Efficacy of proportional versus high condylectomy in active condylar hyperplasia - A systematic review
| Autor: | Francisco Paulo Araújo Maia, Belmiro Cavalcanti do Egito Vasconcelos, Tania Camila Niño-Sandoval |
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| Rok vydání: | 2018 |
| Předmět: |
Male
MEDLINE Dentistry Condyle Dental Occlusion 03 medical and health sciences Young Adult 0302 clinical medicine Qualitative analysis Occlusal plane medicine Humans In patient Hyperplasia business.industry Mandibular Condyle 030206 dentistry medicine.disease Osteotomy Systematic review Otorhinolaryngology Facial Asymmetry 030220 oncology & carcinogenesis Surgery Female Oral Surgery business Cohort study |
| Zdroj: | Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 47(8) |
| ISSN: | 1878-4119 |
| Popis: | Objective To perform a systematic literature review to test the efficacy of proportional condylectomy versus high condylectomy in patients with active condylar hyperplasia, in terms of avoiding secondary surgeries. Method Following a search of Medline (Pubmed), Embase, Scopus, Web of Science and Cochrane databases, ten studies were included for qualitative analysis, and two studies were included for meta-analysis. Quality assessment was performed using the Newcastle–Ottawa scale for cohort studies and the 18-item modified Delphi technique for case series. Results 259 patients were included in the qualitative analysis, with a weighted arithmetic mean age of 20.4 years, and a female:male ratio of 2:1. Meta-analysis was carried out for 52 patients, and it was found that proportional condylectomy reduced the need for secondary surgery (p = 0.0003). Although this evidence had limitations, excised bone on proportional condylectomy was superior when compared with excised bone on high condylectomy, re-establishing the occlusal plane, resulting in fewer asymmetries, and therefore reducing the need for further surgery. Conclusions This systematic review showed a tendency for proportional condylectomies to avoid additional surgeries; however, more comparative studies are necessary. |
| Databáze: | OpenAIRE |
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