Sialendoscopy under local anaesthesia

Jokela, Johanna; Haapaniemi, Aaro; Mäkitie, Antti; Saarinen, Riitta

doi:10.1080/00016489.2016.1230681

Cited by 16 publications

(9 citation statements)

References 18 publications

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“…There is an absence of literature reporting pain levels and pain management following sialendoscopy. Jokela et al reported pain prior to discharge among 89 patients who received sialendoscopy: 87% reported mild‐to‐no pain, and 67% of their patients did not require postoperative pain medication . Their findings suggest that sialendoscopy rarely necessitates opioids for managing pain.…”

Section: Discussionmentioning

confidence: 99%

“…Jokela et al reported pain prior to discharge among 89 patients who received sialendoscopy: 87% reported mild-to-no pain, and 67% of their patients did not require postoperative pain medication. 17 Their findings suggest that sialendoscopy rarely necessitates opioids for managing pain. Cramer et al classified sialendoscopy and salivary gland surgery as intermediate-pain procedures for which they recommended a multimodal postoperative pain regimen.…”

Section: Sialendoscopymentioning

confidence: 99%

“…Based on these findings and the aforementioned studies, postoperative opioids may not be necessary following sialendoscopy. 17 Additional postprocedural care can include sugar-free lemon drops, gentle massage of the affected gland, and hydration. 18…”

Section: Sialendoscopymentioning

confidence: 99%

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Postoperative opioid‐prescribing practices in otolaryngology: A multiphasic study

Dang

Duffy

et al. 2019

The Laryngoscope

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Objectives In otolaryngology, postoperative pain management lacks evidence‐based guidelines. We designed a prospective, multiphasic study aimed to develop evidence‐based guidelines for postoperative pain management within our institution. In this first phase of our project, we investigated opioid prescription and consumption as well as pain trends for common otolaryngologic procedures. Methods Patients (n = 161) who underwent procedures between July 2018 and February 2019 were surveyed on their postoperative opioid usage and pain from day of discharge to first clinic visit. Opioid prescriptions were converted to standardized units of morphine milligram equivalents (MME). The procedures selected for analysis were parathyroidectomy/thyroidectomy, parotidectomy, sialendoscopy, and transoral robotic surgery resection (TORS). Results In total, 19,748 MME were prescribed: 8,588 MME (43.5%) were used, leaving 11,159 MME (56.5%) unused. TORS average MME used: 221 ± 227; total MME unused: 38%. Sialendoscopy average MME used: 31 ± 46; total MME unused: 67%. Parathyroidectomy/thyroidectomy average MME used: 30 ± 37; total MME unused: 66%. Parotidectomy average MME used: 43 ± 53; total MME unused: 65%. Male gender, smoking (current and former), and psychiatric medication use were positive predictors of opioid consumption in postoperative patients (P < 0.001). Conclusion At our institution, over 50% of prescribed postoperative opioids went unused. This was most pronounced for nonmucosal surgeries. Postoperative pain management should account for this to minimize unnecessary opioid prescriptions. Based on our findings and review of current literature, we are in the process of developing prescribing recommendations to be implemented within our institution. Level of Evidence 2 Laryngoscope, 130:659–665, 2020

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Section: Discussionmentioning

confidence: 99%

Section: Sialendoscopymentioning

confidence: 99%

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Postoperative opioid‐prescribing practices in otolaryngology: A multiphasic study

Dang

Duffy

et al. 2019

The Laryngoscope

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“…Konstantinidis et al [15] and Papadopoulou-Alataki et al [1] reported favorable outcome of sialendoscopy under local anesthesia in children and adolescents >8 years of age [1, 15]. Jokela et al [23] published very encouraging results on the tolerability of sialendoscopy under local anesthesia in adult patients with JRP [23].…”

Section: Diagnosismentioning

confidence: 99%

Juvenile Recurrent Parotitis: The Role of Sialendoscopy

Papadopoulou‐Alataki

Dogantzis

Chatziavramidis

et al. 2019

International Journal of Inflammation

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Juvenile recurrent parotitis (JRP) is a recurrent parotid inflammation of nonobstructive, nonsuppurative nature. It manifests in childhood and usually resolves after puberty but may also persist into adulthood. JRP is characterized by recurrent episodes of unilateral or/and bilateral parotid swelling with pain, reduction of salivary secretion, swallowing difficulty, fever, and malaise. The cause of this condition remains obscure. Throughout the last two decades, many therapeutic methods have been used in order to reduce the frequency and severity of JRP. During the acute episodes, conservative approaches (antibiotics, analgesics, sialogogues, massage of the parotid gland, and mouth rinses) are used. Parotidectomy has been suggested in rare selective occasions. Recently, a promising concept of sialendoscopy, which is a minimal invasive endoscopic technique, has been applied. This review outlines the literature on JRP focusing on methods and challenges in diagnosing JRP along with the differential diagnosis of JRP and the function of the parotid during JRP. In addition, we describe the treatment options for JRP, pointing out the importance of sialendoscopy as a diagnostic and treatment procedure that offers improvement in patients' daily life.

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“…The development of modern sialendoscopy has allowed improved visual access into the salivary duct system to diagnose and treat obstructive causes. Sialendoscopy can be performed under local anesthesia with minimal morbidity [9,10]. Good results have been achieved in the treatment of sialolithiasis and ductal stenosis or strictures [11].…”

Section: Introductionmentioning

confidence: 99%