Department of Oral and Maxillofacial Surgery, Odense University Hospital, Odense, Denmark.
Department of Oral and Maxillofacial Surgery, Odense University Hospital, Odense, Denmark.
Int J Oral Maxillofac Surg. 2016 Jan;45(1):60-71. doi: 10.1016/j.ijom.2015.09.002. Epub 2015 Sep 19.
Mandibular condylar hyperplasia (MCH) is a rare, idiopathic disorder, which can cause both functional and aesthetic problems. MCH has often been described in the literature, but a comprehensive analysis of the current literature on MCH has not been undertaken. This study presents a systematic review analyzing the efficacy of high condylectomy in patients with MCH, with an emphasis on its role in the management of unilateral condylar hyperplasia. A systematic search of the current literature on high condylectomy was performed to find studies with sample sizes of more than five patients using a set of inclusion/exclusion criteria. The search terms revealed 664 studies, of which only 11 articles with a total of 289 patients were eligible for inclusion. Due to differences in the presentation of data, a meta-analysis was not conducted. High condylectomy appears to be a relevant surgical method to correct unilateral condylar hyperplasia. The current literature indicates large variations in terms of aetiology, use of diagnostic tools, and preferred time of intervention. Thus, further systematic studies are needed to determine which procedures offer the best aesthetic and functional results.
下颌骨髁突肥大症（MCH）是一种罕见的特发性疾病，可导致功能和美学问题。MCH 在文献中经常被描述，但对 MCH 的现有文献尚未进行全面分析。本研究对 MCH 患者行高位髁突切除术的疗效进行了系统评价，重点分析了其在单侧髁突肥大症治疗中的作用。通过一套纳入/排除标准，对现有关于高位髁突切除术的文献进行了系统搜索，以查找样本量超过 5 例的研究。搜索词共显示 664 项研究，其中仅有 11 项符合纳入标准的文章，共纳入 289 例患者。由于数据呈现方式的差异，未进行荟萃分析。高位髁突切除术似乎是一种治疗单侧髁突肥大的有效手术方法。目前的文献表明，病因、诊断工具的使用以及干预时间的选择存在较大差异。因此，需要进一步进行系统研究，以确定哪种手术程序能提供最佳的美学和功能效果。
