下颌髁突骨折的闭合治疗与开放治疗：回顾性和前瞻性研究的荟萃分析
Closed versus open treatment of mandibular condylar process fractures: A meta-analysis of retrospective and prospective studies.
作者信息
Berner Tanja, Essig Harald, Schumann Paul, Blumer Michael, Lanzer Martin, Rücker Martin, Gander Thomas
机构信息
Faculty of Medicine, Zentrum für Zahnmedizin, University of Zürich, Zürich, Switzerland.
Department of Oral and Maxillofacial Surgery, University Hospital of Zürich, Zürich, Switzerland.
出版信息
J Craniomaxillofac Surg. 2015 Oct;43(8):1404-8. doi: 10.1016/j.jcms.2015.07.027. Epub 2015 Aug 4.
INTRODUCTION
The treatment of fractures of the mandibular process remains controversial, although there is a trend towards open reduction and internal fixation. This study compared open and closed treatments and assessed the results with a meta-analysis.
MATERIALS AND METHODS
A literature search of PubMed found eight studies that met the search criteria and were included in the meta-analysis.
RESULTS
The studies increasingly suggest better results for open treatment, in terms of mouth opening, protrusion, laterotrusion, pain, and malocclusion. In the meta-analysis, the outcome was significantly better for laterotrusion and protrusion in patients treated by open reduction and internal fixation.
CONCLUSION
Due to the different study protocols and lack of information on classification, follow-up time, and inclusion criteria, comparison of the studies remains difficult and further prospective, randomized studies should examine these issues.
引言
尽管目前存在一种倾向于切开复位内固定的趋势，但下颌骨骨折的治疗仍存在争议。本研究比较了切开复位和闭合复位两种治疗方法，并通过荟萃分析评估治疗结果。
材料与方法
通过对PubMed进行文献检索，发现八项符合检索标准的研究，并纳入荟萃分析。
结果
研究越来越多地表明，在张口度、前伸、侧方运动、疼痛和咬合不正方面，切开复位治疗效果更好。在荟萃分析中，切开复位内固定治疗的患者在侧方运动和前伸方面的结果明显更好。
结论
由于研究方案不同，且缺乏关于分类、随访时间和纳入标准的信息，研究之间的比较仍然困难，进一步的前瞻性随机研究应探讨这些问题。
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