Marijić Blažen, Grasl Stefan, Grasl Matthaeus Ch, Faisal Muhammad, Erovic Boban M, Janik Stefan
Institute of Head and Neck Diseases, Evangelical Hospital, 1180 Vienna, Austria.
Department of Otorhinolaryngology, Head and Neck Surgery, Clinical Hospital Center Rijeka, 51000 Rijeka, Croatia.
Cancers (Basel). 2021 Jun 6;13(11):2827. doi: 10.3390/cancers13112827.
To evaluate the effect of salivary bypass tube (SBT) usage on the occurrence of pharyngocutaneous fistula (PCF) in patients after a laryngopharyngectomy, a total of 20 studies, published between 1988 and 2021, were identified including 2946 patients. We performed a meta-analysis assessing the risk of PCF occurrence in patients after SBT application compared to those without. PCF occurred in 26.8% of cases (669/2496) and SBT was applied in 33.0% of patients (820/2483). There was an overall trend towards lower PCF rates when using SBTs (22.2% vs. 35.3%; = 0.057). We further selected five studies, comprising 580 patients who underwent laryngopharyngectomies, for meta-analysis showing that application of SBT reduced the risk of PCF formation (OR 0.46; 95% CI 0.18-1.18; = 0.11). The meta-analysis demonstrates a beneficial effect of SBT insertion on PCF formation in patients after laryngopharyngectomy.
为评估喉咽切除术后患者使用唾液旁路管(SBT)对咽皮肤瘘(PCF)发生情况的影响,我们检索了1988年至2021年间发表的共20项研究,纳入2946例患者。我们进行了一项荟萃分析,评估应用SBT的患者与未应用SBT的患者发生PCF的风险。PCF发生在26.8%的病例中(669/2496),33.0%的患者应用了SBT(820/2483)。使用SBT时,PCF发生率总体呈下降趋势(22.2%对35.3%;P = 0.057)。我们进一步选择了五项研究,共580例行喉咽切除术的患者进行荟萃分析,结果显示应用SBT降低了PCF形成的风险(OR 0.46;95%CI 0.18 - 1.18;P = 0.11)。荟萃分析表明,插入SBT对喉咽切除术后患者的PCF形成有有益影响。