Sialendoscopy under local anaesthesia

被引:12
作者
Jokela, Johanna [1 ,2 ]
Haapaniemi, Aaro [1 ,2 ]
Makitie, Antti [1 ,2 ,3 ]
Saarinen, Riitta [1 ,2 ]
机构
[1] Univ Helsinki, Dept Otorhinolaryngol Head & Neck Surg, Helsinki, Finland
[2] Helsinki Univ Hosp, Helsinki, Finland
[3] Karolinska Inst, Karolinska Univ Hosp, Div Ear Nose & Throat Dis, Dept Clin Sci Intervent & Technol, Stockholm, Sweden
关键词
Sialendoscopy; local anaesthesia; submandibular gland; parotid gland; sialolith; obstructive sialadenitis; questionnaire; SIALOENDOSCOPY; MANAGEMENT;
D O I
10.1080/00016489.2016.1230681
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Conclusions: In most cases, both diagnostic and interventional sialendoscopy are well tolerated under local anaesthesia (LA) or under local anaesthesia with sedation (LAS), with reasonably low patient-reported discomfort. Sialendoscopy can be considered a patient-friendly and relatively painless, gland-preserving, minimally invasive procedure suitable for day surgery. Objective: To investigate patient experience and compliance in sialendoscopy under LA/LAS. Methods: This prospective study was conducted at an academic tertiary-care university hospital. During a period of 22 months, 89 patients between ages 16-81 years underwent diagnostic or interventional sialendoscopy under LA (20%) or LAS (80%). After the operation the patients filled in a questionnaire formulated by the authors concerning their procedure-related experiences. Patients' demographic data, ASA status score, pre- and intra-operative blood pressure and heart rate measurements, affected gland, operation time, intervention type, as well as pre-, peri-, and postoperative medication were gathered later from the medical records. Results: The level of discomfort and pain experienced during the operation was assessed as 'mild' or 'none' by 85% and 89% of the patients, respectively. The level of pain experienced after the operation was 'major' in 4% of patients and 'mild' or 'none' in the majority (87%) of patients. The patients' estimations showed no significant difference between the diagnostic and interventional procedures, although it seems that patients who underwent stone removal by transoral incision experienced the operation as a bit more uncomfortable and painful than other patients. Afterwards 97% of patients stated that they would agree to a new LA/LAS sialendoscopy in the future if needed.
引用
收藏
页码:310 / 314
页数:5
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