Risk of Lower Eyelids Malposition in Subciliary Compared to Transconjunctival Approach in Maxillofacial Fractures Management: A Systematic Review and Meta-Analysis
Autor: | Paulina Magdalena, I Made Suka Adnyana, I Gusti Ayu Putri Purwanthi, Agus Roy Rusly Hariantana Hamid, I Gusti Putu Hendra Sanjaya, Putu Eka Mardhika |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
lcsh:Medicine 030209 endocrinology & metabolism Review Article Cochrane Library transconjunctival law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine 030212 general & internal medicine lower eyelids malposition subciliary business.industry Incidence (epidemiology) lcsh:R Ectropion General Medicine medicine.disease Surgery Entropion Systematic review Meta-analysis maxillofacial fractures business Cohort study |
Zdroj: | Open Access Macedonian Journal of Medical Sciences; Vol 7 No 17 (2019): Sep 15 (OAMJMS); 2953-2957 Open Access Macedonian Journal of Medical Sciences, Vol 7, Iss 17 (2019) Open Access Macedonian Journal of Medical Sciences |
ISSN: | 1857-9655 2953-2957 |
DOI: | 10.3889/oamjms.2019.726 |
Popis: | BACKGROUND: Both subciliary and transconjunctival approaches have been used for decades to visualise the site of the maxillofacial fracture. The most common complication following those procedures is lower eyelids malposition. AIM: This meta-analysis will analyse which approach (subciliary and transconjunctival approaches) is more favourable to decrease lower eyelids malposition incidence. METHOD: This meta-analysis was conducted based on PRISMA guidelines. The electronic search was conducted using keywords (“Lower Eyelids Malposition” OR “Complications” OR “Ectropion” OR “Entropion”) AND (Transconjunctival) AND (Subciliary) AND (Maxillofacial Fractures) in PubMed, The Cochrane Library, and Directory of Open Access Journal (DOAJ). This review included full-text studies (observational and randomised controlled trials) in English comparing subciliary and transconjunctival approach in patients with maxillofacial fractures in the last 10 years. The data collected were the type of fractures and approaches, ectropion and entropion incidence as well as follow-up duration. The risk of bias was assessed using Joanna Briggs Institute critical appraisal checklist. Statistical analysis was done using Review Manager 5.3 (Cochrane, Denmark). RESULT: This study included 3 cohort studies and 2 Randomized Controlled Trial (RCT) studies from 2012 to 2017 with a total of 574 samples. Subciliary approach had a significant higher ectropion incidence when compared to transconjunctival approach (RR = 4.64, 95% CI: 1.68-12.81, p = 0.003). There was also a significant reduction of entropion incidence in patients with subciliary approach compared to transconjunctival approach (RR = 0.16, 95% CI: 0.04 – 0.69, p = 0.01). CONCLUSION: There was no superiority between one procedure toward another since each procedure related to different lower eyelids malpositions. |
Databáze: | OpenAIRE |
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