Ho Che-Fang, Hsin Li-Jen, Yang Shih-Wei, Tsai Yao-Te, Tsai Ming-Shao, Lee Yi-Chan
Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan. No.259, Wenhua 1st Rd., Guishan Dist., Taoyuan City, 33302, Taiwan.
Department of Otolaryngology - Head and Neck Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan. No.259, Wenhua 1st Rd., Guishan Dist., Taoyuan City, 33302, Taiwan.
Asian J Surg. 2023 Jan;46(1):18-23. doi: 10.1016/j.asjsur.2022.03.072. Epub 2022 Apr 2.
Surgical removal of the submandibular gland is indicated for different conditions affecting the gland, such as neoplasm, sialadenitis, and sialolithiasis, and different types of surgical approaches have been reported. The purpose of this meta-analysis was to evaluate the differences between the postauricular approach and conventional transcervical approach in submandibular gland excision. A systematic review was performed using PubMed, Embase and the Cochrane Library to identify studies comparing outcomes of submandibular gland surgery via the postauricular approach and conventional transcervical approach. The data of interest were analyzed with Comprehensive Meta-Analysis software (version 3; Biostat, Englewood, NJ). 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. The results show that the postauricular incision is a feasible approach to access the submandibular gland, and compared with the conventional transcervical approach, it requires a longer operative duration but has a similar complication rate and yields better cosmetic outcomes.
对于影响下颌下腺的不同病症，如肿瘤、涎腺炎和涎石病，需进行下颌下腺手术切除，并且已有不同类型手术入路的相关报道。本荟萃分析的目的是评估耳后入路与传统经颈入路在下颌下腺切除术中的差异。通过使用PubMed、Embase和Cochrane图书馆进行系统综述，以识别比较通过耳后入路和传统经颈入路进行下颌下腺手术结果的研究。使用综合荟萃分析软件（第3版；Biostat，新泽西州恩格尔伍德）对感兴趣的数据进行分析。分别通过计算风险差异（RD）和平均差异（MD）以及95%置信区间（CI）来分析二分数据和连续数据。结果表明，耳后切口是一种可行的进入下颌下腺的方法，与传统经颈入路相比，其手术时间更长，但并发症发生率相似，且美容效果更好。
