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  Contents > Previous page > Article detail print Order
o Issue N# 4 - 2012 o

SALIVARY GLANDS

Learning curve in sialendoscopy: Our first 101 proce­du­res


Authors : Vairel B, De Bonnecaze G, Al Shehri S, Espinasse G, Dupret-Bories A, Faure F, Vergez S. (Toulouse)

Ref. : Rev Laryngol Otol Rhinol. 2012;133,4:177-181.

Article published in french
Downloadable PDF document french



Summary : Objective: To present our learning curve in diagnostic and interventional sialendoscopy for obstructive salivary diseases. Materials and methods: Monocentric descriptive retrospective study from March 2009 to July 2011. Clinical and demographic data were collected. We are particularly interested in arising tech­nical issues, the use of combined approach, operative time, func­tional improvement as well as parameter changes over tim­e­. Results: 92 operations were performed to explore 101 glands (63 parotid glands against 38 submandibular). We found 39.6% of stones and as many stenosis. The rate of complete stone removal was 65% and dilation was effective in 75% of stenosis. The median of the visual analog scale for pain was 1/10 and functional improvement was effective in 77%. The removal of the gland did not exceed 3.3%. No major complication was noted. Since the initiation of this activity, the median operative time was steady while procedures were more complex, with increased interventional sialendoscopy procedure often requi­ring combined approach. In about 25% of cases, we have been faced with technical issues. These have evolved over time: initially failure to enter the papilla, difficulty of removing large stones today. Conclusion: The learning curve in sialendoscopy allows rapid empowerment and acquisition of expertise in security. Mastery of this technique allows for inno­vative approaches, complementary to conventional procedure, without compromising neither the operative time nor the functional benefit.

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