Chirurgie de l’adénome pléomorphe de la parotide

Objectives To report descriptive statistics for minor parotidectomy complications. Methods A systematic review was performed, selecting 235 studies for analysis. The incidence of complications was tabulated, and descriptive statistics calculated. Outlier studies, 1 standard deviation above the mean, were reexamined to determine potential causal factors for each complication. All studies were examined for statistically significant differences for any potential causal factor. Results The pooled incidence of minor complications reported were hematoma 2.9% (95% confidence interval [CI]: 2.4‐3.5), wound infection 2.3% (95% CI: 1.8‐2.9), sialocele 4.5% (95% CI: 3.5‐5.7), salivary fistula 3.1% (95% CI: 2.6‐3.7), flap necrosis 1.7% (95% CI: 1.1‐2.5), scar issues 3.6% (95% CI: 2.4‐5.4), numbness 33.9% (95% CI: 25.6‐43.4), and deformity 11.8 (95% CI: 6.9‐19.5). Implants result in more wound complications, such as hematoma, sialocele, or salivary fistula. Sialocele and salivary fistula appear more frequently after less extensive parotid surgery, whereas hematoma, wound infections, flap necrosis, and aesthetic considerations are worse with more extensive resections. Conclusions Minor parotidectomy complications are more frequent than generally assumed and related to certain factors that should be investigated. Laryngoscope, 131:571–579, 2021

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Minor Parotidectomy Complications: A Systematic Review

Lambiel

Dulguerov

Courvoisier

et al. 2020

The Laryngoscope

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Complications of traditional and modern therapeutic salivary approaches

Nahlieli

2017

Acta Otorhinolaryngol Ital

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Le complicanze dopo chirurgia tradizionale delle ghiandole salivari sono notoriamente documentate in letteratura e comprendono: la sindrome di Frey, la paralisi parziale o completa del nervo facciale, le lesioni del nervo grande auricolare, lo scialocele, la fistola salivare e gli esiti cicatriziali a livello della cute del volto. Per contro, le principali complicanze secondarie ai trattamenti endoscopici risultano essere lavulsione del dotto salivare, le stenosi secondarie, la tumefazione ghiandolare, le fistole salivari, le perforazioni da falsa strada, le ranule post- traumatiche e le parestesie del nervo linguale. In generale, le moderne tecniche di chirurgia minimamente invasiva mostrano un tasso di complicanze post-operatorie significativamente inferiore rispetto alla chirurgia tradizionale delle ghiandole salivari. Tuttavia, un confronto tra le due strategie chirurgiche non può svolgersi correttamente perché esse sono applicate a diversi ambiti patologici. La combinazione di più tecniche di chirurgia minimamente invasiva rende sfumata la linea di confine tra chirurgia tradizionale e moderna, risultando utile e necessaria una più dettagliata descrizione del progressivo abbandono delle tecniche tradizionali a favore delle nuove.

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Chirurgie de l’adénome pléomorphe de la parotide

Cited by 2 publications

References 8 publications

Minor Parotidectomy Complications: A Systematic Review

Minor Parotidectomy Complications: A Systematic Review

Complications of traditional and modern therapeutic salivary approaches

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