Jędrzejewski M, Smektała T, Sporniak-Tutak K, Olszewski R
Department of Dental Surgery, Pomeranian Medical Uniwersity, ul. Powstańców Wielkopolskich 72, 70-111, Szczecin, Poland,
Clin Oral Investig. 2015 Jun;19(5):969-77. doi: 10.1007/s00784-015-1452-1. Epub 2015 Mar 26.
The aim of this study was to determine whether orthognathic surgery is associated with any complications, and what type of complications may occur.
Data were obtained using PubMed (MEDLINE), ISI Web of Knowledge, Ovid, Cochrane Library, Embase Library, and an additional manual search. The titles and abstracts of the electronic search results were screened and evaluated by two observers for eligibility according to the inclusion and exclusion criteria.
A total of 1924 articles were identified, and we retained 44 articles for the final analysis. The Prisma diagram flowchart demonstrates our selection scheme. For the purpose of this study, the Cochrane data extraction form was modified. One review author extracted data from the included studies, and the second author checked all of the forms. The hierarchy of evidence classification from the UK NHS Centre for Reviews and Dissemination was used to assess the level of evidence for the retrieved studies.
An evaluation of the obtained studies revealed the existence of a large number of varied complications associated with orthognathic surgery procedures.
Oral and maxillofacial surgeons, orthodontists, and the surgical team need to prevent such complications during preoperative, intraoperative, and postoperative periods to increase the safety of orthognathic surgery procedures. This review was registered on http://www.crd.york.ac.uk/PROSPERO as CRD42013004711.
本研究旨在确定正颌手术是否会引发任何并发症，以及可能会出现何种类型的并发症。
通过PubMed（MEDLINE）、ISI Web of Knowledge、Ovid、Cochrane图书馆、Embase图书馆获取数据，并进行额外的手工检索。由两名观察者根据纳入和排除标准对电子检索结果的标题和摘要进行筛选和评估，以确定其是否符合要求。
共识别出1924篇文章，最终保留44篇文章进行分析。Prisma流程图展示了我们的选择方案。为了本研究的目的，对Cochrane数据提取表进行了修改。一名综述作者从纳入研究中提取数据，另一名作者检查所有表格。采用英国国家医疗服务体系（NHS）评审与传播中心的证据分类等级来评估所检索研究的证据水平。
对所获研究的评估表明，正颌手术存在大量不同类型的并发症。
口腔颌面外科医生、正畸医生及手术团队需要在术前、术中和术后预防此类并发症，以提高正颌手术的安全性。本综述已在http://www.crd.york.ac.uk/PROSPERO上注册，注册号为CRD42013004711。
