Salivary bypass tube in total laryngectomy: Systematic review and meta-analysis

被引：10
作者：
Costantino, Andrea [1 ,2 ]
Pace, Gian Marco [1 ,2 ]
Festa, Bianca Maria [1 ,2 ]
Ferreli, Fabio [1 ,2 ]
Malvezzi, Luca [1 ,2 ]
Spriano, Giuseppe [1 ,2 ]
Mercante, Giuseppe [1 ,2 ]
De Virgilio, Armando [1 ,2 ]
机构：
[1] Humanitas Univ, Dept Biomed Sci, Via Rita Levi Montalcini 4, I-20090 Pieve Emanuele, MI, Italy
[2] IRCCS Humanitas Res Hosp, Otorhinolaryngol Unit, Rozzano, MI, Italy
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2022年 / 44卷 / 11期
关键词：
complication; head and neck cancer; laryngectomy; Montgomery; prevention; MAJOR MYOCUTANEOUS FLAP; SALVAGE TOTAL LARYNGECTOMY; OUTCOMES FOLLOWING PHARYNGOLARYNGECTOMY; PHARYNGOCUTANEOUS FISTULA; HYPOPHARYNGEAL RECONSTRUCTION; THIGH FLAP; STRICTURE; CLOSURE; COMPLICATIONS; HETEROGENEITY;
D O I：
10.1002/hed.27169
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
The aim of this study is to determine whether the preventive positioning of a salivary bypass tube (SBT) after total laryngectomy (TL) reduces the incidence of postoperative pharyngocutaneous fistula (PCF) and pharyngeal stenosis (PS). This study was conducted in conformity with the PRISMA statement. 1960 patients with a median age of 62.0 years were included. A SBT was placed in 980 (50%) patients (SBT group). The cumulative PCF incidence in the SBT group was 15.8% (95% CI: 9.3-23.6). The measured pooled OR comparing PCF incidence in patients with SBT compared to those without was 0.40 (95% CI: 0.24-0.65). The pooled PS incidence in the SBT group was 12.3% (95% CI: 5.4-21.6). The measured pooled OR comparing PS incidence in patients with SBT compared to those without was 0.43 (95% CI: 0.24-0.65). PCF and PS could be prevented by the intra-operative placement of a SBT.
引用
收藏
页码：2608 / 2620
页数：13
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