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基于门诊的喉部疾病诊断与治疗程序

Office-Based Procedures for the Diagnosis and Treatment of Laryngeal Pathology.

作者信息

Wellenstein David J, Schutte Henrieke W, Takes Robert P, Honings Jimmie, Marres Henri A M, Burns James A, van den Broek Guido B

机构信息

Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.

Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.

出版信息

J Voice. 2018 Jul;32(4):502-513. doi: 10.1016/j.jvoice.2017.07.018. Epub 2017 Sep 19.

Abstract

INTRODUCTION

Since the development of distal chip endoscopes with a working channel, diagnostic and therapeutic possibilities in the outpatient clinic in the management of laryngeal pathology have increased. Which of these office-based procedures are currently available, and their clinical indications and possible advantages, remains unclear.

MATERIAL AND METHODS

Review of literature on office-based procedures in laryngology and head and neck oncology.

RESULTS

Flexible endoscopic biopsy (FEB), vocal cord injection, and laser surgery are well-established office-based procedures that can be performed under topical anesthesia. These procedures demonstrate good patient tolerability and multiple advantages.

CONCLUSION

Office-based procedures under topical anesthesia are currently an established method in the management of laryngeal pathology. These procedures offer medical and economic advantages compared with operating room-performed procedures. Furthermore, office-based procedures enhance the speed and timing of the diagnostic and therapeutic process.

摘要

引言

自从带有工作通道的远端芯片内窥镜问世以来,门诊治疗喉部疾病的诊断和治疗可能性有所增加。目前哪些基于门诊的手术可用,其临床适应症和可能的优势尚不清楚。

材料与方法

回顾有关喉科学以及头颈肿瘤学中基于门诊手术的文献。

结果

软性内镜活检(FEB)、声带注射和激光手术是成熟的基于门诊的手术,可在局部麻醉下进行。这些手术显示出良好的患者耐受性和多种优势。

结论

局部麻醉下的门诊手术目前是治疗喉部疾病的既定方法。与手术室进行的手术相比,这些手术具有医学和经济优势。此外,门诊手术提高了诊断和治疗过程的速度和及时性。

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