European Practice Consensus on Office‐Based Laryngology

OBJECTIVE: To establish European consensus on indications, contraindications, and periprocedural management of office-based laryngology (OBL) procedures. METHODS: Twenty-five laryngologists from the British Laryngological Association, European Laryngological Society, and Union of European Phoniatricians were included in a modified Delphi process to establish statements about indications, contraindications, and periprocedural clinical considerations for OBL procedures. The Delphi was organized through a maximum of four anonymous voting rounds, each separated by revision of unaccepted statements. Consensus required ≥ 80% agreement (agree/strongly agree); statements with 60%-79.9% agreement were revised for re-voting. GRADE system was used for validated statement assessment. RESULTS: Sixty statements were approved across two voting rounds. The first round validated 49 statements, and 11 statements were approved after revision (expert intraclass correlation coefficient: 0.798 (95% CI: 0.645-0.911)). Statements covered preprocedural considerations (n = 6), indications and contraindications (n = 11), technical considerations (n = 17), vocal fold augmentation (n = 7), postprocedural care and success criteria (n = 14), and environmental, economic, and societal outcomes (n = 5). Primary indications included polyps, Reinke's edema, varices, leukoplakia, biopsies, granulomas, recurrent respiratory papillomatosis, and selected indications for vocal fold augmentation. CONCLUSION: This European consensus provides a unified consensus on indications, contraindications, and perioperative management of OBL procedures. LEVEL OF EVIDENCE: NA.

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Publication Details

Journal
The Laryngoscope
Published
2026-08-27
DOI
https://doi.org/10.1002/lary.70869
Primary Topic
Voice and Speech Disorders
Type
article
Field-Weighted Citation Impact
0.00

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article

European Practice Consensus on Office‐Based Laryngology

Michal Zábrodský, Sergio Obeso Agüera, Abdul‐Latif Hamdan, Aphrodite Iacovidou et al.
The Laryngoscope
Voice and Speech Disorders
article

European Practice Consensus on Office‐Based Laryngology

Michal Zábrodský, Sergio Obeso Agüera, Abdul‐Latif Hamdan, Aphrodite Iacovidou, Miroslav Tedla, Marco Stacchini, Rohan Bidaye, Chadwan Al Yaghchi, Sam Majumdar, Marta Filauro, Kate Heathcote, Isabel García-López, Markus Heß, Ahmed Geneid, Jerome Rene Lechien, Necati Enver, Gauthier Desuter, Stéphane Hans, Sadie Khawaja, Isabel Vilaseca, Anastasios Hantzakos, Antoine Giovanni, Yakubu Kargama, Shiying Hey, Ilter Denizoglu, Alexia Mattei, Natalie A. Watson, Haldun Oguz, Marc Remacle, Giovanni Briganti
article en

Abstract

OBJECTIVE: To establish European consensus on indications, contraindications, and periprocedural management of office-based laryngology (OBL) procedures. METHODS: Twenty-five laryngologists from the British Laryngological Association, European Laryngological Society, and Union of European Phoniatricians were included in a modified Delphi process to establish statements about indications, contraindications, and periprocedural clinical considerations for OBL procedures. The Delphi was organized through a maximum of four anonymous voting rounds, each separated by revision of unaccepted statements. Consensus required ≥ 80% agreement (agree/strongly agree); statements with 60%-79.9% agreement were revised for re-voting. GRADE system was used for validated statement assessment. RESULTS: Sixty statements were approved across two voting rounds. The first round validated 49 statements, and 11 statements were approved after revision (expert intraclass correlation coefficient: 0.798 (95% CI: 0.645-0.911)). Statements covered preprocedural considerations (n = 6), indications and contraindications (n = 11), technical considerations (n = 17), vocal fold augmentation (n = 7), postprocedural care and success criteria (n = 14), and environmental, economic, and societal outcomes (n = 5). Primary indications included polyps, Reinke's edema, varices, leukoplakia, biopsies, granulomas, recurrent respiratory papillomatosis, and selected indications for vocal fold augmentation. CONCLUSION: This European consensus provides a unified consensus on indications, contraindications, and perioperative management of OBL procedures. LEVEL OF EVIDENCE: NA.

The Laryngoscope
Abu Dhabi University (AE), University of Mons (BE), Izmir University (TR), University of Helsinki (FI), Imperial College Healthcare NHS Trust (GB), Centre Hospitalier de Luxembourg (LU), Guy's and St Thomas' NHS Foundation Trust (GB), Charles University (CZ), Aix-Marseille Université (FR), Université Paris-Saclay (FR), Helsinki University Hospital (FI), Hospital Universitario La Paz (ES), NHS Tayside (GB), Poole Hospital (GB), Ninewells Hospital (GB), University of Elbasan (AL), Cleveland Clinic Lerner College of Medicine (US), Assistance Publique Hôpitaux de Marseille (FR), Northampton General Hospital NHS Trust (GB), Manchester University NHS Foundation Trust (GB), University Hospital in Motol (CZ), Abu Dhabi Health Services (AE), Antwerp University Hospital (BE), Small and Medium Enterprises Development Organization (TR), Ospedale “M. Bufalini” di Cesena (IT), Lokman Hekim Üniversitesi (TR), Ospedale Policlinico San Martino (IT), Hospital Universitario De Cabueñes (ES), Centre Hospitalier Universitaire de Saint-Pierre (BE), University Hospitals Dorset NHS Foundation Trust, Imperial College London (GB), Universitat de Barcelona (ES), Comenius University Bratislava (SK), Marmara University (TR), American University of Beirut (LB)
Cleveland Clinic, Univerzita Karlova v Praze, Univerzita Komenského v Bratislave, American University of Beirut, Helsingin Yliopisto, Case Western Reserve University, University of Dundee, Imperial College London, Imperial College Healthcare NHS Trust, Universitat de Barcelona, Marmara Üniversitesi, lékařská fakulta Univerzity Karlovy, Faculty of Medicine and Health, University of Sydney
Openalex Percentile: Top 11%
Voice and Speech Disorders
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