Evaluation of the effectiveness of superficial parotidectomy and partial superficial parotidectomy for benign parotid tumours: a meta-analysis.

IF 2.6 3区医学 Q1 OTORHINOLARYNGOLOGY

Journal of Otolaryngology - Head & Neck Surgery Pub Date : 2023-12-22 DOI:10.1186/s40463-023-00679-w

Hai-Tao Liu, Wei-Peng Jiang, Gang Xia, Jia-Min Liao

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引用次数: 0

Abstract

Objective: To quantify the results of superficial parotidectomy (SP) and partial SP (PSP) for benign parotid tumours using a systematic evaluation method.

Methods: A systematic search of English and Chinese databases (PubMed, Web of Science, Cochrane Library, China Knowledge Network, Wanfang and Vipshop) was conducted to include studies comparing the treatment outcomes of SP with PSP.

Results: Twenty-three qualified, high-quality studies involving 2844 patients were included in this study. The results of this study showed that compared to the SP surgical approach, the PSP surgical approach reduced the occurrence of temporary facial palsy (OR = 0.33; 95% confidence interval [CI] 0.26-0.41), permanent facial palsy (OR = 0.28; 95% CI 0.16-0.52) and Frey syndrome (OR = 0.36; 95% CI 0.23-0.56) in patients after surgery, and the surgery operative time was reduced by approximately 27.35 min (95% CI - 39.66, - 15.04). However, the effects of PSP versus SP on salivary fistula (OR = 0.70; 95% CI 0.40-1.24), sialocele (OR = 1.48; 95% CI 0.78-2.83), haematoma (OR = 0.34; 95% CI 0.11-1.01) and tumour recurrence rate (OR = 1.41; 95% CI 0.48-4.20) were not statistically significant.

Conclusion: Compared with SP, PSP has a lower postoperative complication rate and significantly shorter operative time, suggesting that it could be used as an alternative to SP in the treatment of benign parotid tumours with the right indications.

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腮腺浅层切除术和腮腺部分浅层切除术治疗腮腺良性肿瘤的有效性评估：一项荟萃分析。

目的采用系统评价方法量化腮腺浅层切除术（SP）和腮腺部分切除术（PSP）治疗腮腺良性肿瘤的效果：方法：对中英文数据库（PubMed、Web of Science、Cochrane Library、中国知网、万方和唯品会）进行系统检索，纳入比较SP与PSP治疗效果的研究：本研究共纳入 23 项合格的高质量研究，涉及 2844 名患者。研究结果显示，与SP手术方法相比，PSP手术方法减少了患者术后暂时性面瘫（OR=0.33；95% 置信区间[CI] 0.26-0.41）、永久性面瘫（OR=0.28；95% CI 0.16-0.52）和Frey综合征（OR=0.36；95% CI 0.23-0.56）的发生，手术时间缩短了约27.35分钟（95% CI - 39.66, - 15.04）。然而，PSP 与 SP 相比，对唾液瘘（OR = 0.70；95% CI 0.40-1.24）、咽峡炎（OR = 1.48；95% CI 0.78-2.83）、血肿（OR = 0.34；95% CI 0.11-1.01）和肿瘤复发率（OR = 1.41；95% CI 0.48-4.20）的影响无统计学意义：结论：与SP相比，PSP的术后并发症发生率更低，手术时间明显更短，这表明在治疗腮腺良性肿瘤时，PSP可作为SP的替代方法，且适应症正确。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Otolaryngology - Head & Neck Surgery 医学-耳鼻喉科学

CiteScore

6.50

自引率

2.90%

发文量

审稿时长

6 weeks

期刊介绍： Journal of Otolaryngology-Head & Neck Surgery is an open access, peer-reviewed journal publishing on all aspects and sub-specialties of otolaryngology-head & neck surgery, including pediatric and geriatric otolaryngology, rhinology & anterior skull base surgery, otology/neurotology, facial plastic & reconstructive surgery, head & neck oncology, and maxillofacial rehabilitation, as well as a broad range of related topics.