Submandibular gland transfer for the prevention of postradiation xerostomia in patients with head and neck cancer: a systematic review and meta-analysis

ORL J Otorhinolaryngol Relat Spec. 2015;77(2):70-86. doi: 10.1159/000371854. Epub 2015 Mar 20.

Abstract

Background: Submandibular gland transfer has been widely used to prevent postradiation xerostomia in head-and-neck cancers. However, there are still some controversies.

Methods: Six databases were searched, data extraction was performed and the risk of bias was assessed by 2 reviewers independently. The meta-analysis was performed using Review Manager, version 5.2.

Results: A total of 7 trials (12 articles) and 369 participants were included.

Conclusions: The present clinical evidence suggests that submandibular gland transfer might be highly effective to prevent postradiation xerostomia in head-and-neck cancers without serious adverse events. However, more randomized controlled trials are still needed to confirm this conclusion.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Adult
  • Aged
  • Female
  • Head and Neck Neoplasms / radiotherapy*
  • Head and Neck Neoplasms / surgery
  • Humans
  • Male
  • Middle Aged
  • Radiation Injuries / complications
  • Radiation Injuries / surgery*
  • Submandibular Gland / transplantation*
  • Xerostomia / prevention & control*
  • Young Adult