Patient Perception and Duration of Pain after Microdirect Laryngoscopy

Trylon Matthew Tsang1, Oliver Brett2,3, Amanda Hu4,5

  • 1Department of Anesthesiology, University of British Columbia, Vancouver, British Columbia, Canada.

Abstract

Insights

Postoperative pain after microdirect laryngoscopy (MDL) is generally mild but can persist for up to seven days. No patient factors were found to increase pain levels following this procedure.

Area of Science:

  • Otolaryngology
  • Pain Management
  • Anesthesiology

Background:

  • Postoperative pain significantly impacts the patient surgical experience.
  • Microdirect laryngoscopy (MDL) is a common procedure, but patient pain perception requires further investigation.

Purpose of the Study:

  • To evaluate patient-reported pain perception and duration following microdirect laryngoscopy (MDL).

Main Methods:

  • A prospective case series involving 130 adult patients undergoing MDL.
  • Pain was assessed using the short-form McGill Pain Questionnaire (SF-MPQ) preoperatively and on postoperative days 1, 3, and 7.
  • Demographic and clinical data were collected to identify pain predictors.

Main Results:

  • Mild pain levels were reported across all SF-MPQ metrics (sensory, affective, total scores, PPI, VAS).
  • A significant pain increase was observed on postoperative day 1, with gradual decreases on days 3 and 7.
  • Pain scores for total and affective domains returned to baseline by day 7, while PPI, VAS, and sensory scores remained elevated.

Conclusions:

  • Mild postoperative pain following MDL can persist for up to seven days.
  • No demographic or clinical factors were identified as predictors of increased pain after MDL.
  • This study provides valuable prospective data on pain experienced after microdirect laryngoscopy.

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