[Partial superficial parotidectomy versus superficial parotidectomy for treatment of parotid benign tumors: evidence-based medicine analysis].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 33(9): 875-882, 2019 Sep.
Article
em Zh
| MEDLINE
| ID: mdl-31446709
ABSTRACT
Objective:
The aim of this study is to systematically assess the postoperative outcomes of partial superficial parotidectomyï¼PSPï¼ and superficial parotidectomyï¼SPï¼ by systematic literature review and Meta-analysis, and to provide a theoretical basis for the selection of the appropriate surgical approach in clinical process.Method:
Relevant studies that compared the outcomes of PSP and SP for the parotid benign tumors were searched in Pubmed, CNKI and Wanfangdata databases, and Meta-analysis was performed using software RevMan 5.0.Result:
24 studies were selected for the Meta-analysis. A total of 2 795 participants were included in those studies, of whom 1 301 underwent PSP and 1 494 underwent SP. The recurrence rates for PSP and SP were 1.14%ï¼10 of 874ï¼ and 0.6%ï¼6 of 993ï¼, respectively. There were no statistically significant difference in recurrence rate between PSP and SP. The rates of transient facial nerve paresis for PSP and SP were 11.60%ï¼122 of 1 052ï¼ and 27.37%ï¼350 of 1 279ï¼, respectively. The rates of permanent facial nerve paralysis for PSP and SP were 1.04%ï¼6 of 579ï¼ and 4.46%ï¼31 of 695ï¼, respectively. The incidences of Frey's syndrome in PSP group and SP group were 9.20%ï¼95 of 1 033ï¼ and 30.32%ï¼409 of 1 349ï¼, respectively. The rate of salivary fistulafor PSP and SP were 5.38%ï¼37 of 688ï¼ and 11.25%ï¼65 of 578ï¼. PSP could reduce the risk for complications compared with SP.Conclusion:
This systematic review with meta-analysis suggests that PSP has a similar recurrence rate as SP, but PSP can significantly reduce the postoperativecomplications.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Glândula Parótida
/
Procedimentos Cirúrgicos Otorrinolaringológicos
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Neoplasias Parotídeas
/
Medicina Baseada em Evidências
/
Recidiva Local de Neoplasia
Tipo de estudo:
Systematic_reviews
Limite:
Humans
Idioma:
Zh
Ano de publicação:
2019
Tipo de documento:
Article