Abstract
Purpose
The aim of this study is to determine patients’ opinion regarding listening to music before an ambulatory maxillofacial surgery and effects on anxiety and pain reduction.
Methods
This study was conducted on outpatients having a maxillofacial surgery between December 2015 and April 2016 at Poissy/Saint-Germain-en-Laye hospital (France). Patients listened with headphones to an easy-listening music in the operation theater before the first ambulation. A questionnaire including a visual analog scale (VAS) for pain and anxiety was given to participants. The primary endpoint was to determine patients’ opinion regarding listening to music before surgery. Secondary endpoints were to determine VAS pain mean, VAS anxiety mean before surgery, VAS anxiety mean after surgery, and if patients wanted to listen to their own playlist. We decided to compare VAS anxiety and pain mean between patients who accepted to listen to music (ALM) and who refused to listen to music (RLM).
Results
Nineteen patients ALM and 8 patients RLM to music. 78.9% of patients considered that listening to music before surgery decreased their anxiety. In patients who ALM, the mean (standard deviation, SD) of VAS pain after surgery was 3.42 (1.95), the mean (SD) of VAS anxiety before surgery was 3.1 (2.3), and the mean (SD) of VAS anxiety was 1.21 (0.85). There was a statistically significantly difference of the VAS anxiety mean (SD) before surgery between patients who ALM 3.10 (2.30) and who RLM 6.12 (1.88) (p = 0.005). There was a statistically significantly difference of the VAS anxiety mean (SD) after surgery between patients who ALM 1.21 (0.85) and who RLM 2.62 (1.30) (p = 0.009). Fifty percent of the patients wanted to choose their own music.
Conclusion
Music seems to reduce anxiety before maxillofacial surgery. An interventional randomized study is needed to demonstrate the positive impact of music on anxiety before maxillofacial surgery.
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References
Atkinson HC, Currie J, Moodie J, Carson S, Evans S, Worthington JP, Steenberg LJ, Bisley E, Frampton C (2015) Combination paracetamol and ibuprofen for pain relief after oral surgery: a dose ranging study. Eur J Clin Pharmacol 71(5):579–587
Van der Bijl P, Roelofse JA, Joubert JJ, van Zyl JF (1991) Comparison of various physiologic and psychomotor parameters in patients sedated with intravenous lorazepam, diazepam, or midazolam during oral surgery. J Oral Maxillofac Surg 49(7):672–678 discussion 6789
Bechtold ML, Perez RA, Puli SR, Marshall JB (2006) Effect of music on patients undergoing outpatient colonoscopy. World J Gastroenterol 12:7309–7312
Koelsch S, Fuermetz J, Sack U, Bauer K, Hohenadel M, Wiegel M, Kaisers UX, Heinke W (2011) Effects of music listening on cortisol levels and propofol consumption during spinal anesthesia. Front Psychol 2:58
Wu J, Chaplin W, Amico J, Butler M, Ojie MJ, Hennedy D, Clemow L (2012) Music for surgical abortion care study: a randomized controlled pilot study. Contraception 85(5):496–502
Nilsson U (2008) The anxiety- and pain-reducing effects of music interventions: a systematic review. AORN J 87(4):780–807
Hole J et al (2015) Music as an aid for postoperative recovery in adults: a systematic review and meta-analysis. Lancet 386(10004):1659–1671
Elliot D (1993) Comparison of three instruments for measuring patient anxiety in a coronary care unit. Intensive Critical Care Nurse 9:195–200
Sin WM, Chow KM (2015) Effect of music therapy on postoperative pain management in gynecological patients: a literature review. Pain Manag Nurs. 16(6):978–987
Gómez-Urquiza JL, Hueso-Montoro C, Urquiza-Olmo J, Ibarrondo-Crespo R, González-Jiménez E, Schmidt-Riovalle J (2016) A randomized controlled trial of the effect of a photographic display with and without music on pre-operative anxiety. J Adv Nurs
Leardi S, Pietroletti R, Angeloni G, Necozione S, Ranalletta G, Del Gusto B (2007) Randomized clinical trial examining the effect of music therapy in stress response to day surgery. Br J Surg 94:943–947
Nilsson U, Unosson M, Rawal N (2005) Stress reduction and analgesia in patients exposed to calming music postoperatively: a randomized controlled trial. Eur J Anaesthesiol 22:96–102
Yao J, Lee KK, McGrath C, Wu YN, Li KY, Mattheos N (2016) Comparison of patient centered outcomes after routine implant placement, teeth extraction, and periodontalsurgical procedures. Clin Oral Implants Res
Kim YK, Kim SM, Myoung H (2011) Musical intervention reduces patientsʼ anxiety in surgical extraction of an impacted mandibular third molar. J Oral Maxillofac Surg 69(4):1036–1045
MacClelland DC (1982) Therapeutic communication through music. Point of View 19:4–5
Smagin GN, Heinrichs SC, Dunn AJ (2001 May) The role of CRH in behavioral responses to stress. Peptides 22(5):713–724
Özer N, Karaman Özlü Z, Arslan S, Günes N (2013) Effect of music on postoperative pain and physiologic parameters of patients after open heart surgery. Pain Manag Nurs 14(1):20–28
Acknowledgments
D. Djelailia, JP. Granier, E. Robben, H. Keilani S. Coccolo, M. Lourenco, M-F. Malaise, E. Mendes, M. Suhas, A. Tence
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Keilani, C., Simondet, N., Maalouf, R. et al. Effects of music intervention on anxiety and pain reduction in ambulatory maxillofacial and otorhinolaryngology surgery: a descriptive survey of 27 cases. Oral Maxillofac Surg 21, 227–232 (2017). https://doi.org/10.1007/s10006-017-0616-3
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DOI: https://doi.org/10.1007/s10006-017-0616-3