Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2012  |  Volume : 17  |  Issue : 2  |  Page : 91--93

Response to "Interventional sialendoscopy for treatment of juvenile recurrent parotitis"


Poramate Pitak-Arnnop1, Kittipong Dhanuthai2, Alexander Hemprich1, Niels C Pausch1,  
1 Department of Oral, Craniomaxillofacial and Facial Plastic Surgery, Scientific Unit for Clinical and Psychosocial Research, Evidence-Based Surgery and Ethics in Oral and Maxillofacial Surgery, University Hospital of Leipzig, Leipzig, Germany
2 Department of Oral, Craniomaxillofacial and Facial Plastic Surgery, Scientific Unit for Clinical and Psychosocial Research, Evidence-Based Surgery and Ethics in Oral and Maxillofacial Surgery, University Hospital of Leipzig, Leipzig, Germany; Department of Oral Pathology, Chulalongkorn University, Bangkok, Thailand

Correspondence Address:
Poramate Pitak-Arnnop
Department of Oral, Craniomaxillofacial and Facial Plastic Surgery, Scientific Unit for Clinical and Psychosocial Research, Evidence-Based Surgery and Ethics in Oral and Maxillofacial Surgery, University Hospital of Leipzig, Leipzig, Germany




How to cite this article:
Pitak-Arnnop P, Dhanuthai K, Hemprich A, Pausch NC. Response to "Interventional sialendoscopy for treatment of juvenile recurrent parotitis".J Indian Assoc Pediatr Surg 2012;17:91-93


How to cite this URL:
Pitak-Arnnop P, Dhanuthai K, Hemprich A, Pausch NC. Response to "Interventional sialendoscopy for treatment of juvenile recurrent parotitis". J Indian Assoc Pediatr Surg [serial online] 2012 [cited 2017 Oct 19 ];17:91-93
Available from: http://www.jiaps.com/text.asp?2012/17/2/91/93982


Full Text

Sir,

The article by Gary et al.[1] aroused our interest and simultaneously raised some areas of discussion on which we would like to expand.

First, the authors understated that "Sialendoscopy is a relatively new procedure introduced by Marchal et al[1]" and a book of Dr. Marchal (2003) was cited. [2] Indeed, sialendoscopy is not new and is not invented by Dr. Marchal. The first reports on sialendoscopy were published by Dr. Katz from Paris, France, [3] and Dr. Königsberger and his colleagues from Munich, Germany. [4] Both teams reported this innovation in the same year; that is in 1990 (or 13 years before Dr. Marchal's book), and these two publications have been indexed by PubMed. [3],[4] Since then, over 8000 patients undergoing sialendoscopy have been reported by Dr. Katz and his colleagues from the Institute of Functional Exploration and Endoscopy of Salivary Glands in Paris, France. [5],[6],[7]

Up until now, sialendoscopy has become one of the routine procedures in several European oral-maxillofacial surgery (OMS)/otolaryngology departments and private practices [unpublished data]. The use of sialendoscopy as a tool in diagnosis and management of salivary gland infections, including juvenile recurrent parotitis, was recently reviewed by Carlson [8] and Patel and Karlis. [9] In many European university hospitals/training centers, an endoscopic craniomaxillofacial surgery course has been integrated into residency and/or fellowship programs in OMS, otolaryngology and plastic surgery, such as at Henri Mondor University Hospital, Créteil, France, by Prof. Meningaud. [10] Based on the primary author (P.P.)'s experiences, endoscopy is applicable very well to various maxillofacial/head and neck procedures, such as repair of the orbital wall fractures, [11],[12] excision of the submandibular or parotid salivary gland, [13],[14],[15] and lipoma on the forehead. [16]

Second, the authors described that "An informed consent was obtained from the parents of the patients for management with interventional sialendoscopy." It is important to note that clinical consent differs largely from research consent. Clinical consent reviews something that has been known, whereas research consent must point to uncertain or unpredictable study results. Once a surgeon introduces an innovative surgery to patients, he or she should take 2 situations into account: "selective hearing0" (patients take all information about potential benefits and filter out all information about potential risks) and "innovative alliance" (the surgeon encourages patients to try any new things to improve the quality of life or prospects for survival. Meanwhile, the surgeon is also eager to apply that innovation for the same reasons). Moreover, research involving humans must not be mixed with routine practice and then later reported as a retrospective study. For details on ethical aspects of endoscopic surgery of salivary glands, we refer interested readers to our recent publication. [13]

