Comparison of postoperative complications between retromandibular transmasseteric anterior parotid approach versus retromandibular transparotid approach for the treatment of condylar fractures
Objective:To compare the influence between retromandibular transmasseteric anterior parotid approach(RMTMAP)and retromandibular transparotid approach(RMTP)on the facial nerve damage and salivary fistula in the treatment of condylar fractures.Methods:A comprehensive literature search of randomized controlled trials on surgical approaches for condylar fractures was undertaken in various Chinese and English databases(the Cochrane Library,PubMed,Embase,CNKI,CBM,VIP,Wanfang and Chinese Clinical Trial Registry).The search period is from the establishment of the database until now(November 2021),and manual search is carried out to avoid omissions.A total of 7 studies restricted in randomized controlled trials were included,and the quality of these studies was moderate to high.RevMan 5.3 software was used to perform meta analysis.Results:A total of 7 studies were included in this study,and the results showed that patients in both groups could achieve satisfactory results after surgery.The incidence of postoperative facial nerve injury in RMTMAP group was lower than that in RMTP group[relative risk(RR)=0.49,95％CI=0.25-0.97].P=0.04],and the incidence of postoperative salivary fistula was lower in the RMTMAP group(RR=0.35,95％CI=0.15-0.85,P=0.02).The difference between the two groups was statistically significant.Conclusion:A lower incidence of postoperative facial nerve injury and salivary fistula was observed in RMTMAP group than that in RMTP group.Therefore,RMTMAP deserves clinical application.
国家科技期刊平台
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