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Bastier PL, Gallet de Santerre O, Bartier S, De Jong A, Trzepizur W, Nouette-Gaulain K, Bironneau V, Blumen M, Chabolle F, de Bonnecaze G, Dufour X, Ameline E, Kérimian M, Latournerie V, Monteyrol PJ, Thiery A, Tronche S, Vergez S, Bequignon E. Guidelines of the French Society of ENT (SFORL): Drug-induced sleep endoscopy in adult obstructive sleep apnea syndrome. Eur Ann Otorhinolaryngol Head Neck Dis 2022; 139:216-225. [PMID: 35871981 DOI: 10.1016/j.anorl.2022.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES To determine the indications, anesthesiological and surgical procedure and interest of drug-induced sleep endoscopy in the treatment of adult obstructive sleep apnea syndrome. DESIGN A redactional committee of 17 experts was set up. Conflicts of interest were disclosed and followed up throughout the process of drawing up the guidelines. The work received no funding from any firm dealing in health products (drugs or devices). The GRADE (Grading of Recommendations Assessment, Development and Evaluation) method was applied to assess the quality of the data on which the guidelines were founded. It was stressed that strong recommendations should not be made on the basis of poor-quality or insufficient data. METHODS The committee studied 29 questions on 5 topics: indications and contraindications, anesthetic technique, surgical technique, interpretation and reporting of results, and management guided by results. RESULTS Expert review and application of the GRADE method led to 30 guidelines: 10 with high level of evidence (Grade 1+ or 1-), 19 with low level (GRADE 2+ or 2-) and 1 expert opinion. CONCLUSION Experts fully agreed on the strong guidelines formalizing the indications and modalities of drug-induced sleep endoscopy for adult obstructive sleep apnea syndrome.
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Affiliation(s)
- P-L Bastier
- Pôle Tête et Cou, Maison de Santé Protestante de Bordeaux-Bagatelle, 203, route de Toulouse, 33401 Talence, France
| | | | - S Bartier
- Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital Henri-Mondor, 1, rue Gustave-Eiffel, 94000 Créteil, France
| | - A De Jong
- Département d'Anesthésie-Réanimation Saint-Éloi, Hôpital Saint-Éloi, 80, avenue Augustin-Fliche, 34090 Montpellier, France
| | - W Trzepizur
- Département de Pneumologie et de Médecine du Sommeil, CHU d'Angers, 4, rue Larrey, 49100 Angers, France
| | - K Nouette-Gaulain
- Service d'Anesthésie-Réanimation, Hôpital Pellegrin, CHU Bordeaux, place Amélie-Raba-Léon, 33700 Bordeaux, France
| | - V Bironneau
- Service de Pneumologie, CHU de Poitiers, 2, rue de la Milétrie, 86021 Poitiers, France
| | - M Blumen
- Centre Médical Veille Sommeil, 59, avenue de Villiers, 75017 Paris, France; Service d'ORL, Hôpital Foch, 40, rue Worth, 92140 Suresnes, France
| | - F Chabolle
- Cabinet d'ORL, 20, rue Parmentier, 92200 Neuilly-sur-Seine, France
| | - G de Bonnecaze
- Service d'ORL et Chirurgie Cervico-Faciale, Hôpital Larrey, 24, chemin de Pouvourville, 31059 Toulouse, France
| | - X Dufour
- Service d'ORL et Chirurgie Cervico-faciale, CHU de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France
| | - E Ameline
- Cabinet d'ORL, 1, rue des Iris, 41260 La Chaussée-Saint-Victor, France
| | - M Kérimian
- Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital Pellegrin, CHU Bordeaux, place Amélie-Raba-Léon, 33700 Bordeaux, France
| | - V Latournerie
- Service d'ORL, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, 94000 Créteil, France
| | - P-J Monteyrol
- Nouvelle Clinique Bordeaux Tondu, avenue Jean-Alfonséa, 33270 Floirac, France
| | - A Thiery
- Service d'ORL, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, 94000 Créteil, France
| | - S Tronche
- SFORL, 26, rue Lalo, 75016 Paris, France
| | - S Vergez
- Service d'ORL et Chirurgie Cervico-Faciale, Hôpital Larrey, 24, chemin de Pouvourville, 31059 Toulouse, France
| | - E Bequignon
- Service d'ORL, Centre Hospitalier Intercommunal de Créteil, 40, avenue de Verdun, 94000 Créteil, France.
