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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2020; 24(02): e232-e236
DOI: 10.1055/s-0039-3402438
Original Research
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

A Randomized Study on the Efficacy of Music Therapy on Pain and Anxiety in Nasal Septal Surgery

Avinash Gogoularadja
1   Mahatma Gandhi Medical College and Research Institute (MGMCRI), Sri Balaji Vidyapeeth, Pillaiyarkuppam, Pondicherry, India
,
Satvinder Singh Bakshi 
2   Department of Ear, Nose and Throat and Head & Neck Surgery, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Guntur, Andhra Pradesh, India
› Author Affiliations Funding The present study was partially funded by the Indian Council of Medical Research.
Further Information

Publication History

10 April 2019

28 October 2019

Publication Date:
27 February 2020 (online)

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Abstract

Introduction Nasal septal surgery is one of the most common surgeries performed by otolaryngology surgeons; however, anxiety before surgery and postoperative pain remain a significant cause of morbidity. The search for a complimentary modality to reduce the symptoms and side effects has gained momentum in recent years.

Objective Music therapy is an exciting and inexpensive modality in this regard, but scientific evidence in terms of randomized clinical trials is still lacking for common otolaryngology surgeries. Hence, we performed the present study.

Method The sample of our study was composed of 59 patients, 30 of which were submitted to conventional medicine, while the remaining 29 were submitted to both conventional medicine and music therapy with music of their own choice, with 2 sessions per day, each lasting 30 minutes. This was performed using the generalized anxiety disorder-7 scale and the pain visual analogue scale until postoperative day 2, when the patients were discharged from the hospital.

Result On comparing the anxiety and pain scores between the two groups, the group who underwent music therapy showed a statistically significant reduction in anxiety both preoperatively (p < 0.0001) and postoperatively (p < 0.0001), as well as reduced postoperative pain starting from day 0 (p < 0.001), which continued until postoperative day 2 (p < 0.001).

Conclusion Music therapy is an effective adjunct in the control of anxiety and postoperative pain following nasal septal surgery.

