中鼻甲部分切除与保留嗅觉功能:系统综述和荟萃分析。

IF 2.2 3区 医学 Q1 OTORHINOLARYNGOLOGY
Yen-An Chen, Chih-Hao Chen, Wei-Hsin Wang, Ming-Ying Lan
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引用次数: 0

摘要

目的中鼻甲(MT)被认为与嗅觉功能有关。在相关手术中,MT是否应该部分切除仍有争议。我们的主要目的是比较MT部分切除(MTR)和MT保留(MTP)之间的嗅觉结果。方法对Cochrane Library、Embase、PubMed、Scopus和Web of Science数据库进行检索,检索时间从数据库建立到2024年2月10日。符合条件的研究包括比较部分MTR和MTP的嗅觉结果的研究。人工提取数据,采用随机效应模型进行评价。我们计算了嗅觉功能得分的标准化平均差异(SMD)。对感兴趣的变量也进行了进一步的亚组分析。使用影响分析对合并结果进行检验。结果系统回顾所有相关文献后,有7项研究符合纳入条件。合并结果显示,部分MTR和MTP在嗅觉上没有显著差异(SMD, 0.140;95% CI, -0.159 ~ 0.438;p = .359;I2 p = 0%)。主观测试的研究(SMD, -0.271;95% CI, -0.604 ~ 0.63;p = .112;I2 p = 0.67;I2 = 85%),经鼻内窥镜入路颅底手术(SMD, 0.25;95% CI, -0.04 ~ 0.53;p = .09;I2 = 0%),随访6个月以上(SMD, 0.09;95% CI, -0.21 ~ 0.39;p = 0.57;i2 = 75%)。结论与MTP相比,MTR对嗅觉功能的影响较小。考虑到潜在的益处,部分MTR可能在临床环境中优先考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Partial Middle Turbinate Resection Versus Preservation on Olfactory Function: A Systematic Review and Meta-Analysis.

ObjectivesThe middle turbinate (MT) was considered related to olfactory function. Whether the MT should be partially resected during relevant surgery is still debated. Our primary objective was to compare the olfactory outcome between partial MT resection (MTR) and MT preservation (MTP).MethodsA search was performed on the Cochrane Library, Embase, PubMed, Scopus, and Web of Science databases from their inception through February 10, 2024. Eligible studies included those that compared the olfactory outcome between partial MTR and MTP. Data were extracted manually, and a random-effects model was used to evaluate it. We calculated the standardized mean differences (SMD) in the scores for the olfactory function. Further subgroup analysis was also performed for variables of interest. The pooled results were examined using influence analysis.ResultsAfter systematically reviewing all relevant articles, 7 studies were qualified for inclusion. The pooled results showed no significant difference in olfaction between the partial MTR and MTP (SMD, 0.140; 95% CI, -0.159 to 0.438; P = .359; I2 <1%). Subgroup analysis preferred partial MTR in the objective test (SMD, 0.370; 95% CI, 0.17-0.56; P < .001; I2 = 0%). No significance was observed in studies with subjective test (SMD, -0.271; 95% CI, -0.604 to 0.63; P = .112; I2 <1%), undergoing functional endoscopic sinus surgery (0.10; 95% CI, -0.35 to 0.54; P = .67; I2 = 85%), undergoing skull base surgery with endoscopic endonasal approach (SMD, 0.25; 95% CI, -0.04 to 0.53; P = .09; I2 = 0%), and following up more than 6 months (SMD, 0.09; 95% CI, -0.21 to 0.39; P = .57; I2 = 75%).ConclusionOur findings showed that MTR does not deteriorate olfactory function compared with MTP. Considering the potential benefit, partial MTR might be prioritized in clinical settings.

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来源期刊
CiteScore
6.50
自引率
2.90%
发文量
0
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.
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