Sialendoscopy under local anaesthesia

Show simple item record Jokela, Johanna Haapaniemi, Aaro Makitie, Antti Saarinen, Riitta 2020-02-17T11:00:01Z 2020-02-17T11:00:01Z 2017-03
dc.identifier.citation Jokela , J , Haapaniemi , A , Makitie , A & Saarinen , R 2017 , ' Sialendoscopy under local anaesthesia ' , Acta Oto-Laryngologica , vol. 137 , no. 3 , pp. 310-314 .
dc.identifier.other PURE: 83431341
dc.identifier.other PURE UUID: 7b1dc8ff-c750-4727-a79b-0515ee796567
dc.identifier.other WOS: 000395159200017
dc.identifier.other Scopus: 84988662322
dc.description.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. en
dc.format.extent 5
dc.language.iso eng
dc.relation.ispartof Acta Oto-Laryngologica
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Sialendoscopy
dc.subject local anaesthesia
dc.subject submandibular gland
dc.subject parotid gland
dc.subject sialolith
dc.subject obstructive sialadenitis
dc.subject questionnaire
dc.subject MANAGEMENT
dc.subject SEDATION
dc.subject 3125 Otorhinolaryngology, ophthalmology
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.title Sialendoscopy under local anaesthesia en
dc.type Article
dc.contributor.organization Korva-, nenä- ja kurkkutautien klinikka
dc.contributor.organization Department of Ophthalmology and Otorhinolaryngology
dc.contributor.organization University of Helsinki
dc.contributor.organization Clinicum
dc.contributor.organization HUS Head and Neck Center
dc.contributor.organization Department of Surgery
dc.description.reviewstatus Peer reviewed
dc.relation.issn 0001-6489
dc.rights.accesslevel openAccess
dc.type.version acceptedVersion

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