Restoring form and function: The role of free dermal fat graft (FDFG) in post-parotidectomy reconstruction. A systematic review and meta-analysis of expected outcomes and patient satisfaction.

IF 2.2 3区医学 Q2 Dentistry

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-11-20 DOI:10.1016/j.jormas.2024.102162

Evangelos N Vitkos, Nefeli Eleni Kounatidou, Christos Tsilivigkos, Konstantinos Kotzagiorgis, Athanassios Kyrgidis, Lars Bonitz, Ákos Bicsák, Stefan Haßfeld, Christian Soemmer

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引用次数: 0

Abstract

Purpose: This study aims to assess the outcomes of free dermal fat graft (FDFG) reconstruction following parotidectomy, evaluating both clinical complications and patient satisfaction with the procedure.

Methods: We conducted a systematic review and meta-analysis according to PRISMA guidelines, searching MEDLINE (via PubMed), Scopus, and the Cochrane Library for studies reporting on FDFG outcomes post-parotidectomy. Eligible studies included single-arm studies with data on recipient and donor site complications as well as patient satisfaction. Pooled complication rates were analyzed using a random-effects model to account for study heterogeneity.

Results: A total of 20 studies, representing 922 reconstructions in 919 patients, were included in the analysis. The overall rates of recipient site complications were low, with hematoma observed in 1.31% (95% CI: 0.50-3.34) and infection in 1.84% (95% CI: 0.95-3.53) of cases. The incidence of Frey's syndrome was 1.95% (95% CI: 0.74-5.02), and fat necrosis was noted in 1.74% (95% CI: 0.57-5.23) of patients. Donor site complications were minimal, with hematoma, infection, and seroma rates each below 1%. While there was high variability in satisfaction measures, results indicated favorable patient satisfaction with FDFG outcomes.

Conclusion: FDFG reconstruction following parotidectomy is a safe and effective method for correcting contour deformities, showing minimal complications and high patient satisfaction. The low incidence of complications, including Frey's syndrome, underscores FDFG as a viable option for facial contour restoration in parotid surgery, providing favorable aesthetic and functional outcomes.

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恢复形态和功能：游离真皮脂肪移植（FDFG）在腮腺切除术后重建中的作用。对预期效果和患者满意度的系统回顾和荟萃分析。

目的：本研究旨在评估腮腺切除术后游离真皮脂肪移植（FDFG）重建的效果，同时评估临床并发症和患者对手术的满意度：我们根据PRISMA指南进行了系统性回顾和荟萃分析，检索了MEDLINE（通过PubMed）、Scopus和Cochrane图书馆中有关腮腺切除术后游离真皮脂肪移植效果的研究报告。符合条件的研究包括具有受体和供体部位并发症以及患者满意度数据的单臂研究。采用随机效应模型对汇总的并发症发生率进行分析，以考虑研究的异质性：共有20项研究被纳入分析，代表了919名患者的922次重建。受体部位并发症的总体发生率较低，血肿发生率为1.31%（95% CI：0.50-3.34），感染发生率为1.84%（95% CI：0.95-3.53）。弗雷氏综合征的发生率为 1.95% (95% CI: 0.74-5.02)，1.74%（95% CI：0.57-5.23）的患者出现脂肪坏死。供体部位并发症极少，血肿、感染和血清肿的发生率均低于 1%。虽然满意度的测量结果差异很大，但结果显示患者对FDFG的效果非常满意：结论：腮腺切除术后的FDFG重建是一种安全有效的轮廓畸形矫正方法，并发症少，患者满意度高。包括 Frey's 综合征在内的并发症发生率很低，这突出表明 FDFG 是腮腺手术中面部轮廓修复的一种可行方法，可提供良好的美学和功能效果。

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 Stomatology Oral and Maxillofacial Surgery Dentistry-Oral Surgery

CiteScore

2.20

自引率

9.10%

发文量

305

期刊介绍： J Stomatol Oral Maxillofac Surg publishes research papers and techniques - (guest) editorials, original articles, reviews, technical notes, case reports, images, letters to the editor, guidelines - dedicated to enhancing surgical expertise in all fields relevant to oral and maxillofacial surgery: from plastic and reconstructive surgery of the face, oral surgery and medicine, … to dentofacial and maxillofacial orthopedics. Original articles include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. The journal is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey Platforms.