دورية أكاديمية
Assessing the safety and tolerability of rhinologic surgery under local anesthetic: an 8-year retrospective analysis.
| العنوان: | Assessing the safety and tolerability of rhinologic surgery under local anesthetic: an 8-year retrospective analysis. |
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| المؤلفون: | Kokavec A; Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond Street, London, ON, N6A 3K7, Canada. akokavec@uwo.ca., Zahabi S; Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond Street, London, ON, N6A 3K7, Canada., Rocha T; Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond Street, London, ON, N6A 3K7, Canada., Rotenberg BW; Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond Street, London, ON, N6A 3K7, Canada., Sowerby LJ; Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, 1151 Richmond Street, London, ON, N6A 3K7, Canada. |
| المصدر: | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2024 Apr 23. Date of Electronic Publication: 2024 Apr 23. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer International Country of Publication: Germany NLM ID: 9002937 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1434-4726 (Electronic) Linking ISSN: 09374477 NLM ISO Abbreviation: Eur Arch Otorhinolaryngol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Heidelberg : Springer International, c1990- |
| مستخلص: | Purpose: Office-based rhinologic procedures (OBRP) have become widely available in North America due to technological advances and appropriate patient selection. Nevertheless, the literature exploring the safety of these procedures remains limited. The objective of this study was to further evaluate the safety, tolerability and efficacy of these procedures with a more robust sample size to allow for capture of rare events. Methods: A retrospective chart review of all patients who underwent OBRP from May 2015 to March 2023. Information regarding patient demographics, the indication for surgery, wait time, tolerability, intra- and postoperative complications, need for revisions, and type of revision (if applicable) was recorded. Results: 1208 patients underwent OBRP during the study period. No patients were excluded. These included turbinoplasties (35%), endoscopic sinus surgeries (ESS) (26%), septoplasties (15%), nasal fracture reductions (7%), and a variety of other procedures. For ESS procedures, the anterior ethmoids and the maxillary sinuses were the most common sinuses treated. 1.1% of procedures were aborted prior to completion. The post-operative complication rate was 3.2%, with 2 major complications (significant bleeding and sepsis) encountered. The mean follow-up overall was 11 months and for ESS it was 15.8 months. Conclusion: Office-based rhinologic procedures are well tolerated and safe for the appropriate patient and associated with shorter wait-times as well as avoidance of general anesthesia. The complication rates are similar to or lower than previously reported rates for rhinologic surgeries done in the operating room. The low rates of revision surgery also demonstrate the efficacy of these procedures. (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.) |
