Endoscope-assisted submandibular sialadenectomy: a review of outcomes, complications, and ethical concerns. - Inserm - Institut national de la santé et de la recherche médicale Accéder directement au contenu
Article Dans Une Revue Eplasty Année : 2010

Endoscope-assisted submandibular sialadenectomy: a review of outcomes, complications, and ethical concerns.

Résumé

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.

Domaines

Ethique Chirurgie
Fichier non déposé

Dates et versions

inserm-00612312 , version 1 (28-07-2011)

Identifiants

  • HAL Id : inserm-00612312 , version 1
  • PUBMED : 20505849

Citer

Poramate Pitak-Arnnop, Niels Christian Pausch, Kittipong Dhanuthai, Kraison Sappayatosok, Pichit Ngamwannagul, et al.. Endoscope-assisted submandibular sialadenectomy: a review of outcomes, complications, and ethical concerns.. Eplasty, 2010, 10, pp.e36. ⟨inserm-00612312⟩

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