“Effect of Music Listening on Hemodynamic Changes in Patients with Facial Trauma During Erich's Arch Bar Application: A Randomized Controlled Trial”
Background: Erich's arch bar fixation can be discomforting for patients, as it can increase heart rate, blood pressure, and anxiety. Due to its simple and cost effective nature , music therapy is being considered as a method to help calm patients during surgical procedures.Aim: To evaluate the effects of music therapy on pain, anxiety, procedural time and vital parameters for patients undergoing intermaxillary fixation. Settings and Design: A prospective, randomized controlled study was conducted in the oral and maxillofacial surgery outpatient department.Methods: Fifty-eight patients underwent intermaxillary fixation under local anaesthesia. They were randomized into two groups where music group (n=29) listened to calming music with wireless headphones during the procedure and control group (n=29) did not. Vital signs like blood pressure, heart rate, breathing rate, and oxygen levels were measured throughout. Pain was assessed with a visual analogue scale; anxiety was measured with a Likert scale. Statistical significance was set at P < 0.05.Results: Patients in the music group showed more stable vital signs, with a smaller increase in blood pressure and heart rate (p = 0.001). The study showed reduction in pain (2.59 vs. 4.28), decreased anxiety scores (1.41 vs. 3.41) and shortened surgical duration (61.14 vs. 75.38 minutes, p = 0.001). Effects of music on the breathing rate and oxygen levels were insignificant.Conclusion: Listening to music effectively reduces pain and anxiety during intermaxillary fixation with enhanced patient comfort and stability, besides being a safer, simpler and an affordable modality.