Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-27T21:00:46.540Z Has data issue: false hasContentIssue false
  • English
  • Français

Utility of current sialendoscopes in the sinonasal cavity

Published online by Cambridge University Press:  27 July 2015

C R Kieliszak ,
T R Khoury ,
A Singh  and
A S Joshi
C R Kieliszak
Affiliation:
Division of Otolaryngology – Head and Neck Surgery, The George Washington University, Washington, District of Columbia, Ohio, USA Department of Otolaryngology – Head and Neck Surgery, OhioHealth Doctors Hospital, Columbus, Ohio, USA
T R Khoury
Affiliation:
Division of Otolaryngology – Head and Neck Surgery, The George Washington University, Washington, District of Columbia, Ohio, USA
A Singh
Affiliation:
Division of Otolaryngology – Head and Neck Surgery, The George Washington University, Washington, District of Columbia, Ohio, USA
A S Joshi*
Affiliation:
Division of Otolaryngology – Head and Neck Surgery, The George Washington University, Washington, District of Columbia, Ohio, USA
*
Address for correspondence: Arjun Joshi, Division of Otolaryngology, Head and Neck Surgery, The George Washington University, 2021 K St. NW, Suite 206, Washington DC 20006, USA Fax: 202-741-3382 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

This study assessed the utility of current sialendoscopes in the paranasal sinuses in a cadaveric model and evaluated novel uses for sialendoscopes.

Methods:

Currently available sialendoscopes were used for visualisation and performing interventions in the paranasal sinuses. Ten cadaver heads were studied before and after dissection. Outcomes included ostia identification, sinus cannulation, success of mucosal biopsy collection and image clarity.

Results:

Marchal and Erlangen sialendoscopes were found to be effective for both visualising and cannulating the sphenoid sinuses before and after dissection. Both types demonstrated poor maxillary ostia visualisation without dissection, but did allow treatment after antrostomy. Larger diameter sialendoscopes were associated with the lowest image distortion during maxillary ostia assessment. Mucosal biopsy collection within the sphenoid sinus, but not in the maxillary sinus, was possible before dissection.

Conclusion:

Sialendoscopes can be used for visualisation and performing interventions in the sinonasal cavity, but their utility is mainly limited to the sphenoid sinus. They may be considered a minimally invasive method for drug delivery and/or biopsy collection in the post-operative setting for all sinuses. Design improvements are suggested.

Keywords

Paranasal Sinus DiseasesNose DiseasesEndoscopyNasal Sinuses
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 9 , September 2015 , pp. 870 - 873
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Draf, W. Endoscopy of the Paranasal Sinuses: Technique, Typical Findings, Therapeutic Possibilities. Berlin, New York: Springer-Verlag, 1983CrossRefGoogle Scholar
2Kennedy, DW. Functional endoscopic sinus surgery: technique. Arch Otolaryngol Head Neck Surg 1985;111:643–9CrossRefGoogle ScholarPubMed
3Kennedy, DW, Zinreich, SJ, Rosenbaum, AE, Johns, ME. Functional endoscopic sinus surgery: theory and diagnostic evaluation. Arch Otolaryngol Head Neck Surg 1985;111:576–82CrossRefGoogle ScholarPubMed
4Jones, NS. CT of the paranasal sinuses: a review of the correlation with clinical, surgical and histopathological findings. Clin Otolaryngol And Allied Sciences 2002;27:11–17CrossRefGoogle ScholarPubMed
5Bhattacharyya, N. Symptom outcomes after endoscopic sinus surgery for chronic rhinosinusitis. Arch Otolaryngol Head Neck Surg 2004;130:329–33CrossRefGoogle ScholarPubMed
6Stammberger, H. Endoscopic endonasal surgery – concepts in treatment of recurring rhinosinusitis. Part I. Anatomic and pathophysiologic considerations. Otolaryngology Head And Neck Surgery 1986;94:143–7CrossRefGoogle ScholarPubMed
7Stammberger, H. Endoscopic endonasal surgery – concepts in treatment of recurring rhinosinusitis. Part II. Surgical technique. Otolaryngol Head Neck Surg 1986;94:147–56CrossRefGoogle ScholarPubMed
8Robey, A, O'Brien, EK, Leopold, DA. Assessing current technical limitations in the small-hole endoscopic approach to the maxillary sinus. Am J Of Rhinology & Allergy 2010;24:396–401CrossRefGoogle ScholarPubMed
9Gilain, L, Aidan, D, Coste, A, Peynegre, R. Functional endoscopic sinus surgery for isolated sphenoid sinus disease. Head Neck 1994;16:433–7CrossRefGoogle ScholarPubMed
10Stankiewicz, JA. Complications of endoscopic intranasal ethmoidectomy. Laryngoscope 1987;97:1270–3CrossRefGoogle ScholarPubMed
11Marchal, F, Dulguerov, P. Sialolithiasis management: the state of the art. Arch Otolaryngol Head Neck Surg 2003;129:951–6CrossRefGoogle ScholarPubMed
12Peters, G, Lin, J, Arriaga, MA, Nuss, DW, Schaitkin, B, Walvekar, RR. Middle ear endoscopy and trans-tympanic drug delivery using an interventional sialendoscope: a feasibility study in human cadaveric temporal bones. Laryngoscope 2010;120(suppl 4):S216CrossRefGoogle ScholarPubMed