Early swallowing intervention after free flap reconstruction for oral cancer: A systematic review and meta-analysis

被引：7
作者：
Xu, Jiaqi [1 ,2 ]
Zhu, Yongkang [1 ,2 ]
Wu, Hongyun [1 ,2 ]
Yang, Chengfengyi [1 ,2 ]
Zhang, Jing [1 ,2 ]
Yang, Yue [1 ,2 ,3 ,4 ]
机构：
[1] Peking Univ Sch & Hosp Stomatol, Dept Oral & Maxillofacial Surg, Beijing, Peoples R China
[2] Natl Ctr Stomatol, Beijing, Peoples R China
[3] Peking Univ Hlth Sci Ctr Evidence Based Nursing, Beijing, Peoples R China
[4] A Joanna Briggs Inst Affiliated Grp, Beijing, Peoples R China
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2023年 / 45卷 / 06期
关键词：
deglutition disorders; free flap reconstruction; mouth neoplasms; swallowing intervention; systematic review; QUALITY-OF-LIFE; NECK-CANCER; SURGERY; HEAD; COMPLICATIONS; THERAPY; CAVITY;
D O I：
10.1002/hed.27356
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
ObjectivesThis study aimed to summarize the state of current literature and evaluate evidence for timing, methods, and effects of early intervention in patients after free flap reconstruction. MethodsA comprehensive search was conducted in nine databases. The methodological quality of literature was assessed according to the JBI Critical Appraisal Tools. ResultsEight studies were finally included. Most studies started the intervention within 1 to 2 weeks after surgery with multiple swallowing training measures. The results of meta-analysis showed that swallowing intervention could improve swallowing function (SMD = -1.03, 95%CI [-1.37, -0.69], Z = 5.95, p < 0.01) and the quality of life (SMD = 1.52, 95%CI [0.97, 2.07], Z = 5.43, p < 0.01). ConclusionEarly swallowing intervention can improve patients' swallowing function and short-term quality of life. We can only summarize the basic consensus of the studies on early swallowing intervention, and rigorous trials are needed in the future.
引用
收藏
页码：1430 / 1444
页数：15
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