Outcomes of Mesh Cranioplasty in Scalp-Free Tissue Reconstruction: A Systematic Review and Meta-analysis.
mesh cranioplasty
mesh exposure
scalp-free tissue reconstruction
Journal
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
ISSN: 1097-6817
Titre abrégé: Otolaryngol Head Neck Surg
Pays: England
ID NLM: 8508176
Informations de publication
Date de publication:
05 2023
05 2023
Historique:
revised:
12
10
2022
received:
01
08
2022
accepted:
23
10
2022
medline:
24
4
2023
pubmed:
21
3
2023
entrez:
20
3
2023
Statut:
ppublish
Résumé
To systematically review the literature to determine the prevalence and risk of the free flap and postoperative complications in scalp-free tissue reconstruction with synthetic mesh cranioplasty. Search strategies created with a medical librarian were implemented using multiple databases in May 2021. Two reviewers independently performed the review, data extraction, and quality assessment. Cohort studies of patients with scalp-free tissue reconstruction with or without mesh cranioplasty were included. Studies that did not report whether mesh was used or did not separate outcomes by mesh use were excluded. The primary outcomes were free flap failure and postoperative complications. A random-effects model was used for the meta-analysis to estimate prevalence and prevalence ratios (PRs). A total of 28 studies and 440 cases of scalp-free tissue reconstruction were included. The pooled prevalence of free flap failures and postoperative complications in patients with mesh cranioplasty was estimated at 7% (95% confidence interval [CI], 3%-17%; p = .85, I Synthetic mesh cranioplasty does not significantly increase the risk of free flap compromise or postoperative complications. A higher prevalence of postoperative recipient site complications was observed in patients with mesh cranioplasty.
Substances chimiques
Titanium
D1JT611TNE
Types de publication
Journal Article
Meta-Analysis
Research Support, N.I.H., Extramural
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
970-978Subventions
Organisme : NIDCD NIH HHS
ID : T32 DC000022
Pays : United States
Informations de copyright
© 2023 American Academy of Otolaryngology-Head and Neck Surgery Foundation.
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