Otorhinolaryngologic Diseases
Conditions
Keywords
sheath, flexible, endoscopy, otolaryngology, office
Brief summary
The processing of standard flexible nasopharyngoscopes is a time-consuming and costly process. The goal of this study is to determine the efficiency and cost-effectiveness of sheathed flexible endoscope in an office setting.
Detailed description
Methods: Randomized, single-blinded, controlled trial Setting: Office practice of two academic otolaryngologists at a community hospital. Primary Outcomes: Patient pain and discomfort, Optical quality Secondary Outcomes: Physician and nursing staff satisfaction Cost-analysis Comparison: No-sheath flexible nasopharyngoscopy versus sheathed flexible nasopharyngoscopy
Interventions
Flexible sheathed nasopharyngolaryngoscopy
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients presenting to the Otolaryngology-Head and Neck Surgery service with complaints warranting flexible endoscopy
Exclusion criteria
* Known sinonasal masses or nasal polyposis * Unable to complete VAS surveys * Significant septal deviation * Unable to tolerate in-office flexible nasopharyngoscopy * Patients who refuse consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient pain and discomfort | 1 hour | Patient Pain and Discomfort i. Patient's reported level of pain based on International Association for the Study of Pain definitions of pain on a 100-mm Visual Analogue Scale ii. Patient's reported level of discomfort on a 100-mm Visual Analogue Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Optical quality | 1 hour | Image quality of flexible endoscopy with or without endosheath. |
| Physician and staff satisfaction | 1 week | Physician and support staff satisfaction with easy and efficiency of sheathed scopes. |
Countries
Canada