Phonosurgery as a Day Surgery-Postoperative Quality and Patient Satisfaction-

DOI 1 Citations 4 References Open Access
  • Omori Koichi
    Department of Otolaryngology, Fukushima Medical University School of Medicine
  • Yamashita Masaru
    Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University
  • Tanaka Shinzo
    Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University
  • Asato Ryo
    Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University
  • Mori Yuko
    Division of Nursing, Kyoto University Hospital
  • Iwaki Shinobu
    Department of Rehabilitation, Nishi Kobe Medical Center
  • Yokoyama Keiko
    Department of Rehabilitation, Nishi Kobe Medical Center
  • Tada Yasuhiro
    Department of Otolaryngology, Fukushima Medical University School of Medicine

Bibliographic Information

Other Title
  • 音声外科的治療プログラム―最適な治療選択から医療事故防止まで―術後経過と患者満足度
Published
2004
DOI
  • 10.5112/jjlp.45.168
Publisher
The Japan Society of Logopedics and Phoniatrics

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Description

Phonosurgery is one of the most suitable indication of day surgery. Under local anesthesia, 260 cases have undergone functional videoendoscopic laryngeal surgery at the Nishi Kobe Medical Center. The transoral approach was adopted for endoscopic monitoring of the vocal folds and voice during surgery. In 225 of these cases, the operative procedure was fully accomplished. In 40 laryngeal polyp cases, good vocal function was obtained postoperatively. Clinical Pathway process has been used for patients and medical staff members at the Day Surgery Unit of Kyoto University Hospital since 2000. Interviews of the patients were conducted by a nurse pre- and post-oper-atively. The most common complaint was limitation of phonation for 3 to 7 days after operation. In cases with unfavorable postoperative vocal function, medication and/or voice therapy were applied. Informed consent with explanation of the operative procedure and postoperative clinical course is most important for avoiding medical problems with patients. For the best phonosurgery treatment program, a voice care team should be organized to include a speech therapist, anesthesiologist, nurse, and others under the leadership of the otolaryngologist.

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