Article Sidebar

PDF
Abstract Views: 2
Views PDF: 12
DOI: https://doi.org/10.60137/tmhvn.v70i69.196
Issue
Vol. 70 No. 69
Section
Articles
How to Cite
Nguyen, T. P., Dao, D. T., Nguyen, T. S., Nguyen, G. A., & Nguyen, T. X. EVALUATION OF MONITORING AND POSTOPERATIVE CARE FOR FLEXIBLE ENDOSCOPIC LARYNGEAL BIOPSY AT THE ENDOSCOPY DEPARTMENT OF THE NATIONAL OTORHINOLARYNGOLOGY HOSPITAL. Vietnam Journal of Otorhinolaryngology - Head and Neck Surgery, 70(69). https://doi.org/10.60137/tmhvn.v70i69.196

EVALUATION OF MONITORING AND POSTOPERATIVE CARE FOR FLEXIBLE ENDOSCOPIC LARYNGEAL BIOPSY AT THE ENDOSCOPY DEPARTMENT OF THE NATIONAL OTORHINOLARYNGOLOGY HOSPITAL

Thi Phuong Nguyen1, Dinh Thi Dao1, , Tuan Son Nguyen2, Giang Anh Nguyen1, Tuyet Xuong Nguyen3
1 Bệnh viện Tai Mũi Họng Trung Ương
2 Bệnh viện Tai Mũi Họng Trung ương
3 Trường Đại Học Y Dược, Đại học Quốc gia Hà nội

Main Article Content

Abstract

Our study was conducted was conducted on 50 patients at the Endoscopy Department of the National Otorhinolaryngology Hospital from February 2023 to August 2023 to assess the monitoring and postoperative care following flexible endoscopic laryngeal biopsy. Patient characteristics: the majority were male (96%) with a mean age of 63.66 ± 9.67 years, and 38% were retirees. Common risk factors included prolonged smoking (92%), using a toothbrush for over three months (88%), and alcoholism (80%). All patients presented with hoarseness. Post-biopsy outcomes: Pain levels were minimal (0.04 ± 0.28 points), with no significant change compared to pre-procedure levels. Nutritional status remained stable without statistically significant variation. Flexible endoscopic biopsy was generally safe, with no severe complications observed in over 90% of cases. Moderate to severe dyspnea (8%) was managed with nasal cannula and nebulized oxygen therapy. All patients received detailed instructions on hygiene, lifestyle modifications, breathing exercises, and home monitoring. This study provides a foundation for developing postoperative care plans for patients undergoing flexible endoscopic laryngeal biopsy, contributing to improve treatment quality.

Keywords

flexible laryngeal biopsy, postoperative care, laryngeal carcinoma, benign laryngeal tumors

Article Details

References

1. Globocan, Number of new cases in 2020, both sexes, all ages. 2020, International Agency for Research on Cancer.
2. Nocini, R., và cộng sự, Updates on larynx cancer epidemiology. Chin J Cancer Res, 2020. 32(1): p. 18-25.
3. Võ Tấn, Tai mũi họng thực hành. 1992, Nhà xuất bản Y học.
4. Heipcke Th., P.W., Rohrs M., Stimm Funktion nach laser therapie. HNO, 1987 p. 234-241.
5. Eckel HE Bradley PJ., Hypopharyngeal Cancer. Adv Otorhinolaryngol, 2019. 83: p. 1-14.
6. Cummings CW., F.P., Phelps T., Abuzeid WM., Electrography of Laryngeal and Pharyngeal Muscles, Cummings Otolaryngology: Head & Neck Surgery, 2005.
7. David J. Wellenstein., J.K.d.W., Henrieke W. Schutte., et al., Safety of flexible endoscopic biopsy of the pharynx and larynx under topical anesthesia. Eur Arch Otorhinolaryngol, 2017. 274(9): p. 3471-3476.
8. Peretti G., C.J., Nicolai P., Smussi C., Antonelli AR., Endoscopic laser excisional biopsy for selected glottic carcinomas. Laryngoscope, 1994. 104: p. 1276-1279.
9. Phạm Thị Nguyên, Trần Trọng Hải, Nguyễn Đức Sơn, và cộng sự, Nhận xét thực trạng chăm sóc bệnh nhân toàn diện tại bệnh viện đa khoa Hòa Bình - thành phố Hải Dương năm 2018. Tạp chí Y học Việt Nam, 2021. 505(1).
10. Lon J. Petchenik., G.S., Glenn J. Schwartz., et al., Direct laryngoscopy and Microscopic suspension laryngoscopy With or Without Biopsy. AAO-HNS, 2018.