Wellenstein David J, Schutte Henrieke W, Takes Robert P, Honings Jimmie, Marres Henri A M, Burns James A, van den Broek Guido B
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.
J Voice. 2018 Jul;32(4):502-513. doi: 10.1016/j.jvoice.2017.07.018. Epub 2017 Sep 19.
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.
Review of literature on office-based procedures in laryngology and head and neck oncology.
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.
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.
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。
回顾有关喉科学以及头颈肿瘤学中基于门诊手术的文献。
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。
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。
