Department of Otorhinolaryngology and Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Department of Otorhinolaryngology and Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Am J Otolaryngol. 2023 Mar-Apr;44(2):103788. doi: 10.1016/j.amjoto.2023.103788. Epub 2023 Jan 19.
To systematically evaluate differences in swallowing disorder-related manifestations in patients with supraglottic laryngeal cancer, who underwent traditional open partial horizontal laryngectomy (OPHL) and endoscopic supraglottic laryngectomy (ESL).
A systematic review of the literature and a meta-analysis were performed. The CNKI, Wan Fang, PubMed, EMBASE, Cochrane Library, Web of Science, and Clinical Trials databases for clinical studies data sources were investigated. The efficiency of recovery, postoperative swallowing function, and complications related to dysphagia were investigated to compare the effects of surgical procedures.
The meta-analysis included 8 studies with 281 patients. ESL surgery played a positive role in the recovery of patients. Preservation of the anterior epiglottic space, ventricular band, and arytenoid cartilage without destroying the external framework of the larynx can effectively reduce the risk of aspiration pneumonia in patients.
ESL has advantages in postoperative recovery and retention of swallowing function in patients with supraglottic laryngeal cancer.
系统评价接受传统开放式水平喉部分切除术（OPHL）和内镜式声门上喉切除术（ESL）的声门上型喉癌患者吞咽障碍相关表现的差异。
对文献进行系统评价和荟萃分析。检索中国知网（CNKI）、万方、PubMed、EMBASE、Cochrane 图书馆、Web of Science、临床试验数据库等临床研究数据源。调查了手术恢复效率、术后吞咽功能以及与吞咽困难相关的并发症，以比较手术程序的效果。
荟萃分析纳入 8 项研究共 281 例患者。ESL 手术对患者的恢复有积极作用。保留会厌前间隙、室带和杓状软骨而不破坏喉的外部结构，可有效降低患者发生吸入性肺炎的风险。
ESL 在手头上喉癌患者的术后恢复和吞咽功能保留方面具有优势。
