| Abstrakt: |
Evaluate the different treatments for ankylosis from the coronoid process to the zygoma after trauma. A systematic review was conducted following PRISMA statement, based on a PICO question. The data bases PubMed, Embase, Sciencedirect, Cochrane, Google Scholar were consulted, and manual search in high impact journals between 1946 and 2020, publications in English or Spanish, including randomized and non-randomized clinical trials, prospective and retrospective cohort studies, case-control studies, series, and case reports were included. A total of 1993 articles were obtained from 4 databases, 15 were selected. The total number of patients between the articles if 26, of which 44.11% (n = 15) belong to the male sex, 8.82% (n = 3) to the female sex, and the age range was calculated at 28.08 years with the data presented by 69.23% (n = 18) of the patients. 53.84% (n = 14) of the patients presented bone ankylosis, while 15.38% (n = 4) presented fibrous ankylosis. 26.92% of the patients underwent coronoidectomy, 19.23% coronoidectomy + osteotomy, 7.69% bilateral coronoidectomy + osteotomy, 3.84% condylectomy + osteotomy, 3.84% coronoidectomy + zygoma bone remodeling, 3.84% osteotomy, 3.84% mandibular ramus osteotomy + interpositional silastic. After evaluating the different treatments described in the literature, we can determine that coronoidectomy through an intraoral approach is the most appropriate treatment for zygomatic coronoid ankylosis, accompanied by postoperative physiotherapy that must be started the day after the surgical procedure to achieve greater mouth opening without recurrences. [ABSTRACT FROM AUTHOR] |
Full Text from ScienceDirect