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Updated: Dec 26, 2025

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Published on: November 6, 2019
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.
Objective:
Postoperative pain is an important part of the patient's surgical experience. The objective was to evaluate patient perception and duration of pain after microdirect laryngoscopy (MDL).
Study Design:
Case series with planned data collection.
Setting:
Tertiary care, academic center.
Subjects And Methods:
Adult patients undergoing MDL were administered the short-form McGill Pain Questionnaire (SF-MPQ) before surgery and on postoperative days (PODs) 1, 3, and 7. Demographic and clinical data were collected.
Results:
In total, 130 patients (mean age 52.6 years, 84 male) participated in the study. About 46.2% required analgesia on POD 1, but only 23.1% required opioids. Overall, mild levels of pain were reported on the SF-MPQ: sensory score, affective score, total score, present pain intensity (PPI), and visual analog scale (VAS). Patients reported a significant increase in pain on POD 1, with decreases in pain on PODs 3 and 7. Pain score returned to preoperative values for total score and affective score on POD 7 but remained significantly elevated for PPI, VAS, and sensory score. None of the following factors were associated with increased pain: age, sex, body mass index, Mallampati score, Cormack score, laryngoscope used, type of MDL, time under anesthesia, employment status, intubation, Voice Handicap Index 10, and chronic pain history.
Conclusion:
Although mild levels of pain were reported after MDL, the pain persisted for up to 7 days. No demographic or clinical factors were found to be associated with increased pain. This study was one of the few prospective studies evaluating pain after MDL.
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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