Third, the authors mentioned in their surgical technique that "The oral cavity can be kept open using splints." [1] This seems to be a misnomer because the term " splint" means material or a device used to protect or immobilize a body part, usually for fracture treatment, rehabilitation, or physiotherapy. [17] Commonly used intraoral splints include a wire-composite splint for traumatized teeth and/or alveolar bone [Figure 1], an occlusal splint for temporomandibular disorders, and a surgical splint for orthognathic surgery [Figure 2]. The devices frequently used to keep the mouth open during intraoral procedures, are called " mouth gag" [Figure 3] and " mouth prop" [Figure 4]-both are not a type of intraoral splints.{Figure 1}{Figure 2}{Figure 3}{Figure 4}

Lastly, there is an inaccurate citation in the Discussion of the article: "Quenin et al. reported a series of 10 patients in 2008." [4] In fact, the paper by Quenin et al. is Reference No. 11, and Reference No. 4 is from Motamed et al.

References

1Gary C, Kluka EA, Schaitkin B, Walvekar RR. Interventional sialendoscopy for treatment of juvenile recurrent parotitis. J Indian Assoc Pediatr Surg 2011;16:132-6.
2Marchal F. The Endoscopic Approach to Salivary Gland Ductal Pathologies. Tuttlingen, Germany: Endo-Publishing; 2003.
3Katz P. Un nouveau mode d'exploration des glandes salivaires: La fibroscopie. Inf Dent 1990;72:785-6.
4Königsberger R, Feyh J, Goetz A, Schilling V, Kastenbauer E. Die endoskopisch kontrollierte Laserlithotripsie zur Behandlung der Sialolithiasis. Laryngorhinootologie 1990;69:322-3.
5Katz P. Nouvelles techniques de traitements des lithiases salivaires: Sialoendoscopie et lithotripsie extra-corporelle. À propos de 1773 cas. Ann Otolaryngol Chir Cervicofac 2004;121:123-32.
6Iro H, Zenk J, Escudier MP, Nahlieli O, Capaccio P, Katz P, et al. Outcome of minimally invasive management of salivary calculi in 4,691 patients. Laryngoscope 2009;119:263-8.
7Guerre A, Katz P. Lithotripsie extracorporelle (LEC) salivaire: Etude rétrospective sur 1571 patients. Rev Stomatol Chir Maxillofac 2011;112:75-9.
8Carlson ER. Diagnosis and management of salivary gland infections. Oral Maxillofac Surg Clin North Am 2009;21:293-312.
9Patel A, Karlis V. Diagnosis and management of pediatric salivary gland infections. Oral Maxillofac Surg Clin North Am 2009;21:345-52.
10Diplôme Universitaire de Techniques Endoscopiques en Chirurgie Plastique et Maxillo-Faciale. Faculté de Médecine, Université Paris 12, Créteil, France. Available from: http://www.dutec.info/. [Last accessed on 2011 Dec 24].
11Meningaud JP, Rigolet A, Ernenwein D, Bertolus C, Pitak-Arnnop P, Bertrand JC. La voie d'abord rétro-caronculaire assistée par endoscopie pour le traitement des fractures de la paroi interne de l'orbite: Etude préliminaire. Rev Stomatol Chir Maxillofac 2005;106:205-9.
12Meningaud JP, Pitak-Arnnop P, Bertrand JC. Endoscope-assisted repair of medial orbital wall fractures using a retrocaruncular approach. J Oral Maxillofac Surg 2007;65:1039-43.
13Meningaud JP, Pitak-Arnnop P, Bertrand JC. Endoscope-assisted submandibular sialoadenectomy: A pilot study. J Oral Maxillofac Surg 2006;64:1366-70.
14Pitak-Arnnop P, Pausch NC, Dhanuthai K, Sappayatosok K, Ngamwannagul P, Bauer U, et al. Endoscope-assisted submandibular sialadenectomy: A review of outcomes, complications, and ethical concerns. Eplasty 2010;10:e36.
15Pitak-Arnnop P, Hemprich A, Dhanuthai K, Pausch NC. Comments on "improving esthetic results in benign parotid surgery: Statistical evaluation of facelift approach, sternocleidomastoid flap, and superficial musculoaponeurotic system flap application". J Oral Maxillofac Surg 2011;69:961-2.
16Meningaud JP, Pitak-Arnnop P, Rigolet A, Bertrand JC. Endoscopic excision of forehead lipomas. Int J Oral Maxillofac Surg 2006;35:951-3.
17Merriam-Webster Medline Plus Medical Dictionary. Available from: http://www.merriam-webster.com/medlineplus/splint. [Last accessed on 2012 Jan 3].