Department of Otorhinolaryngology, Head and Neck Surgery, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Groningen, Hanzeplein 1, Groningen, The Netherlands.
Eur Arch Otorhinolaryngol. 2022 Nov;279(11):5269-5276. doi: 10.1007/s00405-022-07429-0. Epub 2022 Jul 12.
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).
Informed consent procedures in nine countries on five continents were studied.
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.
SML is a safe procedure with low morbidity, and virtually no mortality. Eleven recommendations are provided.
任何外科手术干预都需要获得知情同意，因为只有知情的患者才能积极参与他们的护理决策过程，并更好地理解他们治疗的可能或潜在结果。对于悬吊式显微喉镜手术（SML）的知情同意，目前尚未达成共识。
研究了五大洲九个国家的知情同意程序。
可以发现一些风险：SML 作为手术的风险、SML 的麻醉风险、嗓音外科的特定风险、声门暴露不足或意外发现的风险、不治疗的风险。SML 有公认的潜在并发症，可以分为暂时（轻微）并发症和持久（主要）并发症。
SML 是一种安全的手术，发病率低，几乎没有死亡率。提供了十一项建议。
