| Abstrakt: |
To describe, through a systematic review, the treatments associated with the management of condylar resorption (CR) after orthognathic surgery. A search was made through Pubmed, Google Scholar, Science Direct, and Cochrane databases from 1990 to 2021 using the following keywords: "orthognathic surgery" adding "condylar resorption", "progressive condylar resorption", "idiopathic condylar resorption", "condylar atrophy" or "condylysis". All articles were selected based on established inclusion and exclusion criteria. A total of 15,182 articles were obtained, of which 21 were selected. The total number of patients was 3,285, with a predilection for the female gender with 1,561 (47.5%) and 419 males (12.75%). The age was found in a range between 14 and 50 years, with a mean of 23.7 +/- 6 years. The follow-up period of the cases ranged from 12 to 210 months, with a mean of 111 months in the selected studies (standard deviation of +/- 99). The clinical characteristics were class II malocclusion, higher mandibular plane, loss of vertical dimension, and posterior inclination of the condylar neck. No difference was found concerning the fixation method. Only 3 standardized protocols for the post-surgical management of CR are described. There are few standardized treatments for the management of condylar resorption in patients treated with orthognathic surgery. The main problem of the research was represented by the existing diversity in the literature in the way of reporting the treatments carried out. Prospective standardized clinical studies are recommended to develop validated protocols for the treatment of this condition. [ABSTRACT FROM AUTHOR] |
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