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Comparison of outcomes and complications between awake and asleep injection laryngoplasty: A Case‐Control Study
Author(s) -
Mathison Clyde C.,
Villari Craig R.,
Klein Adam M.,
Johns Michael M.
Publication year - 2009
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.20485
Subject(s) - medicine , anesthesia , complication , surgery , local anesthesia , odds ratio , retrospective cohort study
Abstract Objectives/Hypothesis: To compare clinical outcomes and complication rates in patients undergoing injection laryngoplasty (IL) under local versus general anesthesia. Study Design: Retrospective case‐control review Methods: Charts of 141 consecutive patients undergoing IL were reviewed. Subjects who underwent IL with local anesthesia were grouped as experimental cases. Subjects who underwent IL with general anesthesia were grouped as controls. The voice‐related quality of life (VRQOL) measure was employed to determine outcomes before and after IL. All undesirable events resulting from an IL were recorded as complications. Results: One hundred sixty‐six ILs were performed in 141 patients (83 males, mean age = 58.9 years). Unilateral vocal fold immobility was diagnosed in 60.9%. One hundred five (63.3%) ILs were performed under local anesthesia, and 61 were performed under general anesthesia. Pre‐ and postinjection VRQOL data was available for 78 ILs (50 cases, 28 controls). Average VRQOL in the awake patient improved by 25.05 points, whereas average VRQOL in the asleep patient improved by 20.81 points ( P = .42). There were 24 complications (14.5% of all injections), which included 19.1% of cases and 6.6% of controls (odds ratio = 2.9). Six ILs had to be aborted. All complications were minor and self‐limited. Conclusions: Both awake and asleep IL offer comparable VRQOL results. Although having the benefit of avoiding general anesthesia, IL in the awake patient has a slightly higher complication rate. Laryngoscope, 2009