Sialendoscopy under local anaesthesia

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http://hdl.handle.net/10138/311764

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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
Other contributor: University of Helsinki, Korva-, nenä- ja kurkkutautien klinikka
University of Helsinki, Department of Ophthalmology and Otorhinolaryngology
University of Helsinki, Clinicum
University of Helsinki, Clinicum





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
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