Cosmetic approach selection in parotidectomy for benign parotid gland tumour according to its location

Zhang, Q.; Yang, Yuchen; Yang, Peipei; Tan, Yongming; Liu, X.; Xiong, Bing; Qiu, Jiangping

doi:10.1016/j.bjps.2019.10.012

Cited by 12 publications

(15 citation statements)

References 26 publications

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“…We did not perform subgroup analysis due to the number of eligible studies. However, the study reported by Zheng et al was found to be the source of heterogeneity 20 . The heterogeneity was obviously reduced after this study was removed from the analysis ( I 2 = 19.84%).…”

Section: Resultsmentioning

confidence: 99%

“…Among these articles, studies without a control group, review articles, studies including fascia or flap reconstruction, short reports, studies using incisions other than the MFI, studies including known parotid cancer patients before surgery, cadaveric studies and studies not published in the English language were excluded. Seven articles were included in the final analysis 14 – 20 . A flow diagram describing the process of study selection and inclusion/exclusion is shown in Fig.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Five of the studies recorded cosmetic satisfaction with a numerical scale, on which 10 points indicated the highest score of cosmetic satisfaction 14 , 16 , 17 , 19 , 20 . Four articles provided sufficient data for analysis 16 , 17 , 19 , 20 . One study evaluated the cosmetic results 3–4 months after surgery 19 , two studies evaluated the cosmetic results at least 6 months after surgery 17 , 20 , and one study evaluated the cosmetic results at least 18 months after surgery 16 .…”

Section: Resultsmentioning

confidence: 99%

“…Four articles provided sufficient data for analysis 16 , 17 , 19 , 20 . One study evaluated the cosmetic results 3–4 months after surgery 19 , two studies evaluated the cosmetic results at least 6 months after surgery 17 , 20 , and one study evaluated the cosmetic results at least 18 months after surgery 16 . The pooled analysis of the four studies demonstrated that the cosmetic satisfaction score was higher in the MFI group than in the MBI group (MD, 1.66; 95% confidence interval [CI] 0.87–2.46; I 2 = 83.03%) (Fig.…”

Section: Resultsmentioning

confidence: 99%

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Systematic review and meta-analysis of modified facelift incision versus modified Blair incision in parotidectomy

Lee

Liao

Yang

et al. 2021

Sci Rep

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Surgical removal is the treatment of choice for many neoplasms of the parotid gland. This meta-analysis aimed to evaluate the differences between parotidectomy using a modified facelift incision (MFI) and parotidectomy using a modified Blair incision (MBI). A systematic search of the available literature in PubMed, Embase and the Cochrane Library was performed. Studies of adult patients who underwent open parotidectomy with presumed benign parotid neoplasms based on preoperative examinations were reviewed. The surgical outcomes of the MFI and MBI groups were collected. Intraoperative and postoperative parameters, including operative time, tumor size, cosmetic satisfaction, and incidences of facial palsy, Frey’s syndrome and salivary complications, were compared. Dichotomous data and continuous data were analyzed by calculating the risk difference (RD) and the mean difference (MD) with the 95% confidence interval (CI), respectively. Seven studies were included in the final analysis. The pooled analysis demonstrated that the cosmetic satisfaction score was significantly higher in the MFI group (MD = 1.66; 95% CI 0.87–2.46). The operative duration in the MFI group was significantly longer than that in the MBI group (MD = 0.07; 95% CI 0.00–0.14). The MFI group exhibited a smaller tumor size (MD = − 2.27; 95% CI − 4.25 to − 0.30) and a lower incidence of Frey’s syndrome (RD = − 0.18; 95% CI − 0.27 to − 0.10). The incidence of postoperative temporary facial palsy (RD = − 0.05; 95% CI − 0.12 to 0.03), permanent facial palsy (RD = − 0.01; 95% CI − 0.06 to 0.03) and salivary complications (RD = − 0.00; 95% CI − 0.05 to 0.05) was comparable between the two groups. Based on these results, MFI may be a feasible technique for improving the cosmetic results of patients who need parotidectomy when oncological safety can be ensured.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%