Keywords

music therapy - anxiety - pain management - morbidity - nasal surgical procedure
 

  • References

  • 1 Park IJ, Kim G, Ko G, Lee YJ, Hwang SH. Does preoperative administration of gabapentin/pregabalin improve postoperative nasal surgery pain?. Laryngoscope 2016; 126 (10) 2232-2241
    CrossrefPubMedGoogle Scholar
  • 2 Bhattacharyya N. Ambulatory sinus and nasal surgery in the United States: demographics and perioperative outcomes. Laryngoscope 2010; 120 (03) 635-638
    CrossrefPubMedGoogle Scholar
  • 3 Schnur JB, Bovbjerg DH, David D. , et al. Hypnosis decreases presurgical distress in excisional breast biopsy patients. Anesth Analg 2008; 106 (02) 440-444
    CrossrefPubMedGoogle Scholar
  • 4 Wang SM, Peloquin C, Kain ZN. The use of auricular acupuncture to reduce preoperative anxiety. Anesth Analg 2001; 93 (05) 1178-1180
    CrossrefPubMedGoogle Scholar
  • 5 Simsek T, Coskun Musaoglu I, Uluat A. The effect of lidocaine and tramadol in nasal packs on pain after septoplasty. Eur Arch Otorhinolaryngol 2019; 276 (06) 1663-1669 . Doi: 10.1007/s00405-019-05306-x
    CrossrefPubMedGoogle Scholar
  • 6 Karaman E, Gungor G, Alimoglu Y. , et al. The effect of lidocaine, bupivacaine and ropivacaine in nasal packs on pain and hemorrhage after septoplasty. Eur Arch Otorhinolaryngol 2011; 268 (05) 685-689
    CrossrefPubMedGoogle Scholar
  • 7 Mutlu V, Kaya Z. Comparison of the effect of the lidocaine, tetracaine, and articaine application into nasal packs on pain and hemorrhage after septoplasty. Eur Arch Otorhinolaryngol 2018; 275 (10) 2481-2485
    CrossrefPubMedGoogle Scholar
  • 8 Gooding L, Swezey S, Zwischenberger JB. Using music interventions in perioperative care. South Med J 2012; 105 (09) 486-490
    CrossrefPubMedGoogle Scholar
  • 9 Sener EB, Koylu N, Ustun FE. , et al. The effects of music, white noise and operating room noise on perioperative anxiety in patients under spinal anesthesia: 8AP3–3. Eur J Anaesthesiol 2010; 27: 133
    Google Scholar
  • 10 van der Heijden MJ, Oliai Araghi S, van Dijk M, Jeekel J, Hunink MG. The Effects of Perioperative Music Interventions in Pediatric Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. PLoS One 2015; 10 (08) e0133608
    CrossrefPubMedGoogle Scholar
  • 11 Davis WB, Gfeller KE, Thaut MH. An Introduction to Music Therapy: Theory and Practice. Silver Spring, MD: The American Music Therapy Association; 2008
    Google Scholar
  • 12 Palmer JB, Lane D, Mayo D, Schluchter M, Leeming R. Effects of Music Therapy on Anesthesia Requirements and Anxiety in Women Undergoing Ambulatory Breast Surgery for Cancer Diagnosis and Treatment: A Randomized Controlled Trial. J Clin Oncol 2015; 33 (28) 3162-3168
    CrossrefPubMedGoogle Scholar
  • 13 Mayor S. Listening to music helps reduce pain and anxiety after surgery, review shows. BMJ 2015; 351: h4398
    Google Scholar
  • 14 Jacobson AF. Intradermal normal saline solution, self-selected music, and insertion difficulty effects on intravenous insertion pain. Heart Lung 1999; 28 (02) 114-122
    CrossrefPubMedGoogle Scholar
  • 15 Megel ME, Houser CW, Gleaves LS. Children's responses to immunizations: lullabies as a distraction. Issues Compr Pediatr Nurs 1998; 21 (03) 129-145
    CrossrefPubMedGoogle Scholar
  • 16 Nguyen TN, Nilsson S, Hellström AL, Bengtson A. Music therapy to reduce pain and anxiety in children with cancer undergoing lumbar puncture: a randomized clinical trial. J Pediatr Oncol Nurs 2010; 27 (03) 146-155
    CrossrefPubMedGoogle Scholar
  • 17 Menegazzi JJ, Paris PM, Kersteen CH, Flynn B, Trautman DE. A randomized, controlled trial of the use of music during laceration repair. Ann Emerg Med 1991; 20 (04) 348-350
    CrossrefPubMedGoogle Scholar
  • 18 Fratianne RB, Prensner JD, Huston MJ, Super DM, Yowler CJ, Standley JM. The effect of music-based imagery and musical alternate engagement on the burn debridement process. J Burn Care Rehabil 2001; 22 (01) 47-53
    CrossrefPubMedGoogle Scholar
  • 19 Baghdadi ZD. Evaluation of audio analgesia for restorative care in children treated using electronic dental anesthesia. J Clin Pediatr Dent 2000; 25 (01) 9-12
    PubMedGoogle Scholar
  • 20 Schiemann U, Gross M, Reuter R, Kellner H. Improved procedure of colonoscopy under accompanying music therapy. Eur J Med Res 2002; 7 (03) 131-134
    PubMedGoogle Scholar
  • 21 Good M, Anderson GC, Stanton-Hicks M, Grass JA, Makii M. Relaxation and music reduce pain after gynecologic surgery. Pain Manag Nurs 2002; 3 (02) 61-70
    CrossrefPubMedGoogle Scholar
  • 22 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 2017; 21 (02) 227-232
    CrossrefPubMedGoogle Scholar
  • 23 McCaffrey R, Freeman E. Effect of music on chronic osteoarthritis pain in older people. J Adv Nurs 2003; 44 (05) 517-524
    CrossrefPubMedGoogle Scholar
  • 24 Nilsson U, Rawal N, Unosson M. A comparison of intra-operative or postoperative exposure to music--a controlled trial of the effects on postoperative pain. Anaesthesia 2003; 58 (07) 699-703
    CrossrefPubMedGoogle Scholar
  • 25 Urakawa K, Yokoyama K. Can relaxation programs with music enhance human immune function?. J Altern Complement Med 2004; 10 (04) 605-606
    CrossrefPubMedGoogle Scholar
  • 26 Smagin GN, Heinrichs SC, Dunn AJ. The role of CRH in behavioral responses to stress. Peptides 2001; 22 (05) 713-724
    CrossrefPubMedGoogle Scholar
  • 27 Özer N, Karaman Özlü Z, Arslan S, Günes N. Effect of music on postoperative pain and physiologic parameters of patients after open heart surgery. Pain Manag Nurs 2013; 14 (01) 20-28
    CrossrefPubMedGoogle Scholar
  • 28 Yung PM, Chui-Kam S, French P, Chan TM. A controlled trial of music and pre-operative anxiety in Chinese men undergoing transurethral resection of the prostate. J Adv Nurs 2002; 39 (04) 352-359
    CrossrefPubMedGoogle Scholar
  • 29 Lepage C, Drolet P, Girard M, Grenier Y, DeGagné R. Music decreases sedative requirements during spinal anesthesia. Anesth Analg 2001; 93 (04) 912-916
    CrossrefPubMedGoogle Scholar
  • 30 Haun M, Mainous RO, Looney SW. Effect of music on anxiety of women awaiting breast biopsy. Behav Med 2001; 27 (03) 127-132
    CrossrefPubMedGoogle Scholar
  • 31 Barnason S, Zimmerman L, Nieveen J. The effects of music interventions on anxiety in the patient after coronary artery bypass grafting. Heart Lung 1995; 24 (02) 124-132
    CrossrefPubMedGoogle Scholar