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

Authors :: Wellenstein DJ
Schutte HW
Takes RP
Honings J
Marres HAM
Burns JA
van den Broek GB
Source :: Journal of voice : official journal of the Voice Foundation [J Voice] 2018 Jul; Vol. 32 (4), pp. 502-513. Date of Electronic Publication: 2017 Sep 19.
Publication Year :: 2018
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.<br />Material and Methods: Review of literature on office-based procedures in laryngology and head and neck oncology.<br />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.<br />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.<br /> (Copyright © 2018 The Voice Foundation. All rights reserved.)