Nasal fibroscopy as a routine screening procedure of sinonasal adenocarcinoma of woodworkers: French longitudinal case study.

Details

Serval ID
serval:BIB_A21AD84D07A2
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Nasal fibroscopy as a routine screening procedure of sinonasal adenocarcinoma of woodworkers: French longitudinal case study.
Journal
Head & neck
Author(s)
Martin J., Vayr F., Paris C., Vergez S., Krief P., Luc A., Corvisier J., de Gabory L., Herin F.
Working group(s)
CERBois members
ISSN
1097-0347 (Electronic)
ISSN-L
1043-3074
Publication state
Published
Issued date
10/2018
Peer-reviewed
Oui
Volume
40
Number
10
Pages
2193-2198
Language
english
Notes
Publication types: Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
The purpose of this study was to assess the relevancy of flexible nasoendoscopy as a routine screening procedure of sinonasal adenocarcinoma among people occupationally exposed to wood dust.
This study included woodworkers, occupationally exposed to wood dust. Evaluations were scheduled at the time of inclusion (T0) and after a 2-year period (T1). A questionnaire was used for standardized data collection. The score was based on anatomic landmarks on each side that are parts of the olfactory clefts: the area of middle turbinate, the anterior part of the olfactory cleft, the top of the choanal arch, the spheno-ethmoidal recess, the posterior part of the olfactory cleft, and the middle part of the olfactory cleft.
A total of 965 nasoendoscopies (T0+T1) were performed. Olfactory clefts were visualized in 72% of the cases. Nasoendoscopies revealed pathological findings in 33.6% of cases: polyps, thick nasal secretion aspect, mucous edema, retractile scars and synechia, crusts, mucous erythema, and growth. One case of carcinoma was confirmed. Adverse effects (epistaxis, blood mark on the endo-sheath, sneezing, or rhinorrhea) after the medical procedure occurred in 30% of cases without severe complications.
Flexible nasoendoscopy offers meaningful efficacy and a promising safety profile, and, therefore, could become the new cornerstone of the routine screening procedure of sinonasal adenocarcinoma among woodworkers.
Keywords
Adenocarcinoma/diagnosis, Dust, Early Detection of Cancer/methods, Endoscopy, Female, France, Humans, Longitudinal Studies, Male, Mass Screening/methods, Middle Aged, Nose Neoplasms/diagnosis, Occupational Diseases/diagnosis, Occupational Exposure/adverse effects, Paranasal Sinus Neoplasms/diagnosis, Visual Analog Scale, Wood/adverse effects, medical follow-up, nasal fibroscopy, olfactory clefts, sinonasal adenocarcinoma, woodworkers
Pubmed
Web of science
Create date
17/05/2018 18:49
Last modification date
16/12/2019 7:19
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