A cross sectional survey of outcomes in sialendoscopy for chronic sialadenitis
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摘要Purpose of Study: The purpose of this study was to evaluate the outcomes of patients following sialendoscopy for chronic sialendoscopy in Hong Kong. Materials and Methods: This was a cross sectional survey of patients either pre or post sialendoscopy for chronic sialadenitis at a tertiary, academic salivary disease referral center. All pre patients were surveyed prior to sialendoscopy. Patients that were post sialendoscopy had treatment between September 2006 and December 2015. A telephone survey was used to complete a questionnaire and quality of life outcomes survey. The questionnaire utilized a Chinese designed survey of salivary symptoms and a modified Chinese version of the Oral Health Impact Profile-14 (OHIP-14). Statistical analyses were performed with SPSS 20.0. Results: One hundred and forty seven patients were identified. Ninety six patients (65.3%) were contacted and completed the questionnaire and survey. There were no significant differences in gender, age, duration of symptoms or current symptoms between the pre and post sialendoscopy groups. There was a significant difference in median pain scores between the pre sialendoscopy (Median 5.0, interquartile range 2-8) and post sialendoscopy (Median 1.0, interquartile range 0-3) group (P=0.03). Using a Mann Whitney U test, significantly lower OHIP scores were noted in the post sialendoscopy group on functional limitation (p = 0.01, effect size -0.32), physical pain (P<0.001, effect size -0.25), physical disability (p=0.02, effect size -0.09), psychological disability (p=0.006, effect size -0.25), handicap (p=0.007, effect size -0.13) and total score (p=0.002, effect size -0.28). 69.1% of patients noted improvement after the sialendoscopy and 82.7% would recommend sialendoscopy to another patient. Gland preservation was possible in 91.4% of patients and 90.1% of patients had no complications. Conclusion: Sialendoscopy is a safe procedure with minimal complications that likely improves the quality of life in patients treated for chronic sialadenitis.
著者Jason YK Chan, Zion WH To, C Yim, E Chan, G Li, G Wai, SK Ng
會議名稱IFOS ENT World Congress 2017
會議開始日24.06.2017
會議完結日28.06.2017
會議地點Paris
會議國家/地區法國
出版年份2017
語言英式英語

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