International Course on "Sialendoscopy" November 20-21, 2009 at GTB Hospital CONCLUDED

REPORT
International course on Sialendoscopy was held on Nov 20 – 21, 2009 at University College of Medical Sciences & GTB Hospital, Delhi. It was organized by Deptt of ENT keeping in mind the important advances made in the management of salivary gland diseases. 80 delegate from different parts of India, Nepal & Thailand registered for this first ever course in this part of the world. The course was conducted by Prof. Francis Marchal and Prof. P.P. Singh (Course Director). Eight cases of salivary gland pathology including stones, strictures & Juvenile Recurrent Parotitis (JRP) were operated by this minimally invasive technique & demonstrated to delegates via live video transfer to the auditorium.

Prof. Marchal demonstrated the removal of submandibular duct stones with the sialendoscope and also demonstrated the dilatation of submandibular duct stenosis with dilating balloons. A case of parotid duct stricture was dilated with gradually increasing sized scopes with instillation of steroids to avoid recurrence. The use of stent in the Wharton’s duct was also demonstrated. On the second day combined approach for a case of large parotid duct stone was demonstrated using face lift incision & creation of a SMAS (Superficial Musculo-Aponeurotic System) flap. Lectures on various aspects of Sialendoscopy like indications, anatomy, technique & complications were delivered by course faculty comprising of Francis Marchal, P.P. Singh, Arun Goyal, Alok Thakar, K.K.Handa, T.K.Hazra, Vipin Arora & Tobias Schwoy. The thrust was on paradigm shift from gland-centric to duct-centric therapies.

During closing ceremony, delegates thanked the faculty and expressed that they have learnt a new technique and are quite enthused by the possibilities offered by this technique and are looking forward to start it soon in their practice.


Scientific Programme
DAY-1 ..... November 20 (Friday)

0830-0900 Registration
0900-0930 Inauguration
0930-1030 Lectures

• Sialendoscopy: introduction and overview (P P Singh)


• Salivary duct anatomy (Arun Goyal)


• Classical approach for submandibular infections (Vipin Arora)


• Classical approach for parotid infections (Alok Thakar)


• Karl Storz in Sialendoscopy (Tobias Schwoy)


• Sialendoscopy: indications, instrumentation & technique (Francis Marchal)

1100-1330 Live Surgery :

• Diagnostic sialendoscopy in a case with recurrent submandibular swelling


• Interventional sialendoscopy for a case of submandibular stone (removal with basket/combined approach)


• Interventional sialendoscopy for a case of submandibular stone (removal with basket) with concommitant ductal stenosis (balloon dilatation)

1330-1430 Lunch

1430-1500 Lectures

• Fragmentation of stones - when & how ? (Francis Marchal)


• Ductal Stenosis: classification & management (Francis Marchal)

1500-1730 Live Surgery

• Diagnostic sialendoscopy for a case of JRP (Juvenile Recurrent Parotitis) for pressure dilatation and instillation of steroids


• Interventional sialendoscopy for a case of parotid duct stone (basket)


• Sialendoscopy for parotid duct stone and subsequent management

1930-onwards BANQUET (Venue:IIC)

DAY-2 ..... November 21 (Saturday)

0915-1000 Lectures

• Combined approach for extraction of large salivary duct stones (Francis Marchal/P P Singh)


• Surgical management of Drooling (K K Handa)


• Sialendoscopy - Kolkata experience (T K Hazra)

1000-1300 Live Surgery

• Combined approach (sialendoscopy guided external approach) for large parotid duct stone


• Diagnostic sialendoscopy in post submandibular gland excision case (marsupialisation of Wharton's duct is proposed)


• Follow-up sialendoscopy in post sialodochoplasty patient

1300-1330 Open session & Adjourn

1330-1430 Lunch

Visit www.sialendoscopy.net for more info on sialendoscopy