{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T07:21:04Z","timestamp":1789888864624,"version":"4.0.1"},"reference-count":26,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T00:00:00Z","timestamp":1738713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective(s):<\/jats:title>\n                    <jats:p>To quantify and compare pre-procedure worry versus the experience of pain, gagging, and dyspnea during in-office laryngoscopy procedures in patients who did or did not receive pre-procedure anxiolytics, and to explore patient perception of intra-procedure interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients undergoing awake laryngology procedures at a quaternary care center were enrolled. The State-Trait Anxiety Inventory (STAI) Y1 and Y2 questionnaires were administered to establish baseline levels of state anxiety and trait anxiety, respectively. Pre-procedure and post-procedure surveys assessed patient perception of select interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>34 patients were enrolled (35.3% female, 91.2% white, mean age 60\u2009years). Pre-procedure, 51.5% of patients reported some degree of worry about pain, 61.8% about gagging, 52.9% about dyspnea, and 55.9% about having something in their nose\/throat. Post-procedure, 54.5% reported experiencing pain to some degree, 63.6% had gagging, 39.4% had dyspnea, and 78.7% were bothered by having something in their nose\/throat. Patients who received a pre-procedure anxiolytic were significantly more likely to report more pain compared to those who did not. The highest rated interventions were pre-procedural education (97.0% \u201cVery helpful\u201d), verbal reassurance (96.9%), provider communicating steps of the procedure (96.9%), and reminders to breathe (87.5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>For patients undergoing awake laryngology procedures, the anticipation of gagging, pain, trouble breathing, and scope-related discomfort are worrisome factors. Of these, scope-related discomfort and gagging are the most often-reported sources of intraprocedural discomfort. The interventions patients found most helpful were based on preprocedural education and clear intraprocedural communication, which suggests that purposeful communication has a role in relieving anxiety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence:<\/jats:title>\n                    <jats:p>Level 4<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894251315339","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T01:49:06Z","timestamp":1738806546000},"page":"392-404","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Patient Experience of Awake Laryngoscopy Procedures"],"prefix":"10.1177","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4956-6177","authenticated-orcid":false,"given":"Andrea R.","family":"Hsu","sequence":"first","affiliation":[{"name":"Mayo Clinic Alix School of Medicine, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather L.","family":"Johns","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Department of Otorhinolaryngology, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivonne","family":"Arguelles","sequence":"additional","affiliation":[{"name":"University of Notre Dame, Notre Dame, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"O\u2019Byrne","sequence":"additional","affiliation":[{"name":"Division of Statistics, Mayo Clinic, Department of Otorhinolaryngology, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dale","family":"Ekbom","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Department of Otorhinolaryngology, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Orbelo","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Department of Otorhinolaryngology, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3511-1969","authenticated-orcid":false,"given":"Semirra","family":"Bayan","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Department of Otorhinolaryngology, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,5]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2017.07.018"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-022-07525-1"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-017-4647-z"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20712"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348940611500909"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.01.019"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22185"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2009.04.005"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348941212101102"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28491"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24535"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20561"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2018.1429652"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102689"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-017-4860-9"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21802"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2021.1913288"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000007920"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22460"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/6480346"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2012.06.001"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/16094069231205789"},{"key":"e_1_3_3_24_2","volume-title":"STAI Manual for the Stait-Trait Anxiety Inventory (\u201cSelf-Evaluation Questionnaire\u201d)","author":"Spielberger CD","year":"1970","unstructured":"Spielberger CD, Lushene RE. 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