It’s Time to Make the MOVE

MOVE from the OR to the office and discover an alternative way to perform ENT procedures. Recommended by multiple professional standards agencies, office-based ENT procedures are a viable alternative to conventional OR-based techniques. 1, 2

While the OR has been the main site for ENT procedures for many years, growing hospital backlogs have led to demand for treatment approaches that can help ease the burden.

With the use of innovative medical devices and software from Olympus, doctors may diagnose and treat patients in an outpatient environment, helping to clear the patient backlog, while also lowering hospital treatment costs, boosting efficiency, and improving patient comfort.

Whether it’s to the office, an outpatient room or a private practice, now is the time to make the MOVE — and our unparalleled expertise, technology and experience are here to help.

Let´s MOVE

MOVE for Better Patient Satisfaction

  • Reduce waiting times — moving out of the OR means your patients get access to treatment when they need it, which can reduce waiting times by over 60%.3
  • Offers an alternative solution to general anesthesia — patients with high-risk co-morbidities can be treated under local anesthetic.​4
  • Empower patients with a choice — when choosing this procedure, patients can return home the same day.5

Make a Safe MOVE

Office-based procedures offer safe and high-quality care. Fewer adverse effects are observed compared to OR-based procedures, including:

  • Less anesthesia-related complications.7
  • Less post-operative discomfort.5,8
  • Less intra- and post-operative bleeding.7,9,10
  • Less cross-contamination and cross-infection.11,12

I Made the MOVE

Mr. Jonathan Joseph discusses the trend of moving procedures to outpatient settings while maintaining the same level of patient care and safety within his field of rhinology.​

Prof. Markus M Hess, talks about the better patient experience that office-based procedures in laryngology realizes and shares his expert top tip.

Prof. Manuele Casale shares his experience of moving sinus surgery to an outpatient setting, the economic advantage it brings for his clinic and why patients prefer this option.

MOVE for Less Waste

From blankets to single use gloves and packaging, performing procedures in an office setting without general anesthesia means less waste per procedure.

Procedures That Have Made the MOVE

In-Office Laser Treatment of RRP

In-office treatment of Recurrent Respiratory Papillomatosis (RRP) with a blue laser fiber and a channeled 4-way endoscope for optimal visualization, including the use of NBI to enhance the typical vascular patterns. An alternative to the surgical microlaryngoscopy approach in the OR.

In-Office Vocal Fold Biopsy

In-office biopsy under local anesthesia of the anterior commissure using a 4-way channeled endoscope for easy accessibility and utilization of biopsy forceps.

In-Office Ventricular Fold Injection

In-office injection of botulinum toxin into the ventricular folds of the larynx for spasmodic dysphonia using a 4-way endoscope for easy accessibility, visualization and use of a needle catheter.

In-Office Inferior Turbinate Reduction

Treatment of hypertrophic turbinates in adults can be performed on an outpatient basis using local anesthesia. Radiofrequency volume reduction performed with CELON ELITE system offers both safe and effective treatment with minimal to no pain for the patients. This ensures that patients can return to their normal daily activities on the same or the next day.

In-Office Nasal Polypectomy

In-office polypectomy is a very effective technique that alleviates obstructive symptoms in patients with nasal polyposis, and it is generally safe and well tolerated when performed by an expert.

Products to Help You Make the MOVE

CELON ELITE - Radiofrequency Generator

CELON ELITE is a procedure-oriented radiofrequency generator that allows precise and safe radiofrequency ablation of issues for a variety of ENT indications.

ENF-VT3 - Rhinolaryngoscope

ENF-VT3 is a video rhinolaryngoscope to incorporate four-direction angulation capability, featuring the same slim outer diameter as the conventional flexible video endoscope.

CELERIS Sinus Debrider

CELERIS delivers a simple, disposable option that is both cost-effective and portable for simple nasal procedures such as polypectomies, mini FESS and turbinate reduction. This plug and perform debrider offers the same advantages as a full debrider system.

MOVE Now!

