Informed consent for suspension microlaryngoscopy: what should we tell the patient? A consensus statement of the European Laryngological Society

Abstract

Introduction Informed consent for any surgical intervention is necessary, as only well-informed patients can actively participate in the decision-making process about their care, and better understand the likely or potential outcomes of their treatment. No consensus exists on informed consent for suspension microlaryngoscopy (SML). Materials and methods Informed consent procedures in nine countries on five continents were studied. Results Several risks can be discerned: risks of SML as procedure, anesthesiologic risks of SML, specific risks of phonosurgery, risks of inadequate glottic exposure or unexpected findings, risks of not treating. SML has recognized potential complications, that can be divided in temporary (minor) complications, and lasting (major) complications. Conclusion SML is a safe procedure with low morbidity, and virtually no mortality. Eleven recommendations are provided.

Current approaches to gender-affirming vocal care

“…The majority of studies have reported a high level of satisfaction with the surgical outcome Glottoplasty is a safe procedure with a small risk of complications. Like all endoscopic suspension microlaryngeal surgeries, it can be associated with anaesthetic risks, including complications of jet ventilation if utilized; short-term complications such as pain, mucosal trauma, haematoma, and tongue numbness; and rare long-term complications of dental damage and tongue paralysis [35]. The use of surgical lasers carries extra risks of laser burns and the exceptionally rare but possibly lethal airway fire.…”