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de Bonnecaze G, Vairel B, Dupret-Bories A, Serrano E, Vergez S. Transoral robotic surgery of the tongue base for obstructive sleep apnea: Preliminary results. Eur Ann Otorhinolaryngol Head Neck Dis 2018; 135:411-415. [PMID: 30430999 DOI: 10.1016/j.anorl.2018.09.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
INTRODUCTION Obstructive sleep apnea syndrome (OSAS) is a major public health issue. Robotic tongue-base reduction surgery is being developed, but needs assessment. The present study reports clinical and polygraphic results at 6 months' follow-up. METHOD Single-center prospective study of 8 patients undergoing transoral robotic surgery (TORS) for severe OSAS. RESULTS Mean age was 47 years. M/F sex ratio was 5:3. Initial body-mass index ranged from 18 to 35kg/m2. Mean Epworth score was 12. Mean preoperative apnea-hypopnea index (AHI) was 47 (range, 36-60). At 6 months, only 1 patient did not meet usual success criteria (AHI<20 with>50% decrease); 2 patients had residual AHI between 10 and 20; the other 5 had non-significant event rates. CONCLUSION TORS tongue-base reduction showed promising results, which need confirmation on long-term multicenter studies.
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Affiliation(s)
- G de Bonnecaze
- Service d'otorhinolaryngologie, chirurgie cervico-faciale, hôpital Ragueil-Larrey, 24, Chemin de Pouvourville, 31059 Toulouse, France.
| | - B Vairel
- Service d'otorhinolaryngologie, chirurgie cervico-faciale, hôpital Ragueil-Larrey, 24, Chemin de Pouvourville, 31059 Toulouse, France; Département de chirurgie, institut universitaire du cancer, 31100 Toulouse, France
| | - A Dupret-Bories
- Département de chirurgie, institut universitaire du cancer, 31100 Toulouse, France
| | - E Serrano
- Service d'otorhinolaryngologie, chirurgie cervico-faciale, hôpital Ragueil-Larrey, 24, Chemin de Pouvourville, 31059 Toulouse, France
| | - S Vergez
- Service d'otorhinolaryngologie, chirurgie cervico-faciale, hôpital Ragueil-Larrey, 24, Chemin de Pouvourville, 31059 Toulouse, France; Département de chirurgie, institut universitaire du cancer, 31100 Toulouse, France
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de Bonnecaze G, Telmon N, Vergez S, Chaynes P, Serrano E, Savall F. Analyses of the inferior turbinate using 3D geometric morphometrics: an anatomical study and discussion of the potential clinical implications. RHINOL 2018. [DOI: 10.4193/rhinol/18.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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de Bonnecaze G, Gallois Y, Bonneville F, Vergez S, Chaput B, Serrano E. Transnasal Endoscopic Sphenopalatine Artery Ligation Compared With Embolization for Intractable Epistaxis: A Long-term Analysis. Am J Rhinol Allergy 2018; 32:188-193. [PMID: 29676168 DOI: 10.1177/1945892418768584] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background Transnasal endoscopic sphenopalatine artery ligation (TESPAL) and selective embolization both provide excellent treatment success rate in the management of intractable epistaxis. Few long-term studies comparing these approaches have been previously published. Recommendations often present these techniques as alternatives, but there is no clear consensus. Objective The purpose of this study was to evaluate and compare the clinical efficacy of sphenopalatine artery ligation versus embolization to control intractable epistaxis. Methods We performed a retrospective study including all patients referred to our tertiary medical center for severe epistaxis and treated by surgical ligation and/or embolization. The patients were classified into 2 groups: those who underwent TESPAL only and those who underwent endovascular embolization only. We evaluate and compare long-term clinical outcomes after surgical ligation or embolization for the control of intractable epistaxis in terms of effectiveness (recurrence rate) and safety (complication rate). Results Forty-one procedures of supraselective embolization and 39 procedures of surgical ligation for intractable epistaxis are reported and analyzed. No significant difference was observed between the groups in terms of demographic factors, comorbidities, or average length of hospital stay. The 1-year success rate was similar (75%) in both groups. Complications (minor and/or major) occurred in 34% cases in the embolization group and in 18% in the surgical group ( P = .09, ns). Bilateral embolization including facial artery was the only treatment method associated with a significant risk of complications ( P = .015). Conclusion TESPAL seems to provide a similar control rate with a decrease in the number of complications compared to selective embolization in the context of intractable epistaxis. Further studies are required.
