Office-Based Procedures for the Diagnosis and Treatment of Laryngeal Pathology

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Title:	Office-Based Procedures for the Diagnosis and Treatment of Laryngeal Pathology
Author(s):	Wellenstein, D.J.; Schutte, H.W.; Takes, R.P. ; Honings, J. ; Marres, H.A.M. ; Burns, J.A.; Broek, G.B. van den
Publication year:	2018
Source:	Journal of Voice, vol. 32, iss. 4, (2018), pp. 502-513
ISSN:	0892-1997
DOI:	https://doi.org/10.1016/j.jvoice.2017.07.018
Publication type:	Article / Letter to editor
Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/196790
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Subject:	Radboudumc 9: Rare cancers RIHS: Radboud Institute for Health Sciences
Organization:	Otorhinolaryngology Radiation Oncology
Journal title:	Journal of Voice
Volume:	vol. 32
Issue:	iss. 4
Page start:	p. 502
Page end:	p. 513
Abstract:	INTRODUCTION: Since the development of distal chip endoscopes with a working channel, diagnostic and therapeutic possibilities in the outpatient clinic in the management of laryngeal pathology have increased. Which of these office-based procedures are currently available, and their clinical indications and possible advantages, remains unclear. MATERIAL AND METHODS: Review of literature on office-based procedures in laryngology and head and neck oncology. RESULTS: Flexible endoscopic biopsy (FEB), vocal cord injection, and laser surgery are well-established office-based procedures that can be performed under topical anesthesia. These procedures demonstrate good patient tolerability and multiple advantages. CONCLUSION: Office-based procedures under topical anesthesia are currently an established method in the management of laryngeal pathology. These procedures offer medical and economic advantages compared with operating room-performed procedures. Furthermore, office-based procedures enhance the speed and timing of the diagnostic and therapeutic process.