Sialendoscopy under local anaesthesia

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dc.contributor.author Jokela, Johanna
dc.contributor.author Haapaniemi, Aaro
dc.contributor.author Makitie, Antti
dc.contributor.author Saarinen, Riitta
dc.date.accessioned 2020-02-17T11:00:01Z
dc.date.available 2020-02-17T11:00:01Z
dc.date.issued 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 . https://doi.org/10.1080/00016489.2016.1230681
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.identifier.uri http://hdl.handle.net/10138/311764
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 SUBMANDIBULAR-GLAND SIALOLITHIASIS
dc.subject GENERAL-ANESTHESIA
dc.subject SIALOENDOSCOPY
dc.subject SIALADENITIS
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.doi https://doi.org/10.1080/00016489.2016.1230681
dc.relation.issn 0001-6489
dc.rights.accesslevel openAccess
dc.type.version acceptedVersion

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