دورية أكاديمية
Stensen's Duct Stenosis Balloon Dilatation: Long‐term Evaluation of Clinical Outcomes and Quality of Life Impacts.
| العنوان: | Stensen's Duct Stenosis Balloon Dilatation: Long‐term Evaluation of Clinical Outcomes and Quality of Life Impacts. |
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| المؤلفون: | de Boutray, Marie, Pons, Mélanie, Graillon, Nicolas, Chossegros, Cyrille, Reyre, Anthony, Chagnaud, Christophe, Varoquaux, Arthur |
| المصدر: | Otolaryngology-Head & Neck Surgery; Apr2023, Vol. 168 Issue 4, p696-703, 8p |
| مستخلص: | Objective: To conduct a long‐term retrospective evaluation of the safety and effectiveness of sialographic balloon dilatation in Stensen's duct stenosis (SDS). Study Design: Retrospective cohort. Setting: Single‐institution academic tertiary referral center. Methods: All SDS balloon dilatations (SSBDs) performed from 2011 to 2017 were monitored. Pain relief was evaluated by a numeric rating scale at 3‐year follow‐up at least. Long‐term glandular swelling frequency patterns, quality of life (QoL), and drug consumption were retrospectively assessed. Procedure‐related complications were recorded. Results: Twenty‐one SSBD procedures were recorded (mean ± SD age, 55 ± 12 years), all performed under local anesthesia. SSBD led to complete dilatation in 7 patients (33%), residual stenosis in 8 (38%), and no dilatation (failure) in 6 (29%). Retrospective analysis of clinical outcomes was possible for 17 patients, 71% of whom presented with long‐term pain relief, at a mean relief of 3.2 points on the numeric rating scale (P <.001). Long after SSBD, patients presented with a mean decrease of 15.4 glandular swellings per month (P <.001). Medical consumption was reduced to 18% of patients taking some drugs because of SDS after SSBD vs 71% before. SSBD showed an impact on QoL in >80% of patients, with mean improvements of 26% and 25% in the percentage point reduction of physical and mental QoL, respectively (P <.001). No complications were noted except temporary discomfort due to the procedure. Conclusion: Despite the advent of sialendoscopy‐guided techniques, SSBD should be considered for SDS treatment, as it is a safe procedure and provides sustained pain relief. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: | Complementary Index |
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