asked specific questions about recovery time, pain medication, and preference of operating room versus inoffice procedures. The average comfort score was 7.4 (10 being minimal discomfort). Eighty-four percent did not use any pain medication; 87% stated that, if possible, they would prefer to undergo unsedated inoffice procedures rather than surgeries under general anesthesia for further treatment of their upper aerodigestive tract pathosis. Unsedated transnasal treatment of upper aerodigestive tract pathoses is readily accepted and well-tolerated by otolaryngology patients. Patients overwhelmingly prefer the inoffice PDL over surgeries under general anesthesia. EBM rating: C-4
ISSN:0194-5998
1097-6817
DOI:10.1016/j.otohns.2006.01.019