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Affiliation(s)
- G de Bonnecaze
- 1 Otolaryngology, Head and Neck Surgery Department, University Hospital Rangueil-Larrey, Toulouse, France
| | - Y Gallois
- 1 Otolaryngology, Head and Neck Surgery Department, University Hospital Rangueil-Larrey, Toulouse, France
| | - F Bonneville
- 2 Neuroradiology Department, Pierre-Paul Riquet Hospital, University of Toulouse, Toulouse, France
| | - S Vergez
- 1 Otolaryngology, Head and Neck Surgery Department, University Hospital Rangueil-Larrey, Toulouse, France
| | - B Chaput
- 3 Plastic and Aesthetic Surgery Department, University Hospital Rangueil-Larrey, Toulouse, France
| | - E Serrano
- 1 Otolaryngology, Head and Neck Surgery Department, University Hospital Rangueil-Larrey, Toulouse, France
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Dupuy M, Da Silva M, Mrozek S, Sol J, de Bonnecaze G, Chaput B. A negative pressure wound therapy for complex infected cranial defects overlying dura mater: An effective and safe procedure. J Plast Reconstr Aesthet Surg 2017; 70:1311-1314. [DOI: 10.1016/j.bjps.2017.06.035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2017] [Revised: 05/27/2017] [Accepted: 06/25/2017] [Indexed: 11/28/2022]
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de Treigny OM, Roumiguie M, Deudon R, de Bonnecaze G, Carfagna L, Chaynes P, Rimailho J, Chantalat E. Anatomical study of the inferior vesical artery: is it specific to the male sex? Surg Radiol Anat 2017; 39:961-965. [PMID: 28229186 DOI: 10.1007/s00276-017-1828-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2016] [Accepted: 01/30/2017] [Indexed: 12/14/2022]
Abstract
PURPOSE The aim of our study was to clarify the origin of the inferior vesical artery and determine its existence in women. METHODS This descriptive study is based on 25 dissections (6 male and 19 female cadavers). We dissected the internal iliac artery and its branches from the iliac bifurcation, bilaterally and comparatively. Each arterial branch supplying the bladder was identified and dissected as far as the bladder. RESULTS In total, 50 topographies of the bladder vascularization were visualised. The inferior vesical artery was observed in 92% of the male subjects and in 47.4% of the female subjects. In the male cadavers, it arose from the internal iliac artery in 72.7% of cases and from the umbilical artery in 27.3% of cases. In the female cadavers, it arose from a common trunk with the umbilical artery and the uterine artery in 33.3% of cases and directly from the umbilical artery in 33.3% with one terminal branch supplying the upper part of the vagina. In two female subjects, the inferior vesical artery arose from the first segment of the uterine artery (22.2%), and in one subject from the obturator artery (11.1%). CONCLUSIONS The inferior vesical artery is not specific to the male sex. The contradictions found in the literature of this artery are due to the variations observed in pelvic vascularization and to the close connections between vaginal and bladder vascularisation in women. However, surgeons should consider these variations, to prevent bladder devascularization by non-selective ligation.
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Affiliation(s)
- O Merigot de Treigny
- Laboratory of Applied Anatomy, Faculty of Medicine Toulouse, Toulouse, France.,Department of Urology, Rangueil Hospital, CHU Toulouse, Toulouse, France
| | - M Roumiguie
- Laboratory of Applied Anatomy, Faculty of Medicine Toulouse, Toulouse, France.,Department of Urology, Rangueil Hospital, CHU Toulouse, Toulouse, France
| | - R Deudon
- Department of Gynecological Surgery, Rangueil Hospital, CHU Toulouse, 1 avenue J Poulhès, TSA 50032, 31059, Toulouse Cedex 9, France
| | - G de Bonnecaze
- Laboratory of Applied Anatomy, Faculty of Medicine Toulouse, Toulouse, France.,Department of Head and Neck Surgery, Larrey Hospital, CHU Toulouse, Toulouse, France
| | - L Carfagna
- Laboratory of Applied Anatomy, Faculty of Medicine Toulouse, Toulouse, France.,Department of Pediatric Surgery, CHU Paule de Viguier, Toulouse, France
| | - P Chaynes
- Laboratory of Applied Anatomy, Faculty of Medicine Toulouse, Toulouse, France.,Neurosurgical Department, Pierre Paul Riquet Hospital, CHU Toulouse, Toulouse, France
| | - J Rimailho
- Laboratory of Applied Anatomy, Faculty of Medicine Toulouse, Toulouse, France.,Department of Gynecological Surgery, Rangueil Hospital, CHU Toulouse, 1 avenue J Poulhès, TSA 50032, 31059, Toulouse Cedex 9, France
| | - E Chantalat
- Laboratory of Applied Anatomy, Faculty of Medicine Toulouse, Toulouse, France. .,Department of Gynecological Surgery, Rangueil Hospital, CHU Toulouse, 1 avenue J Poulhès, TSA 50032, 31059, Toulouse Cedex 9, France.
