Sialendoscopy for treatment of major salivary glands diseases: a comprehensive analysis of published systematic reviews and meta-analyses
Objectives: Sialendoscopy is a minimally invasive procedure used to diagnose and treat obstructive salivary gland diseases. Previous studies in the topic have shown mixed results. The present study aimed to evaluate the efficacy and safety of sialendoscopy through previous systematic reviews for dif...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869423000617 |
| _version_ | 1827816019411861504 |
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| author | Lucas Kallas-Silva Maria Fernanda Dias Azevedo Fátima Cristina Mendes de Matos Silvia Picado Petrarrolha Rogério Aparecido Dedivitis Marco Aurélio Vamondes Kulcsar Leandro Luongo Matos |
| author_facet | Lucas Kallas-Silva Maria Fernanda Dias Azevedo Fátima Cristina Mendes de Matos Silvia Picado Petrarrolha Rogério Aparecido Dedivitis Marco Aurélio Vamondes Kulcsar Leandro Luongo Matos |
| author_sort | Lucas Kallas-Silva |
| collection | DOAJ |
| description | Objectives: Sialendoscopy is a minimally invasive procedure used to diagnose and treat obstructive salivary gland diseases. Previous studies in the topic have shown mixed results. The present study aimed to evaluate the efficacy and safety of sialendoscopy through previous systematic reviews for different outcomes of several diseases. We also aimed to assess studies’ methodological quality and heterogeneity. Methods: We conducted a comprehensive systematic literature search of Pubmed, Embase, Lilacs and Cochrane Library. We included systematic reviews and meta-analyses that used sialendoscopy to treat both lithiasic and alithiasic salivary glands diseases. Data extraction included studies’ characteristics and results. We assessed studies’ methodological quality using the AMSTAR-2 (A MeaSurement Tool to Assess systematic Reviews 2) tool. Results: 13 studies were included in the review, being 9 in adult populations and 4 in pediatric populations. Sialendoscopy proved to be effective at the treatment of different lithiasic and other obstructive diseases, but with important heterogeneity. The technique was also considered highly safe in most studies. However, studies had a critically low quality of evidence. Conclusions: Most studies demonstrated high efficacy and safety of sialendoscopy, but with critically low quality of evidence. We still lack randomized studies in this field, and future systematic reviews on the topic should follow current guidelines to improve conduction and reporting. |
| first_indexed | 2024-03-12T00:08:57Z |
| format | Article |
| id | doaj.art-34b493be4070475f823ff99fc5dee130 |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-03-12T00:08:57Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-34b493be4070475f823ff99fc5dee1302023-09-16T05:30:26ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942023-09-01895101293Sialendoscopy for treatment of major salivary glands diseases: a comprehensive analysis of published systematic reviews and meta-analysesLucas Kallas-Silva0Maria Fernanda Dias Azevedo1Fátima Cristina Mendes de Matos2Silvia Picado Petrarrolha3Rogério Aparecido Dedivitis4Marco Aurélio Vamondes Kulcsar5Leandro Luongo Matos6Faculdade Israelita de Ciências da Saúde Albert Einstein, Serviço de Cirurgia de Cabeça e Pescoço, São Paulo, SP, BrazilFaculdade Israelita de Ciências da Saúde Albert Einstein, Serviço de Cirurgia de Cabeça e Pescoço, São Paulo, SP, BrazilUniversidade de Pernambuco (UPE), Pernambuco, PE, Brazil; Vice-presidente da Sociedade Brasileira de Cirurgia de Cabeça e Pescoço, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), Departamento de Cirurgia (Cirurgia de Cabeça e Pescoço), São Paulo, SP, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), Departamento de Cirurgia (Cirurgia de Cabeça e Pescoço), São Paulo, SP, Brazil; Ex-presidente da Sociedade Brasileira de Cirurgia de Cabeça e Pescoço, Brazil; Corresponding author.Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), Instituto do Câncer do Estado de São Paulo (Icesp), Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil; Presidente da Sociedade Brasileira de Cirurgia de Cabeça e Pescoço, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), Instituto do Câncer do Estado de São Paulo (Icesp), Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil; Faculdade Israelita de Ciências da Saúde Albert Einstein, Clínica Cirúrgica, São Paulo, SP, Brazil; Diretor Científico da Sociedade Brasileira de Cirurgia de Cabeça e Pescoço, BrazilObjectives: Sialendoscopy is a minimally invasive procedure used to diagnose and treat obstructive salivary gland diseases. Previous studies in the topic have shown mixed results. The present study aimed to evaluate the efficacy and safety of sialendoscopy through previous systematic reviews for different outcomes of several diseases. We also aimed to assess studies’ methodological quality and heterogeneity. Methods: We conducted a comprehensive systematic literature search of Pubmed, Embase, Lilacs and Cochrane Library. We included systematic reviews and meta-analyses that used sialendoscopy to treat both lithiasic and alithiasic salivary glands diseases. Data extraction included studies’ characteristics and results. We assessed studies’ methodological quality using the AMSTAR-2 (A MeaSurement Tool to Assess systematic Reviews 2) tool. Results: 13 studies were included in the review, being 9 in adult populations and 4 in pediatric populations. Sialendoscopy proved to be effective at the treatment of different lithiasic and other obstructive diseases, but with important heterogeneity. The technique was also considered highly safe in most studies. However, studies had a critically low quality of evidence. Conclusions: Most studies demonstrated high efficacy and safety of sialendoscopy, but with critically low quality of evidence. We still lack randomized studies in this field, and future systematic reviews on the topic should follow current guidelines to improve conduction and reporting.http://www.sciencedirect.com/science/article/pii/S1808869423000617Salivary glandSialadenitisSalivary gland calculiSialendoscopyEvidence-based practice |
| spellingShingle | Lucas Kallas-Silva Maria Fernanda Dias Azevedo Fátima Cristina Mendes de Matos Silvia Picado Petrarrolha Rogério Aparecido Dedivitis Marco Aurélio Vamondes Kulcsar Leandro Luongo Matos Sialendoscopy for treatment of major salivary glands diseases: a comprehensive analysis of published systematic reviews and meta-analyses Brazilian Journal of Otorhinolaryngology Salivary gland Sialadenitis Salivary gland calculi Sialendoscopy Evidence-based practice |
| title | Sialendoscopy for treatment of major salivary glands diseases: a comprehensive analysis of published systematic reviews and meta-analyses |
| title_full | Sialendoscopy for treatment of major salivary glands diseases: a comprehensive analysis of published systematic reviews and meta-analyses |
| title_fullStr | Sialendoscopy for treatment of major salivary glands diseases: a comprehensive analysis of published systematic reviews and meta-analyses |
| title_full_unstemmed | Sialendoscopy for treatment of major salivary glands diseases: a comprehensive analysis of published systematic reviews and meta-analyses |
| title_short | Sialendoscopy for treatment of major salivary glands diseases: a comprehensive analysis of published systematic reviews and meta-analyses |
| title_sort | sialendoscopy for treatment of major salivary glands diseases a comprehensive analysis of published systematic reviews and meta analyses |
| topic | Salivary gland Sialadenitis Salivary gland calculi Sialendoscopy Evidence-based practice |
| url | http://www.sciencedirect.com/science/article/pii/S1808869423000617 |
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