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Background: The role of office-based procedures in rhinology has expanded considerably, driven by advancements in minimally invasive techniques and a growing emphasis on value-based care. These interventions can offer effective management for selected sinonasal conditions while reducing reliance on operating room resources.
Objective: To provide a comprehensive narrative review of contemporary office-based rhinologic procedures, focusing on indications, anesthetic considerations, patient selection, and safety protocols. Additionally, to share institutional experience, highlighting practical benefits in workflow optimization and patient access.
Methods: A narrative review was conducted by searching PubMed, Embase, and Scopus databases for English-language articles published between [2010-2025] using the keywords: , , , , , and . Priority was given to clinical studies, systematic reviews, and guidelines relevant to procedural safety, efficacy, and healthcare resource utilization. Additionally, institutional data from King Faisal Specialist Hospital and Research Centre (KFSHRC) were reviewed to illustrate real-world application.
Results: The review highlights key office-based procedures, their indications, contraindications, anesthetic strategies, and safety considerations. Institutional experience demonstrated a 140% increase in office-based procedures over two years, reduced waiting times, and improved operating room efficiency, particularly for routine turbinate surgeries.
Conclusion: Office-based rhinologic procedures offer safe, effective, and resource-efficient alternatives for selected patients. While current evidence and institutional experiences are promising, further research is warranted to standardize practice, evaluate long-term outcomes, and assess economic impacts across healthcare systems.
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http://dx.doi.org/10.3389/falgy.2025.1554792 | DOI Listing |
Patients with seizure disorders frequently present for anesthetic care, and anesthesiologists must be adequately equipped to manage these patients safely throughout the perioperative period. While Part I of this review focused on seizure diagnosis, classification, and treatment, Part II focuses on perioperative considerations for patients with seizure disorders. A detailed preoperative assessment is imperative as well as an in-depth understanding of the patient's medications and treatment modalities.
View Article and Find Full Text PDFMedicine (Baltimore)
September 2025
Suzuki Proctology-Moriguchi Internal Medicine Clinic, Morioka, Iwate, Japan.
Rationale: Prolapsed hemorrhoids can impair quality of life due to associated symptoms such as pain. While hemorrhoidectomy is considered the gold standard for treating prolapsed hemorrhoids, this procedure inevitably involves complications such as postoperative pain, bleeding, and delayed recovery. Therefore, there is an increasing need for treatment options that are immediate, effective, and minimally invasive, while also taking into account patients' physical and social backgrounds, preferences, and values.
View Article and Find Full Text PDFDiabetes Obes Metab
September 2025
Epidemiology, IQVIA, Frankfurt, Germany.
Aims: To examine the association between elevated body mass index (BMI) and a wide range of vascular and cardiometabolic diseases in men and women.
Materials And Methods: This retrospective cohort study used data from the IQVIA Disease Analyzer database, comprising anonymized records from over 3000 office-based physicians in Germany. We included 233 730 patients aged ≥40 years with at least one recorded BMI measurement between January 2005 and December 2023.
J Educ Health Promot
July 2025
Department of Radiodiagnosis and Imaging, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Background: Sedentary office work poses risks to physical and cognitive health. This study investigated the effects of a 6-month yoga intervention on sedentary office workers' cognitive function and vascular parameters.
Materials And Methods: Twenty-four office workers (mean age 26.
J Voice
September 2025
Department of Otolaryngology - Head & Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), Paris, France.
Objective: To investigate the potential relationship between retrograde cricopharyngeal dysfunction (R-CPD) and laryngopharyngeal reflux disease (LPRD) at baseline and whether cricopharyngeal sphincter paralysis botulinum toxin injection (BTI) is associated with an increase of LPRD symptoms in treated R-CPD patients.
Methods: Patients with clinical diagnosis of R-CPD were prospectively recruited from two European hospitals. Controls included individuals unable to burp without troublesome symptoms (CT1) and healthy subjects able to burp (CT2).