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Demeslay J, Vergez S, Serrano E, Chaynes P, Cantet P, Chaput B, de Bonnecaze G. Morphological concordance between CBCT and MDCT: a paranasal sinus-imaging anatomical study. Surg Radiol Anat 2015; 38:71-8. [PMID: 26239897 DOI: 10.1007/s00276-015-1509-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2015] [Accepted: 06/10/2015] [Indexed: 11/25/2022]
Abstract
PURPOSE Cone-beam computed tomography (CBCT) is an imaging technique, first developed for use during oral and pre-implant surgery. In sinonasal surgery, CBCT might represent a valuable tool for anatomical research given its high spatial resolution and low irradiation dose. However, clinical and anatomical evidence pertaining to its efficacy is lacking. This study assessed the morphological concordance between CBCT and multislice detector computed tomography (MDCT) in the context of sinonasal anatomy. METHODS We performed an anatomical study using 15 fresh cadaver heads. Each head underwent both CBCT and MDCT. Two independent reviewers evaluated 26 notable anatomical landmarks. The primary outcome was the overall morphological concordance between the two imaging techniques. Secondary objectives included assessment of inter-rater agreement and comparison of the radiation doses received by different parts of the anatomy. RESULTS Overall morphological concordance between the two imaging techniques was excellent (>98 %); the inter-rater agreement for CBCT was approximately 97 %, which is highly similar to MDCT, but achieved using a significantly decreased irradiation dose. CONCLUSION Our preliminary study indicates that CBCT represents a valid, reproducible, and safe technique for the identification of relevant sinonasal anatomical structures. Further research, particularly in pathological contexts, is required.
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Affiliation(s)
- J Demeslay
- Department of Oto-rhino-laryngology Head and Neck Surgery, University of Toulouse, CHU Rangueil-Larrey, Toulouse, France
| | - S Vergez
- Department of Oto-rhino-laryngology Head and Neck Surgery, University of Toulouse, CHU Rangueil-Larrey, Toulouse, France
| | - E Serrano
- Department of Oto-rhino-laryngology Head and Neck Surgery, University of Toulouse, CHU Rangueil-Larrey, Toulouse, France
| | - P Chaynes
- Department of Neurosurgery, Pierre-Paul Riquet Hospital, Toulouse University, Toulouse, France
- Department of Anatomy, University of Toulouse, CHU Rangueil-Larrey, Toulouse, France
| | - P Cantet
- Department of Neuro-radiology, Pasteur Clinic, Toulouse, France
| | - B Chaput
- Department of Plastic and Reconstructive Surgery, University of Toulouse, CHU Rangueil-Larrey, Toulouse, France
| | - G de Bonnecaze
- Department of Oto-rhino-laryngology Head and Neck Surgery, University of Toulouse, CHU Rangueil-Larrey, Toulouse, France.
- Department of Anatomy, University of Toulouse, CHU Rangueil-Larrey, Toulouse, France.
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de Bonnecaze G, Chaput B, Filleron T, Al Hawat A, Vergez S, Chaynes P. The frontal branch of the facial nerve: can we define a safety zone? Surg Radiol Anat 2014; 37:499-506. [DOI: 10.1007/s00276-014-1386-3] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2014] [Accepted: 10/10/2014] [Indexed: 11/28/2022]
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Rouvellat-Terrade P, Game X, de Bonnecaze G, Beauval JB, Mansouri A, Doumerc N, Rischmann P, Malavaud B. Adaptation du rein après néphrectomie expérimentale chez l’animal : revue de la littérature. Prog Urol 2013; 23:153-64. [DOI: 10.1016/j.purol.2012.10.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2011] [Revised: 10/26/2012] [Accepted: 10/26/2012] [Indexed: 10/27/2022]
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Dupret-Bories A, Vergez S, de Bonnecaze G, Decotte A, Serrano E. Surgical treatment options for maxillary sinus fungus balls. B-ENT 2013; 9:37-43. [PMID: 23641589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023] Open
Abstract
OBJECTIVE 1) To evaluate the effectiveness and side-effects of endoscopic surgical treatment for maxillary sinus fungus balls, and to describe approaches to limiting recurrence of the disease and surgical complications. 2) To compare the results of this nasal endoscopic treatment with the results of treatment using a vestibular approach to the anterior wall of the maxillary sinus as described in the literature. PATIENTS AND METHODS An institutional retrospective review was conducted for patients undergoing treatment for a maxillary sinus fungus ball using endonasal surgery alone from January 2005 to December 2010. RESULTS A total of 100 patients were included in the study (58 women and 42 men, average age 54 years). The median follow-up time was 32 months. Three patients had a recurrence after our team performed endonasal surgery. No patients experienced complications. CONCLUSION Our results are consistent with previous findings, indicating that the postoperative complication rate for endonasal surgery is low by comparison with the vestibular approach. Both techniques have similar outcomes. The nasal endoscopic route offers similar rates of success with a negligible complication rate.
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Affiliation(s)
- A Dupret-Bories
- Department of Otorhinolaryngology and Head and Neck Surgery, CHU Hautepierre, Strasbourg, France.
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