{"title":"涎内镜在治疗阻塞性唾液腺疾病中的疗效：系统回顾与元分析","authors":"Neetu Yadav, Manisha M. Khorate, Nivedita Chinam","doi":"10.1016/j.ajoms.2023.11.010","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p><span>The objectives of this systematic review<span> are to assess the efficacy of sialendoscopy alone, without combined surgical approach, in treatment of obstructive </span></span>salivary gland disease and overall gland preservation.</p></div><div><h3>Methods</h3><p>PubMed, Cochrane library and Google Scholar were searched up to 30th October 2023. Two reviewers independently screened the articles and included them if they met the inclusion criteria. Any uncertainty and discrepancy regarding any study was discussed among the two review authors and if no harmony was met, then it was resolved by the third author. Studies that used sialendoscopy alone for the management of salivary gland obstruction were selected. Outcome measures included rates of success and overall gland preservation.</p></div><div><h3>Result</h3><p>22 articles were included in the systematic review. From these 21 articles for success rate and 12 articles for gland preservation were included in meta-analysis. Pooled proportion for success rate and gland preservation was 0.75 (95% CI 68–82) and 0.98% (98% CI 97–99) respectively.</p></div><div><h3>Conclusion</h3><p>Sialendoscopy is a reliable therapeutic modality in management of non-neoplastic salivary gland diseases. It is effective, non-invasive, safe, and gland preserving.</p></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"36 4","pages":"Pages 570-578"},"PeriodicalIF":0.4000,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Efficacy of sialendoscopy in treatment of obstructive salivary gland diseases: A systematic review and meta-analysis\",\"authors\":\"Neetu Yadav, Manisha M. Khorate, Nivedita Chinam\",\"doi\":\"10.1016/j.ajoms.2023.11.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p><span>The objectives of this systematic review<span> are to assess the efficacy of sialendoscopy alone, without combined surgical approach, in treatment of obstructive </span></span>salivary gland disease and overall gland preservation.</p></div><div><h3>Methods</h3><p>PubMed, Cochrane library and Google Scholar were searched up to 30th October 2023. Two reviewers independently screened the articles and included them if they met the inclusion criteria. Any uncertainty and discrepancy regarding any study was discussed among the two review authors and if no harmony was met, then it was resolved by the third author. Studies that used sialendoscopy alone for the management of salivary gland obstruction were selected. Outcome measures included rates of success and overall gland preservation.</p></div><div><h3>Result</h3><p>22 articles were included in the systematic review. From these 21 articles for success rate and 12 articles for gland preservation were included in meta-analysis. Pooled proportion for success rate and gland preservation was 0.75 (95% CI 68–82) and 0.98% (98% CI 97–99) respectively.</p></div><div><h3>Conclusion</h3><p>Sialendoscopy is a reliable therapeutic modality in management of non-neoplastic salivary gland diseases. It is effective, non-invasive, safe, and gland preserving.</p></div>\",\"PeriodicalId\":45034,\"journal\":{\"name\":\"Journal of Oral and Maxillofacial Surgery Medicine and Pathology\",\"volume\":\"36 4\",\"pages\":\"Pages 570-578\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2023-11-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Oral and Maxillofacial Surgery Medicine and Pathology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2212555823002533\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212555823002533","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
摘要
目标本系统综述旨在评估在不采用联合手术方法的情况下，单独使用涎内镜治疗阻塞性唾液腺疾病的疗效以及腺体的整体保存情况。方法检索了截至 2023 年 10 月 30 日的 PubMed、Cochrane 图书馆和谷歌学术。两名审稿人独立筛选符合纳入标准的文章。两位审稿人对任何研究的不确定性和差异进行了讨论，如果不一致，则由第三位审稿人解决。筛选出仅使用咽内窥镜治疗涎腺阻塞的研究。结果22篇文章被纳入系统综述。其中21篇文章的成功率和12篇文章的腺体保留率被纳入荟萃分析。成功率和腺体保留率的汇总比例分别为 0.75 (95% CI 68-82) 和 0.98% (98% CI 97-99)。结论涎内窥镜检查是治疗非肿瘤性涎腺疾病的可靠方法，它有效、无创、安全且能保留腺体。
Efficacy of sialendoscopy in treatment of obstructive salivary gland diseases: A systematic review and meta-analysis
Objective
The objectives of this systematic review are to assess the efficacy of sialendoscopy alone, without combined surgical approach, in treatment of obstructive salivary gland disease and overall gland preservation.
Methods
PubMed, Cochrane library and Google Scholar were searched up to 30th October 2023. Two reviewers independently screened the articles and included them if they met the inclusion criteria. Any uncertainty and discrepancy regarding any study was discussed among the two review authors and if no harmony was met, then it was resolved by the third author. Studies that used sialendoscopy alone for the management of salivary gland obstruction were selected. Outcome measures included rates of success and overall gland preservation.
Result
22 articles were included in the systematic review. From these 21 articles for success rate and 12 articles for gland preservation were included in meta-analysis. Pooled proportion for success rate and gland preservation was 0.75 (95% CI 68–82) and 0.98% (98% CI 97–99) respectively.
Conclusion
Sialendoscopy is a reliable therapeutic modality in management of non-neoplastic salivary gland diseases. It is effective, non-invasive, safe, and gland preserving.
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