Int J Stomatol

Inter J Stomatol ›› 2013, Vol. 40 ›› Issue (6): 730-735.doi: 10.7518/gjkq.2013.06.009

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A systematic review and Meta-analysis of effects of parotid masseteric fascia reservation on prevention of Frey’s syndrome

Yang Wenbin, Li Chunjie, Men Yi, Han Bo, Li Longjiang, Pan Jian   

  1. State Key Laboratory of Oral Diseases, Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2013-04-22 Revised:2013-08-29 Online:2013-11-01 Published:2013-11-01

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Abstract:

Objective To evaluate the effects and safety of parotid masseteric fascia(PMF) reservation during parotidectomy for the prevention of Frey’s syndrome by the method of systematic review and Meta-analysis. Methods Pubmed, EMBase, CENTRAL, Chinese BioMedicine on disc, China National Knowledge Infrastructure, VIP Database for Chinese Technical Periodicals and Wanfang database were searched electrically on 30 March 2013. Two reviewers extracted data and assessed the risk of bias independently with the criteria introduced by Cochrane Collaboration. Meta-analysis was done with Review Manager 5.2. Results Thirteen randomized controlled trials were included and all of them had risk of bias. The outcomes of Meta-analysis showed that PMF reservation reduced 81% Frey’s syndrome on subjective diagnostic criteria(P<0.000 01), and 69% on objective diagnostic criteria. And the Meta-analysis on tumor recurrence showed that there was no significant difference between two groups(P=0.47). Conclusion Reserving PMF reduced the Frey’s syndrome after paretidectomy remarkably, and had no difference on recurrence rate, which implied great effect and safety.

Key words: parotid masseteric fascia, sweating, guastatory, systematic review, Meta-analysis

CLC Number: 

  • R 783

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