M Hashemi, M Zohdi, E Zakeri, T Abdollahzadeh-Baghaei, K Katebi
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引用次数: 0
Abstract
Background: There are different surgical techniques to remove Oral mucoceles, including conventional surgery with scalpel, removal of the lesion with CO2 laser, and micro marsupialization. The present systematic review was conducted with the aim of comparing the recurrence rate of different surgical techniques for treatment of the oral mucoceles.
Material and methods: An electronic search for randomized controlled trials published in English until September 2022 related to different surgical methods for the treatment of oral mucocele was performed in Medline/PubMed, Web of Science, Scopus, Embase and Cochrane databases. A random-effects meta-analysis was conducted to compare the recurrence rate of different techniques.
Results: Among 1204 papers initially identified, after the removal of duplicate articles and screening of the titles and abstracts, fourteen full-text articles were reviewed. Seven articles comparing the recurrence rate of oral mucocele in different surgical techniques were found. Seven studies were included in qualitative studies, and five articles were included in the meta-analysis. The risk of mucocele recurrence in the micro-marsupialization technique was 1.30 times that of the surgical excision with scalpel technique, which was not statistically significant. The risk of mucocele recurrence in the CO2 Laser Vaporization technique was 0.60 times that of the Surgical Excision with Scalpel technique, which was not statistically significant.
Conclusions: The results of this systematic review showed that there is no significant difference between the recurrence rate of surgical excision, CO2 laser and marsupialization techniques for the treatment of oral mucoceles. Although more randomized clinical trials are needed for definitive results.
背景：去除口腔粘液囊肿有不同的手术技术，包括用手术刀进行常规手术、用CO2激光去除病变和微型有袋动物术。本系统综述旨在比较不同手术技术治疗口腔粘液囊肿的复发率。材料和方法：在Medline/PubMed、Web of Science、Scopus、Embase和Cochrane数据库中对截至2022年9月以英文发表的与治疗口腔粘液囊肿的不同手术方法有关的随机对照试验进行了电子搜索。进行随机效应荟萃分析，比较不同技术的复发率。结果：在最初确定的1204篇论文中，在去除重复文章并筛选标题和摘要后，共对14篇全文文章进行了综述。发现了7篇比较不同手术技术下口腔粘液囊肿复发率的文章。7项研究被纳入定性研究，5篇文章被纳入荟萃分析。微袋化技术中粘液囊肿复发的风险是手术刀技术的1.30倍，这在统计学上没有显著性。CO2激光汽化术中粘液囊肿复发的风险是手术刀切除术的0.60倍，这在统计学上没有显著性。结论：本系统综述的结果表明，手术切除、CO2激光和有袋化技术治疗口腔粘液囊肿的复发率没有显著差异。尽管还需要更多的随机临床试验才能得出确切的结果。
期刊介绍：
1. Oral Medicine and Pathology:
Clinicopathological as well as medical or surgical management aspects of
diseases affecting oral mucosa, salivary glands, maxillary bones, as well as
orofacial neurological disorders, and systemic conditions with an impact on
the oral cavity.
2. Oral Surgery:
Surgical management aspects of diseases affecting oral mucosa, salivary glands,
maxillary bones, teeth, implants, oral surgical procedures. Surgical management
of diseases affecting head and neck areas.
3. Medically compromised patients in Dentistry:
Articles discussing medical problems in Odontology will also be included, with
a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients.
4. Implantology
5. Periodontology
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