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Article

AlloDerm implants for prevention of Frey syndrome after parotidectomy: A systematic review and meta-analysis

  • Authors:
    • Xian-Tao Zeng
    • Xiang-Jun Tang
    • Xue-Jun Wang
    • Miao-Zhu Li
    • Yi Guo
    • Wei Huang
    • Yu-Ming Niu
    • Wei-Dong Leng
  • View Affiliations / Copyright

    Affiliations: Department of Stomatology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei 442000, P.R. China, Department of Neurosurgery, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei 442000, P.R. China, Department of Emergency Surgery, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei 442000, P.R. China, Institute for Nutritional Sciences, Shanghai Institute for Biological Sciences, Chinese Academy of Sciences, Shanghai, P.R. China, Department of Epidemiology, School of Public Health, Wuhan University, Wuhan, Hubei 430071, P.R. China, Department of Stomatology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei 442000, P.R. China
  • Pages: 974-980
    |
    Published online on: January 20, 2012
       https://doi.org/10.3892/mmr.2012.762
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Abstract

Although Frey syndrome is not life-threatening, it is identified as the most serious and widely recognized sequela of parotidectomy and has significant potential negative social and psychological implications. Several studies have investigated whether AlloDerm® implants prevent Frey syndrome effectively and safely, however, the conclusions are inconsistent. We aimed to evaluate the precise effectiveness of AlloDerm implants for preventing Frey syndrome after parotidectomy, using a systematic review and meta-analysis. We searched randomized and quis-randomized controlled trials in which AlloDerm implants were compared to blank controls for preventing Frey syndrome after parotidectomy, from the PubMed, Embase, the Cochrane Library and the ISI Web of Knowledge databases, without any language restriction. Two reviewers independently searched, identified, extracted data and assessed methodological quality. Relative risks with 95% confidence intervals were calculated and pooled. Five articles involving 409 patients met the inclusion criteria. Meta-analyses showed a significant 85% relative risk reduction in objective incidence (RR=0.15, 95% CI 0.08-0.30; P<0.00001) and 68% in subjective incidence (RR=0.32, 95% CI 0.19-0.57; P<0.00001) of Frey syndrome with AlloDerm implants; there was a significant 91% relative risk reduction in salivary fistula (RR=0.09, 95% CI 0.01-0.66; P=0.02); there was no statistical significance for the incidence of facial nerve paralysis (RR=0.96, 95% CI 0.84‑1.09; P=0.51); there was no statistical significance for the incidence of seroma/sialocele (RR=1.36, 95% CI 0.66-2.80; P=0.40); there was a trend for a small effect in improving facial contour. Adverse events related to AlloDerm implants were not found. There is evidence that AlloDerm reduces the incidence of Frey syndrome effectively and safely, and also has the potential to improve facial contour and decrease salivary fistula. However, it is unclear whether AlloDerm implants improve facial contour and decrease other complications. Thus, further controlled evaluative studies incorporating more precise measures are required.
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Copy and paste a formatted citation
Spandidos Publications style
Zeng X, Tang X, Wang X, Li M, Guo Y, Huang W, Niu Y and Leng W: AlloDerm implants for prevention of Frey syndrome after parotidectomy: A systematic review and meta-analysis. Mol Med Rep 5: 974-980, 2012.
APA
Zeng, X., Tang, X., Wang, X., Li, M., Guo, Y., Huang, W. ... Leng, W. (2012). AlloDerm implants for prevention of Frey syndrome after parotidectomy: A systematic review and meta-analysis. Molecular Medicine Reports, 5, 974-980. https://doi.org/10.3892/mmr.2012.762
MLA
Zeng, X., Tang, X., Wang, X., Li, M., Guo, Y., Huang, W., Niu, Y., Leng, W."AlloDerm implants for prevention of Frey syndrome after parotidectomy: A systematic review and meta-analysis". Molecular Medicine Reports 5.4 (2012): 974-980.
Chicago
Zeng, X., Tang, X., Wang, X., Li, M., Guo, Y., Huang, W., Niu, Y., Leng, W."AlloDerm implants for prevention of Frey syndrome after parotidectomy: A systematic review and meta-analysis". Molecular Medicine Reports 5, no. 4 (2012): 974-980. https://doi.org/10.3892/mmr.2012.762
Copy and paste a formatted citation
x
Spandidos Publications style
Zeng X, Tang X, Wang X, Li M, Guo Y, Huang W, Niu Y and Leng W: AlloDerm implants for prevention of Frey syndrome after parotidectomy: A systematic review and meta-analysis. Mol Med Rep 5: 974-980, 2012.
APA
Zeng, X., Tang, X., Wang, X., Li, M., Guo, Y., Huang, W. ... Leng, W. (2012). AlloDerm implants for prevention of Frey syndrome after parotidectomy: A systematic review and meta-analysis. Molecular Medicine Reports, 5, 974-980. https://doi.org/10.3892/mmr.2012.762
MLA
Zeng, X., Tang, X., Wang, X., Li, M., Guo, Y., Huang, W., Niu, Y., Leng, W."AlloDerm implants for prevention of Frey syndrome after parotidectomy: A systematic review and meta-analysis". Molecular Medicine Reports 5.4 (2012): 974-980.
Chicago
Zeng, X., Tang, X., Wang, X., Li, M., Guo, Y., Huang, W., Niu, Y., Leng, W."AlloDerm implants for prevention of Frey syndrome after parotidectomy: A systematic review and meta-analysis". Molecular Medicine Reports 5, no. 4 (2012): 974-980. https://doi.org/10.3892/mmr.2012.762
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