Abstract
Office-based procedures in laryngology are emerging in the last years and keep on increasing not only due to better imaging and instrumentation. Besides the basic interventions like injections and biopsies, laser procedures are getting more and more practicable and precise and sometimes even may be first-line indications for non-sedated patients for an in-office procedure. Transnasal flexible surgery is taking over transoral approaches, although transoral interventions still play an important role in office-based interventions. Still, there are obstacles in establishing a state-of-the-art office surgery unit with the latest high-resolution endoscopes, videostroboscopy, and lasers, where high initial setup costs are significant to purchase instruments, solving associated problems of cleaning, decontamination, disinfection, and reprocessing of endoscopes and instruments. Finally, dealing with appropriate handling of corona pandemic-related issues of personal protective equipment, aerosol-generating procedures, and the like is of utmost importance. However, this all did not stop the advancement of office-based procedures. More and more diagnostic examinations and therapeutic treatments are done in the office, since they are lowering risks for the patients, decrease costs, and improve comfort and convenience in manifold cases where highest precision like in microlaryngoscopy is not mandatory. A well-defined, certified future training for ENT colleagues is highly desirable and would help further use of office-based procedures.
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Hess, M.M., Fleischer, S. (2022). Office-Based Procedures. In: Remacle, M., Eckel, H.E. (eds) Textbook of Surgery of Larynx and Trachea. Springer, Cham. https://doi.org/10.1007/978-3-031-09621-1_12
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