Department of Oto-Rhino-Laryngology and Head and Neck Surgery, AP-HM, La Conception University Hospital, Aix-Marseille University, 147 Boulevard Baille, Marseille CEDEX 5, 13385, France.
Eur Arch Otorhinolaryngol. 2024 Dec;281(12):6547-6553. doi: 10.1007/s00405-024-08936-y. Epub 2024 Aug 30.
Office-based laryngology procedures evolved in the recent years with all the technology advances and have gained popularity among laryngologists. The indications enlarged, making it a valid surgical option for almost all voice disorders. This emerging technique raise the question of the place left for traditional phonosurgeries in the operating room under general anesthesia. We reviewed our surgical activity in our laryngology referral center from 2018 to 2023. Since we started the in-office procedures in 2018, the number of these interventions significantly increased, accompanying a significant increase in our total surgical activity. We noted no significant decrease in the number of interventions done in the operating room, which made us consider the office-based procedures as a complimentary and not a competitive option for traditional surgeries, helping us increase our total number of interventions, and thus offer patients more opportunities for a quicker medical care. Our register review showed also a change of treatment trends for unilateral vocal fold paralysis, with office-based interventions becoming the first-line treatment.
近年来，随着所有技术的进步，基于办公室的喉科学程序得到了发展，并在喉科医生中广受欢迎。适应症扩大了，使它成为几乎所有嗓音障碍的有效手术选择。这种新兴技术提出了一个问题，即在全麻下的手术室中，传统的语音手术还有什么位置。我们回顾了我们的喉科转诊中心 2018 年至 2023 年的手术活动。自 2018 年开始进行办公室程序以来，这些干预措施的数量显著增加，同时我们的总手术活动也显著增加。我们注意到在手术室进行的干预数量没有显著减少，这使我们认为基于办公室的程序是传统手术的补充而不是竞争选择，帮助我们增加了我们的总干预数量，从而为患者提供更多快速医疗护理的机会。我们的登记审查还显示单侧声带麻痹的治疗趋势发生了变化，基于办公室的干预成为了一线治疗。
