经口机器人手术与传统经口手术治疗下颌下结石：系统回顾和荟萃分析

IF 1.8 4区医学 Q2 OTORHINOLARYNGOLOGY

American Journal of Otolaryngology Pub Date : 2025-04-25 DOI:10.1016/j.amjoto.2025.104647

Matteo Lazzeroni , Giulia Buccichini , Muhammad Suleiman , Emma Finnegan , Luke Mattey , Davide Tosini , Michele Proh , Lorenzo Pignataro , Antonino Maniaci , Mario Lentini , Sara Torretta , Pasquale Capaccio , Michelle Azevedo

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引用次数: 0

摘要

目的近年来经口机器人手术的广泛应用，促使其不仅应用于口咽和下咽喉部，这是该方法主要应用的解剖部位，而且还应用于口腔底部肿瘤和其他影响唾液腺的疾病的切除，如涎腺病。本研究旨在评估经口机器人手术与传统经口手术治疗下颌下结石的安全性和有效性。方法检索spubmed、Embase和Web of Science关于传统或机器人经口手术治疗下颌下结石的研究报告。按照PRISMA指南的建议，对随机效应模型进行比例荟萃分析。本综述已在PROSPERO注册（CRD42024522199）。结果共纳入23项研究的2520名受试者。所选患者的平均年龄为44岁（范围5-87岁），其中48%为女性。经口机器人手术的成功率为95.7% (95% CI 90.9 ~ 99.0)，高于传统的经口入路(成功率92.6%；95% ci 89.3-95.4)。舌神经短暂性麻木在机器人手术中更为常见（15.8% vs 8.1%）。然而，没有报告永久性损伤舌神经被发现。结论经口机器人手术是治疗下颌下结石的有效方法。由于手术费用高昂，严格的患者选择是强制性的。

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Transoral robotic surgery versus conventional transoral surgery for submandibular stones: Systematic review and meta-analysis

Purpose

The recent diffusion of transoral robotic surgery has prompted its application not only in the oropharyngeal and hypopharyngeal-laryngeal fields, which are the anatomical sites of major use of the method, but also in the oral floor for the removal of tumours and other diseases affecting the salivary glands, such as sialothiasis. This study aims to assess the safety and efficacy profiles of transoral robotic surgery compared to traditional transoral procedures for the treatment of submandibular stones.

Methods

PubMed, Embase, and Web of Science were searched for studies reporting on traditional or robotic transoral surgery for submandibular stones. As recommended by the PRISMA guidelines, proportion meta-analysis was performed on a random-effects model. The present review was registered on PROSPERO (CRD42024522199).

Results

A total of 2520 participants from 23 studies were included. The selected patients had a mean age of 44 years (range 5-87), with 48 % of them being female. Transoral robotic surgery had a success rate of 95.7 % (95 % CI 90.9-99.0), higher than traditional transoral approaches (success rate 92.6 %; 95 % CI 89.3-95.4). Transient stupor of the lingual nerve was observed more frequently in robotic surgeries (15.8 % vs 8.1 %). However, no reports of permanent injury to the lingual nerve were found.

Conclusion

Transoral robotic surgery is a valid treatment option for submandibular stones. Due to the high costs of the procedure, strict patient selection is mandatory.

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来源期刊

American Journal of Otolaryngology 医学-耳鼻喉科学

CiteScore

4.40

自引率

4.00%

发文量

378

审稿时长

41 days

期刊介绍： Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.