Contact us for more information and discover how you can make your MOVE.

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1. Advice Statement: Outpatient biopsy for diagnosis of suspicious lesions of the larynx pharynx and tongue base. Health Improvement Scotland. https://shtg.scot/our-advice/outpatient-biopsy-for-diagnosis-of-suspicious-lesions-of-the-larynx-pharynx-and-tongue-base/
2. JAG accreditation scheme JAG guidance: transnasal endoscopy. Royal College of Physicians. https://www.thejag.org.uk/CMS/UploadedDocuments/Scheme/Scheme5/Guidance/191011%20-%20guidance%20-%20transnasal%20endoscopy.pdf
3. In-Office vs. Operating Room Procedures for Recurrent Respiratory Papillomatosis.  Miller AJ, Gardner GM. Ear, Nose & Throat Journal. 2017;96(4-5):E24-E28. doi:10.1177/0145561319889538
4. Office-based procedures in laryngology. Filauro, M et al. Acta Otorhinolaryngol. Ital.2020 243 – 247 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283403/
5. The Effect of office-based flexible endoscopic surgery on hemodynamic stability. Yung KC, Courey MS. Laryngoscope. 2010 2231-6 https://pubmed.ncbi.nlm.nih.gov/20938961/
6. Viera-Artiles, J., Corriols-Noval, P., López-Simón, E. et al. In-office endoscopic nasal polypectomy: prospective analysis of patient tolerability and efficacy. Eur Arch Otorhinolaryngol 277, 3341–3348 (2020). https://doi.org/10.1007/s00405-020-06196-0
7. Comparison of efficacy, safety, and cost-effectiveness of in-office cup forcep biopsies versus operating room biopsies for laryngopharyngeal tumors. Naidu H, Noordzij JP, Samim A, Jalisi S, Grillone GA. J Voice. 2012 604-6 https://pubmed.ncbi.nlm.nih.gov/22521530/
8. Safety of in-office laryngology procedures. Marinone Lares SG, Allen JE. Curr Opin Otolaryngol Head Neck Surg. 2019 433-438 https://pubmed.ncbi.nlm.nih.gov/31567495/
9. Effect of different epinephrine concentrations on local bleeding and hemodynamics during dermatologic surgery. Shoroghi M et al. Acta Dermatovenerol Croat. 2008 16(4). https://pubmed.ncbi.nlm.nih.gov/19111145/
10. Panneerselvam E et al. ‘Plain lignocaine’vs ‘Lignocaine with vasoconstrictor’—Comparative evaluation of pain during administration and post-extraction wound healing by a double blinded randomized controlled clinical trial. Acta Odontol. Scand. 2016 74(5). https://pubmed.ncbi.nlm.nih.gov/27180994/
11. In-office endoscopic laryngeal laser procedures: a patient safety initiative. Anderson J et al. Otolaryngol Head Neck Surg. 2018 159(1). https://pubmed.ncbi.nlm.nih.gov/29737927/
12. Feasibility of freehand MRI/US cognitive fusion transperineal biopsy of the prostate in local anaesthesia as in-office procedure—experience with 400 patients. Wetterauer, C. et al. Prostate Cancer Prostatic Dis. 2020 23-3 https://pubmed.ncbi.nlm.nih.gov/31896767/
13. Office-based surgical and medical procedures: educational gaps. Urman RD, Punwani N, Shapiro FE. Ochsner Journal. 2012 12(4):383-8. https://pubmed.ncbi.nlm.nih.gov/23267269/
14. An evaluation of in-office flexible fiber-optic biopsies for laryngopharyngeal lesions. Lee F et al. J of Otolaryngol - Head & Neck Surg. 2018 47. https://doi.org/10.1186/s40463-018-0275-x
15. Office-based vs. operating room-performed laryngopharyngeal surgery: a review of cost differences.  Schimberg, AS et al. Eur Arch Otorhinolaryngol. 2019 276. https://doi.org/10.1007/s00405-019-05617-z