Related Experiment Video
Updated: Jun 27, 2026
07:14
A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
9.7K
Patient Perception of Pain With Medialization Thyroplasty Surgery
Melissa Patry1, Elnaz Roohi1, Peter Rose2
1Division of Otolaryngology, Head and Neck Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
The Laryngoscope
|October 27, 2025
Summary
Medialization thyroplasty (MT) surgery pain is generally mild and well-tolerated post-operatively. While half of patients required opioids, improved opioid stewardship is suggested for managing pain after this vocal function procedure.
Area of Science:
- Otolaryngology
- Pain Management
- Speech and Voice Science
Background:
- Medialization thyroplasty (MT) addresses glottal insufficiency, often performed under procedural sedation.
- Patient-reported outcomes, particularly pain perception, are crucial for evaluating surgical procedures.
- Understanding post-operative pain is essential for optimizing patient recovery and satisfaction.
Purpose of the Study:
- To prospectively evaluate patient-reported pain perception following medialization thyroplasty (MT).
- To assess the need for analgesia and opioid use in the post-operative period.
- To identify factors influencing pain levels after MT surgery.
Main Methods:
- Prospective observational study design.
- Utilized the Short-Form McGill Pain Questionnaire (SF-MPQ) and Voice Handicap Index-10 (VHI-10) for pain and voice assessment.
- Collected demographic and clinical data, with nonparametric statistical analysis.
Main Results:
- Fifty-three patients were enrolled; 74% required analgesia and 52% used opioids on post-operative day 1.
- Pain scores (SF-MPQ) significantly increased on post-operative day 1 (median 3.0) and decreased by post-operative day 7 (median 1.0).
- Significant voice improvement (VHI-10) was observed from pre-operative (26) to post-operative day 7 (12); no factors correlated with increased pain.
Conclusions:
- Medialization thyroplasty (MT) pain is generally mild and well-tolerated despite procedural sedation.
- Opioid use was noted in half of the patients, indicating potential for improved opioid stewardship.
- This study provides valuable prospective data on pain experienced after MT, highlighting areas for enhanced pain management strategies.
Related Concept Videos
01:25Analgesia and Pain Management
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
01:29Chronic Pancreatitis II: Collaborative Care
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...