METHODS: Electronic database and hand search were conducted to screen the literature published from January 1960 to June 2021. The selected studies had to report well-described SFE techniques, complications during, and post-SFE. Data extraction included types of SFE techniques, complications, and their treatment strategies.
RESULTS: A total of 74 studies with 4411 SFE procedures met the inclusion criteria. Different SFE techniques demonstrated varying patterns for both complications and complication rates. Postoperative pain, swelling, and edema were widely reported. The most common complications that required intervention following Lateral SFE (LSFE) were sinus membrane perforation (SMP), wound dehiscence, graft exposure and failure, and sinusitis. LSFE had more SMPs and sinusitis cases compared with a transcrestal SFE (TSFE). The presence of benign paroxysmal positional vertigo following TSFE was significant in certain selected studies.
CONCLUSIONS: Given the inherent limitations, this systematic review showed distinct features of complications in SFE using varying techniques. Treatment planning for these procedures should incorporate strategies to avoid complication occurrence.
方法:进行电子数据库和手工搜索,以筛选1960年1月至2021年6月发表的文献。选定的研究必须报告描述良好的SFE技术,并发症期间,和后SFE。数据提取包括SFE技术的类型,并发症,以及他们的治疗策略。
结果:共有74项具有4411个SFE程序的研究符合纳入标准。不同的SFE技术在并发症和并发症发生率方面表现出不同的模式。术后疼痛,肿胀,和水肿被广泛报道。最常见的并发症,需要介入后外侧SFE(LSFE)是窦膜穿孔(SMP),伤口裂开,移植物暴露和失败,和鼻窦炎.与经胰管SFE(TSFE)相比,LSFE的SMP和鼻窦炎病例更多。在某些选定的研究中,TSFE后良性阵发性位置性眩晕的存在很重要。
结论:鉴于固有的局限性,本系统综述显示了使用不同技术的SFE并发症的明显特征.这些程序的治疗计划应包括避免并发症发生的策略。