The superficial musculoaponeurotic system flap in the prevention of Frey syndrome: A meta-analysis.
Laryngoscope
; 126(7): 1581-4, 2016 07.
Article
em En
| MEDLINE
| ID: mdl-26915301
ABSTRACT
OBJECTIVES/HYPOTHESIS:
Evaluate the difference of the incidence in clinical Frey syndrome in studies comparing classical parotidectomy and parotidectomy with superficial musculoaponeurotic system (SMAS) flap elevation and suturing through meta-analysis methodology. STUDYDESIGN:
Meta-analysis of controlled studies with and without SMAS flap.METHODS:
Database search with the following key word combination "Frey syndrome" and "SMAS." INCLUSION CRITERIA parotidectomy, SMAS flap and control groups, minimal follow-up of 1 year. The outcome was the presence of clinical Frey syndrome.RESULTS:
Eleven studies, mostly retrospective and not randomized. According to the fixed-effect model, SMAS technique is associated with a decrease of clinical Frey syndrome with an odds ratio (OR) of 0.42 (confidence interval [CI] 0.32-0.56). With the random-effect model, the difference remains significant (P = 0.006) with an OR of 0.25 (CI 0.09-0.66). The heterogeneity index I(2) is very high (85%).CONCLUSION:
The use of SMAS flap and suturing is associated with a decreased incidence of Frey syndrome. Laryngoscope, 1261581-1584, 2016.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Retalhos Cirúrgicos
/
Sudorese Gustativa
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Procedimentos de Cirurgia Plástica
/
Sistema Musculoaponeurótico Superficial
Tipo de estudo:
Clinical_trials
/
Etiology_studies
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Prognostic_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
Laryngoscope
Ano de publicação:
2016
Tipo de documento:
Article