| References: | Saini AT, Citardi MJ, Yao WC, Luong AU (2019) Office-based sinus surgery. Otolaryngol Clin North Am 52:473–483. https://doi.org/10.1016/j.otc.2019.02.003. (PMID: 10.1016/j.otc.2019.02.00330905564) Lee JT, DelGaudio J, Orlandi RR (2018) Practice patterns in office-based rhinology: survey of the American rhinologic society. Am J Rhinol Allergy 33:26–35. https://doi.org/10.1177/1945892418804904. (PMID: 10.1177/194589241880490430306790) Varshney R, Lee JT (2016) New innovations in office-based rhinology. Curr Opin Otolaryngol Head Neck Surg 24:3–9. https://doi.org/10.1097/moo.0000000000000228. (PMID: 10.1097/moo.000000000000022826679779) Abdullah B, Singh S (2021) Surgical interventions for inferior turbinate hypertrophy: a comprehensive review of current techniques and technologies. IJERPH 18:3441. https://doi.org/10.3390/ijerph18073441. (PMID: 10.3390/ijerph18073441338103098038107) Viera-Artiles J, Corriols-Noval P, López-Simón E et al (2020) In-office endoscopic nasal polypectomy: prospective analysis of patient tolerability and efficacy. Eur Arch Otorhinolaryngol 277:3341–3348. https://doi.org/10.1007/s00405-020-06196-0. (PMID: 10.1007/s00405-020-06196-0326662957359762) Sikand A, Ehmer DR Jr, Stolovitzky JP et al (2018) In-office balloon sinus dilation versus medical therapy for recurrent acute rhinosinusitis: a randomized, placebo-controlled study. Int Forum Allergy Rhinol 9:140–148. https://doi.org/10.1002/alr.22248. (PMID: 10.1002/alr.2224830452127) Sudhoff H, Ay N, Todt I et al (2020) A novel technique for patulous Eustachian tube augmentation. Eur Arch Otorhinolaryngol 278:2219–2224. https://doi.org/10.1007/s00405-020-06277-0. (PMID: 10.1007/s00405-020-06277-032797273) Taylor RJ, Sherris DA (2015) Prosthetics for nasoseptal perforations. Otolaryngol Head Neck Surg 152:803–810. https://doi.org/10.1177/0194599815577084. (PMID: 10.1177/019459981557708425855415) Barrow EM, DelGaudio JM (2014) In-office drainage of sinus mucoceles: an alternative to operating-room drainage. Laryngoscope 125:1043–1047. https://doi.org/10.1002/lary.25042. (PMID: 10.1002/lary.2504225418415) Gittelman PD, Jacobs JB, Skorina J (1993) Comparison of functional endoscopic sinus surgery under local and general anesthesia. Ann Otol Rhinol Laryngol 102:289–293. https://doi.org/10.1177/000348949310200408. (PMID: 10.1177/0003489493102004088476170) Kilty S, Thavorn K, Janjua A et al (2020) Endoscopic polypectomy performed in clinic for chronic rhinosinusitis with nasal polyps: study protocol for the EPIC multicentre randomised controlled trial. BMJ Open 10:e042413. https://doi.org/10.1136/bmjopen-2020-042413. (PMID: 10.1136/bmjopen-2020-042413332684347713191) Ng BHK, Annamalai S, Linger Sim LS, Tang IP (2020) A 5-year experience in functional endoscopic sinus surgery under local anaesthesia. Pol Ann Med. https://doi.org/10.29089/2020.20.00122. (PMID: 10.29089/2020.20.00122) Scott JR, Sowerby LJ, Rotenberg BW (2017) Office-based rhinologic surgery: a modern experience with operative techniques under local anesthetic. Am J Rhinol&Allergy 31:135–138. https://doi.org/10.2500/ajra.2017.31.4414. (PMID: 10.2500/ajra.2017.31.4414) Suzuki S, Yasunaga H, Matsui H et al (2015) Complication rates after functional endoscopic sinus surgery: analysis of 50,734 Japanese patients. Laryngoscope 125:1785–1791. https://doi.org/10.1002/lary.25334. (PMID: 10.1002/lary.2533425946047) Cuvillon P, Lefrant JY, Gricourt Y (2022) Considerations for the use of local anesthesia in the frail elderly: current perspectives. LRA 15:71–75. https://doi.org/10.2147/lra.s325877. (PMID: 10.2147/lra.s325877) Prickett KK, Wise SK, DelGaudio JM (2012) Cost analysis of office-based and operating room procedures in rhinology. Int Forum Allergy Rhinol 2:207–211. https://doi.org/10.1002/alr.21020. (PMID: 10.1002/alr.2102022252977) Anderson J, Hu H (2023) Environmental sustainability: waste audit comparison operating room and in-office laryngeal surgery. Laryngoscope 134:803–806. https://doi.org/10.1002/lary.31005. (PMID: 