Jokela , J , Haapaniemi , A , Makitie , A & Saarinen , R 2017 , ' Sialendoscopy under local anaesthesia ' , Acta Oto-Laryngologica , vol. 137 , no. 3 , pp. 310-314 . https://doi.org/10.1080/00016489.2016.1230681
Title: | Sialendoscopy under local anaesthesia |
Author: | Jokela, Johanna; Haapaniemi, Aaro; Makitie, Antti; Saarinen, Riitta |
Contributor organization: | Korva-, nenä- ja kurkkutautien klinikka Department of Ophthalmology and Otorhinolaryngology University of Helsinki Clinicum HUS Head and Neck Center Department of Surgery |
Date: | 2017-03 |
Language: | eng |
Number of pages: | 5 |
Belongs to series: | Acta Oto-Laryngologica |
ISSN: | 0001-6489 |
DOI: | https://doi.org/10.1080/00016489.2016.1230681 |
URI: | http://hdl.handle.net/10138/311764 |
Abstract: | 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. |
Subject: |
Sialendoscopy
local anaesthesia submandibular gland parotid gland sialolith obstructive sialadenitis questionnaire SUBMANDIBULAR-GLAND SIALOLITHIASIS GENERAL-ANESTHESIA SIALOENDOSCOPY SIALADENITIS MANAGEMENT SEDATION 3125 Otorhinolaryngology, ophthalmology 3126 Surgery, anesthesiology, intensive care, radiology |
Peer reviewed: | Yes |
Usage restriction: | openAccess |
Self-archived version: | acceptedVersion |
Total number of downloads: Loading...
Files | Size | Format | View |
---|---|---|---|
Jokela_et_al.pdf | 38.29Kb |
View/ |