PMID: identifier of
Pubmed reference: |
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 (20505849)  |
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| title: |
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Endoscope-assisted submandibular sialadenectomy: a review of outcomes, complications, and ethical concerns. |
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| author(s): |
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Poramate Pitak-Arnnop1, 2, Niels Christian Pausch1, Kittipong Dhanuthai3, Kraison Sappayatosok4, Pichit Ngamwannagul5, Ute Bauer1, Robert Sader6, Alexander Rapidis7, Christian Hervé2, Alexander Hemprich1 |
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| laboratory: |
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| 1: |
Department of Oral, Craniomaxillofacial and Facial Plastic Surgery |
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| University Hospital of Leipzig |
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| Faculty of Medicine, Leipzig |
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| Germany |
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| 2: |
LEM - Laboratoire d'éthique médicale et médecine légale |
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| Université Paris V - Paris Descartes |
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| Faculté de médecine, 45 rue des Saints-Pères, Paris 75006 |
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| France |
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| 3: |
Department of Oral Pathology |
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| Chulalongkorn University |
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| Faculty of Dentistry, Bangkok |
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| Thailand |
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| 4: |
Department of Oral Surgery and Oral Medicine |
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| Srinakharinwirot University |
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| Faculty of Dentistry,Bangkok |
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| Thailand |
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| 5: |
Department of Oral and Maxillofacial Surgery/Dental Hospital |
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| Naresuan University |
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| Faculty of Dentistry, Phitsanulok |
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| Thailand |
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| 6: |
Department of Oral, Craniomaxillofacial and Facial Plastic Surgery |
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| University Frankfurt am Main |
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| Faculty of Medicine, Medical Centre of the Johann Wolfgang Goethe, Frankfurt |
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| Germany |
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| 7: |
Department of Maxillofacial/Head and Neck Surgery |
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| Greek Anticancer Institute – Saint Savvas Hospital |
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| Athens |
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| Greece |
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| abstract: |
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Objectives: To review outcomes and complications of endoscope-assisted submandibular sialadenectomy (EASS) and to analyze this innovative technique with regard to ethical issues. Methods: We used a systematic review study design to identify clinical studies on EASS, published in English, French, German, and Thai. The last electronic search was conducted in September 2009. We checked the bibliographies of the identified articles, relevant local journals, and congress abstracts. Publications were further assessed and assigned their respective levels of evidence. We also investigated reporting on human subject protection, conflicts of interest, funding support, and commercial relationships. Results: Five case series reporting a total of 28 patients met the inclusion criteria. There was no need of recourse to open surgery. All of the authors claimed satisfactory cosmetic results. Complications were uncommon. However, no controlled trial was available, and outcome measures varied between studies. Human subject protection and funding sources were mentioned in only 2 articles. Commercial relationships and conflicts of interest could not be identified. Conclusions: All of the reports favor outcomes of EASS. However, their level of evidence is low, and the superiority of this procedure over the conventional surgery remains unknown. The success of this procedure should not be overemphasized in information for consent and mislead surgeons to begin it without adequate training and elaborate environment. The lack of ethical documentation creates a high degree of suspicion of the studies. |
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| subject: |
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| fulltext language: |
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English |
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| ISSN: |
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1937-5719 |
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| publication format: |
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Article in peer-reviewed journal |
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| journal: |
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Eplasty |
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| Audience: |
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international |
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| publication date: |
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2010 |
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| submission date: |
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2010-05-21 |
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| volume: |
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10 |
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| page, identifiant, ...: |
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e36 |
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