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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Minor Parotidectomy Complications: A Systematic Review
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Minor Parotidectomy Complications: A Systematic Review

机译：轻微腮腺切除术并发症：系统审查

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Objectives To report descriptive statistics for minor parotidectomy complications. Methods A systematic review was performed, selecting 235 studies for analysis. The incidence of complications was tabulated, and descriptive statistics calculated. Outlier studies, 1 standard deviation above the mean, were reexamined to determine potential causal factors for each complication. All studies were examined for statistically significant differences for any potential causal factor. Results The pooled incidence of minor complications reported were hematoma 2.9% (95% confidence interval [CI]: 2.4-3.5), wound infection 2.3% (95% CI: 1.8-2.9), sialocele 4.5% (95% CI: 3.5-5.7), salivary fistula 3.1% (95% CI: 2.6-3.7), flap necrosis 1.7% (95% CI: 1.1-2.5), scar issues 3.6% (95% CI: 2.4-5.4), numbness 33.9% (95% CI: 25.6-43.4), and deformity 11.8 (95% CI: 6.9-19.5). Implants result in more wound complications, such as hematoma, sialocele, or salivary fistula. Sialocele and salivary fistula appear more frequently after less extensive parotid surgery, whereas hematoma, wound infections, flap necrosis, and aesthetic considerations are worse with more extensive resections. Conclusions Minor parotidectomy complications are more frequent than generally assumed and related to certain factors that should be investigated.Laryngoscope, 2020
机译：目的报告腮腺切除术后轻微并发症的描述性统计数据。方法进行系统回顾，选择235项研究进行分析。将并发症的发生率制成表格，并进行描述性统计。对超出平均值1个标准差的异常值研究进行重新检查，以确定每种并发症的潜在原因。所有研究都检查了任何潜在原因的统计显著性差异。结果报告的轻微并发症的合并发生率为血肿2.9%（95%可信区间[CI]：2.4-3.5），伤口感染2.3%（95%CI:1.8-2.9），涎腺囊肿4.5%（95%CI:3.5-5.7），涎腺瘘3.1%（95%CI:2.6-3.7），皮瓣坏死1.7%（95%CI:1.1-2.5），瘢痕问题3.6%（95%CI:2.4-5.4），麻木33.9%（95%CI:25.6-43.4），畸形11.8（95%CI:19.5）。植入物会导致更多的伤口并发症，如血肿、涎腺囊肿或唾液瘘。腮腺切除术后，涎腺囊肿和涎腺瘘的发生率更高，而血肿、伤口感染、皮瓣坏死和美学方面的考虑在更广泛的切除术后更为严重。结论腮腺切除术的轻微并发症比一般认为的更常见，并与某些需要调查的因素有关。喉镜，2020年

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