SynthesisJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
Clinical Outcomes with Transoral and External Surgical Approaches for Resection of Parapharyngeal Space Tumors: Systematic Review and Meta-Analysis.
Synthesis in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
ImportanceThere are few studies comparing the various surgical approaches for the resection of parapharyngeal space tumors (PPSTs).ObjectiveTo compare surgical outcomes between transoral approaches (conventional transoral approach, endoscopic-assisted transoral approach, and transoral robotic surgery) and external approaches (EAs) in treating PPSTs.DesignSystematic review with meta-analysis.SettingEmbase, MEDLINE, CINAHL, Cochrane, and Web of Science databases were searched until August 2024. Findings were reported as per the PRISMA guidelines.ParticipantsAdult patients with PPST.InterventionsSurgical tumor resection using external or transoral approaches.Main Outcomes and MeasuresOverall effect size for primary outcomes (overall, neurological, non-neurological postoperative complications, and recurrence rates) was presented as event rate, while secondary outcomes (intraoperative bleeding, operation time, and hospitalization duration) were presented as mean differences (MDs).ResultsForty-eight studies involving 1728 patients with PPST were included. EAs were associated with higher incidences of overall [0.40 (0.32-0.48) vs 0.11 (0.08-0.15)] and neurological [0.30 (0.22-0.38) vs 0.05 (0.03-0.07);
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