Restoring Form and Function: The Role of Free Dermal Fat Graft (FDFG) in Post-Parotidectomy Reconstruction. A Systematic Review and meta-analysis of expected outcomes and patient satisfaction.

Autor: Vitkos EN; Department of Oral and Maxillofacial Surgery, Klinikum Dortmund and Witten/Herdecke University, Dortmund/ Witten, Germany. Electronic address: envitkos@gmail.com., Kounatidou NE; Department of Ophthalmology, University Hospital Hamburg - Eppendorf, Hamburg, Germany., Tsilivigkos C; First department of Otolaryngology, Hippokration General Hospital, National and Kapodistrian University of Athens, 15772, Athens, Greece., Kotzagiorgis K; Department of Oral and Maxillofacial Surgery, Klinikum Dortmund and Witten/Herdecke University, Dortmund/ Witten, Germany., Kyrgidis A; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Aristotle University of Thessaloniki, Greece., Bonitz L; Department of Oral and Maxillofacial Surgery, Klinikum Dortmund and Witten/Herdecke University, Dortmund/ Witten, Germany., Bicsák Á; Department of Oral and Maxillofacial Surgery, Klinikum Dortmund and Witten/Herdecke University, Dortmund/ Witten, Germany., Haßfeld S; Department of Oral and Maxillofacial Surgery, Klinikum Dortmund and Witten/Herdecke University, Dortmund/ Witten, Germany., Soemmer C; Department of Oral and Maxillofacial Surgery, Klinikum Dortmund and Witten/Herdecke University, Dortmund/ Witten, Germany.
Jazyk: angličtina
Zdroj: Journal of stomatology, oral and maxillofacial surgery [J Stomatol Oral Maxillofac Surg] 2024 Nov 19, pp. 102162. Date of Electronic Publication: 2024 Nov 19.
DOI: 10.1016/j.jormas.2024.102162
Abstrakt: Purpose: This study aims to assess the outcomes of free dermal fat graft (FDFG) reconstruction following parotidectomy, evaluating both clinical complications and patient satisfaction with the procedure.
Methods: We conducted a systematic review and meta-analysis according to PRISMA guidelines, searching MEDLINE (via PubMed), Scopus, and the Cochrane Library for studies reporting on FDFG outcomes post-parotidectomy. Eligible studies included single-arm studies with data on recipient and donor site complications as well as patient satisfaction. Pooled complication rates were analyzed using a random-effects model to account for study heterogeneity.
Results: A total of 20 studies, representing 922 reconstructions in 919 patients, were included in the analysis. The overall rates of recipient site complications were low, with hematoma observed in 1.31% (95% CI: 0.50-3.34) and infection in 1.84% (95% CI: 0.95-3.53) of cases. The incidence of Frey's syndrome was 1.95% (95% CI: 0.74-5.02), and fat necrosis was noted in 1.74% (95% CI: 0.57-5.23) of patients. Donor site complications were minimal, with hematoma, infection, and seroma rates each below 1%. While there was high variability in satisfaction measures, results indicated favorable patient satisfaction with FDFG outcomes.
Conclusion: FDFG reconstruction following parotidectomy is a safe and effective method for correcting contour deformities, showing minimal complications and high patient satisfaction. The low incidence of complications, including Frey's syndrome, underscores FDFG as a viable option for facial contour restoration in parotid surgery, providing favorable aesthetic and functional outcomes.
Competing Interests: Declaration of competing interest The authors declare that they have no competing interest.
(Copyright © 2024. Published by Elsevier Masson SAS.)
Databáze: MEDLINE
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