10.1002/lary.3100537658737) Heo SJ, Cha EJ, Cho HS et al (2018) Comparison of patient satisfaction and complications of rhinoplasty between local and general Anesthesia. Korean J Otorhinolaryngol-Head Neck Surg 61:247–251. https://doi.org/10.3342/kjorl-hns.2017.00591. (PMID: 10.3342/kjorl-hns.2017.00591) Andrews P, Anschuetz L, Baptista PM et al (2021) Awake rhinology surgery in response to the COVID-19 pandemic in Europe. ORL 84:93–102. https://doi.org/10.1159/000517155. (PMID: 10.1159/00051715534464957) Desrosiers M, Evans GA, Keith PK et al (2011) Canadian clinical practice guidelines for acute and chronic rhinosinusitis. All Asth Clin Immun. https://doi.org/10.1186/1710-1492-7-2. (PMID: 10.1186/1710-1492-7-2) O’Halloran L (2003) The lateral crural J-flap repair of nasal valve collapse. Otolaryngol Head Neck Surg 128:640–649. https://doi.org/10.1016/s0194-5998(03)00096-2. (PMID: 10.1016/s0194-5998(03)00096-212748556) Yip J, Hao W, Eskander A, Lee JM (2018) Wait times for endoscopic sinus surgery influence patient-reported outcome measures in patients with chronic rhinosinusitis who fulfill appropriateness criteria. Int Forum Allergy Rhinol 9:396–401. https://doi.org/10.1002/alr.22257. (PMID: 10.1002/alr.2225730536604) Papagiannopoulos P, Ganti A, Kim YJ et al (2020) Impact of COVID-19 pandemic on ambulatory and operating room rhinology practice in the US. Am J Rhinol&Allergy 35:441–448. https://doi.org/10.1177/1945892420961962. (PMID: 10.1177/1945892420961962) Rotenberg B (2021) Moving surgical care out of hospitals to reduce wait times. CMAJ 193:E138–E138. https://doi.org/10.1503/cmaj.77461. (PMID: 10.1503/cmaj.77461336671837954561) Radvansky BM, Husain Q, Cherla DV et al (2012) In-office vasovagal response after rhinologic manipulation. Int Forum Allergy Rhinol 3:510–514. https://doi.org/10.1002/alr.21121. (PMID: 10.1002/alr.2112123193039) Hopkins C, Browne JP, Slack R et al (2006) Complications of surgery for nasal polyposis and chronic rhinosinusitis: the results of a national audit in England and Wales. Laryngoscope 116:1494–1499. https://doi.org/10.1097/01.mlg.0000230399.24306.50. (PMID: 10.1097/01.mlg.0000230399.24306.5016885760) Smith KA, Orlandi RR, Oakley G et al (2018) Long-term revision rates for endoscopic sinus surgery. Int Forum Allergy Rhinol 9:402–408. https://doi.org/10.1002/alr.22264. (PMID: 10.1002/alr.22264305708406438735) Schröder S, Lehmann M, Sudhoff HH, Ebmeyer J (2015) Treatment of the patulous eustachian tube with soft-tissue bulking agent injections. Otol Neurotol 36:448–452. https://doi.org/10.1097/mao.0000000000000646. (PMID: 10.1097/mao.000000000000064625356764) Besmens IS, Shahrdar C, Fontein DBY et al (2023) Efficacy of closed reduction of nasal fractures—a retrospective analysis with focus on factors affecting functional and aesthetic outcomes. J Plast Reconstr Aesthet Surg 77:371–378. https://doi.org/10.1016/j.bjps.2022.11.010. (PMID: 10.1016/j.bjps.2022.11.01036623373) Orlandi RR, Kingdom TT, Hwang PH et al (2016) International consensus statement on allergy and rhinology: rhinosinusitis. Int Forum Allergy Rhinol. https://doi.org/10.1002/alr.21695. (PMID: 10.1002/alr.21695279181545218862) |
| فهرسة مساهمة: | Keywords: Chronic rhinosinusitis; Endoscopic sinus surgery; FESS; Local anesthetic; Quality of life |
| تواريخ الأحداث: | Date Created: 20240423 Latest Revision: 20240423 |
| رمز التحديث: | 20240424 |
| DOI: | 10.1007/s00405-024-08655-4 |
| PMID: | 38652299 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1434-4726 |
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| DOI: | 10.1007/s00405-024-08655-4 |