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Transoral Robotic Surgery in the Management of Submandibular Gland Sialoliths: A Systematic Review
This study aimed to systematically review the literature to determine the efficacy and safety of transoral robotic surgery (TORS) in the management of submandibular gland (SMG) sialolithiasis. PubMed, Embase, and Cochrane were searched for English-language articles evaluating TORS in the management...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10140901/ https://www.ncbi.nlm.nih.gov/pubmed/37109343 http://dx.doi.org/10.3390/jcm12083007 |
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author | Rogalska, Marta Antkowiak, Lukasz Kasperczuk, Anna Scierski, Wojciech Misiolek, Maciej |
author_facet | Rogalska, Marta Antkowiak, Lukasz Kasperczuk, Anna Scierski, Wojciech Misiolek, Maciej |
author_sort | Rogalska, Marta |
collection | PubMed |
description | This study aimed to systematically review the literature to determine the efficacy and safety of transoral robotic surgery (TORS) in the management of submandibular gland (SMG) sialolithiasis. PubMed, Embase, and Cochrane were searched for English-language articles evaluating TORS in the management of SMG stones published up to 12 September 2022. Nine studies with a total of 99 patients were included. Eight patients underwent TORS followed by sialendoscopy (TS); 11 patients underwent sialendoscopy followed by TORS and sialendoscopy (STS); 4 patients underwent sialendoscopy followed by TORS only (ST); and 4 patients underwent TORS without sialendoscopy (T). The mean operative time amounted to 90.97 min. The mean procedure success rate reached 94.97%, with the highest for ST (100%) and T (100%), followed by the TS (95.04%) and STS (90.91%) variants. The mean follow-up time was 6.81 months. Transient lingual nerve injury occurred in 28 patients (28.3%) and was resolved in all of them within the mean of 1.25 months. No permanent lingual nerve injury was reported. TORS is a safe and effective management modality for hilar and intraparenchymal SMG sialoliths, with high procedural success in terms of successful sialolith removal, SMG preservation, and reduced risk of permanent postoperative lingual nerve damage. |
format | Online Article Text |
id | pubmed-10140901 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-101409012023-04-29 Transoral Robotic Surgery in the Management of Submandibular Gland Sialoliths: A Systematic Review Rogalska, Marta Antkowiak, Lukasz Kasperczuk, Anna Scierski, Wojciech Misiolek, Maciej J Clin Med Systematic Review This study aimed to systematically review the literature to determine the efficacy and safety of transoral robotic surgery (TORS) in the management of submandibular gland (SMG) sialolithiasis. PubMed, Embase, and Cochrane were searched for English-language articles evaluating TORS in the management of SMG stones published up to 12 September 2022. Nine studies with a total of 99 patients were included. Eight patients underwent TORS followed by sialendoscopy (TS); 11 patients underwent sialendoscopy followed by TORS and sialendoscopy (STS); 4 patients underwent sialendoscopy followed by TORS only (ST); and 4 patients underwent TORS without sialendoscopy (T). The mean operative time amounted to 90.97 min. The mean procedure success rate reached 94.97%, with the highest for ST (100%) and T (100%), followed by the TS (95.04%) and STS (90.91%) variants. The mean follow-up time was 6.81 months. Transient lingual nerve injury occurred in 28 patients (28.3%) and was resolved in all of them within the mean of 1.25 months. No permanent lingual nerve injury was reported. TORS is a safe and effective management modality for hilar and intraparenchymal SMG sialoliths, with high procedural success in terms of successful sialolith removal, SMG preservation, and reduced risk of permanent postoperative lingual nerve damage. MDPI 2023-04-20 /pmc/articles/PMC10140901/ /pubmed/37109343 http://dx.doi.org/10.3390/jcm12083007 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Systematic Review Rogalska, Marta Antkowiak, Lukasz Kasperczuk, Anna Scierski, Wojciech Misiolek, Maciej Transoral Robotic Surgery in the Management of Submandibular Gland Sialoliths: A Systematic Review |
title | Transoral Robotic Surgery in the Management of Submandibular Gland Sialoliths: A Systematic Review |
title_full | Transoral Robotic Surgery in the Management of Submandibular Gland Sialoliths: A Systematic Review |
title_fullStr | Transoral Robotic Surgery in the Management of Submandibular Gland Sialoliths: A Systematic Review |
title_full_unstemmed | Transoral Robotic Surgery in the Management of Submandibular Gland Sialoliths: A Systematic Review |
title_short | Transoral Robotic Surgery in the Management of Submandibular Gland Sialoliths: A Systematic Review |
title_sort | transoral robotic surgery in the management of submandibular gland sialoliths: a systematic review |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10140901/ https://www.ncbi.nlm.nih.gov/pubmed/37109343 http://dx.doi.org/10.3390/jcm12083007 |
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