Marginal versus Segmental Mandibulectomy in the Treatment of Oral Cavity Cancer: A Systematic Review and Meta-analysis
Int. arch. otorhinolaryngol. (Impr.)
;
27(4): 733-743, 2023. tab, graf
Artigo
em Inglês
|
LILACS-Express
| LILACS
| ID: biblio-1528712
ABSTRACT
Abstract Introduction Oral cavity squamous cell carcinoma (OCSCC) is the most common malignancy in the oral cavity. Two types of mandibular resections have been described the segmental mandibulectomy and the marginal mandibulectomy. Both may have a different impact over the quality of life, oncological prognosis, and functional or aesthetic result. Objectives The aim of this study was to systematically explore the literature to determine the survival outcomes and disease control rates in patients who underwent segmental or marginal mandibulectomy for OCSCC with histological evidence of cortical and medullary bone invasion. Data Synthesis This review involved a systematic search of the electronic databases MEDLINE/PUBMED, Google Scholar, Ovid Medline, Embase, and Scopus including articles from 1985 to 2019. Fifteen articles were included for qualitative analysis and 11 articles were considered for meta-analysis calculations. All of them correspond to retrospective cohort studies. Conclusion This systematic review reveals the low-level evidence regarding the impact over local control or survival according to the type of mandibulectomy. Our results need to be considered with precaution according to the limited evidence available. We just found difference regarding the 5-year disease-free survival, and a tendency in favor of segmental mandibulectomy was confirmed when medullary invasion was evident.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Tipo de estudo:
Estudo observacional
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Pesquisa qualitativa
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Revisões Sistemáticas Avaliadas
Idioma:
Inglês
Revista:
Int. arch. otorhinolaryngol. (Impr.)
Assunto da revista:
Otorrinolaringologia
Ano de publicação:
2023
Tipo de documento:
Artigo
País de afiliação:
Canadá
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República Tcheca
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França
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Itália
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Líbano
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Espanha
Instituição/País de afiliação:
Assistance Publique Hôpitaux de Marseille/FR
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Azienda Ospedaliero Universitaria Careggi/IT
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Charles University/CZ
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Hospital Juan Canalejo de La Comña/ES
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Hospital UniversitArio de Donostia/ES
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Hospital Universitario de Santiago de Compostela/ES
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Hôpital Foch, Suresnes/FR
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Hôpital Hôtel Dieu de France/LB
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University of Montreal Hospital Centre/CA
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Università degli Studi di Verona/IT
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