Academic Journal
Endoscopy‐Assisted Transoral Approach to Resect Parapharyngeal Space Tumors: A Systematic Review and Meta‐Analysis
| العنوان: | Endoscopy‐Assisted Transoral Approach to Resect Parapharyngeal Space Tumors: A Systematic Review and Meta‐Analysis |
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| المؤلفون: | Chen, Huihong, He, Zhiying, Li, Guo, Liu, Chao, Zhang, Diekuo, Huang, Donghai, Xie, Changning, Jiang, Weihong, Qiu, Yuanzheng, Zhang, Xin, Liu, Yong |
| المساهمون: | Hunan Provincial Natural Science Foundation, National Basic Research Program of China, National Natural Science Foundation of China |
| المصدر: | The Laryngoscope ; volume 131, issue 10, page 2246-2253 ; ISSN 0023-852X 1531-4995 |
| بيانات النشر: | Wiley |
| سنة النشر: | 2021 |
| المجموعة: | Wiley Online Library (Open Access Articles via Crossref) |
| الوصف: | Objectives By comparing the endoscopy‐assisted transoral approach (EATA) with external approaches (EAs) for the resection of parapharyngeal space tumors (PPSTs), we determined whether the EATA has advantages in terms of operation time, intraoperative bleeding volume, postoperative hospitalization, drainage volume, and complications. At the same time, we summarized the surgical indications for the EATA. Methods Systematic literature retrieval was performed in the PubMed, Web of Science, Embase, CNKI, Wanfang, and CQVIP databases up to February 2020. We calculated the mean difference (MD) with a 95% confidence interval (CI) for continuous outcomes and pooled odds ratio (OR) with 95% CI for dichotomous outcomes. The measured outcomes were operative time, bleeding volume, postoperative hospitalization, drainage volume, and complications. Results Seven studies involving 318 patients were eligible. Of these patients, 145 patients underwent EATA and 173 patients underwent EA surgery. All the former tumors were benign and located medial or anteromedial to the carotid sheath except for the unrecorded tumors. Compared with EAs, the EATA significantly shortened the operation time (MD = −5.56 min, 95% CI: −9.58 to −1.55), shrank the bleeding volume (MD = −89.02 ml, 95% CI: −126.16 to −51.88), shortened the postoperative hospitalization (MD = −2.44 days, 95% CI: −3.37 to −1.51), reduced the drainage volume (MD = −32.97 ml, 95% CI: −36.24 to −29.70), and lowered the incidence of complications (OR = 0.30, 95% CI: 0.16 to 0.59). Conclusion As for PPSTs, with an appropriate and precise patient selection, the EATA is a safe, effective, minimally invasive, and aesthetic surgical modality. Laryngoscope , 131:2246–2253, 2021 |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1002/lary.29458 |
| الاتاحة: | http://dx.doi.org/10.1002/lary.29458 https://onlinelibrary.wiley.com/doi/pdf/10.1002/lary.29458 https://onlinelibrary.wiley.com/doi/full-xml/10.1002/lary.29458 |
| Rights: | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| رقم الانضمام: | edsbas.9AC0A26C |
| قاعدة البيانات: | BASE |
| DOI: | 10.1002/lary.29458 |
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