Catherine Zulma, Breton Pierre, Bouletreau Pierre
Centre Hospitalier Lyon Sud, Pierre-Bénite, France.
Centre Hospitalier Lyon Sud, Pierre-Bénite, France.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 Feb;121(2):126-32. doi: 10.1016/j.oooo.2015.08.013. Epub 2015 Aug 22.
The aim of this review was to examine all publicly available literature on the current treatments of the dentoskeletal deformity due to condylar resorption and their outcomes and to suggest management guidelines.
A systematic review was performed of all literature located on the electronic PubMed database from 1970 to 2012.
The search resulted in 21 papers and 210 cases treated from 1991 to 2012. Orthognathic surgery was the most commonly used option (42%) and was sometimes combined with open joint surgery (19%). Stability was observed, respectively, in 57% and 100% of the orthognathic surgery and open joint surgery cases. Condylectomy and reconstruction with chondrocostal graft or temporomandibular joint total joint prosthesis were used in 19% and 10% of all cases of orthognathic surgery and open joint surgery with good results (95% and 100%, respectively). Osteogenic distraction was anecdotic (1%). Nine percent of all cases received conservative treatment.
Larger comparative studies are necessary to obtain evidence-based recommendations.
本综述旨在研究所有关于髁突吸收所致牙颌面畸形当前治疗方法及其疗效的公开文献，并提出治疗指南。
对1970年至2012年电子PubMed数据库中检索到的所有文献进行系统综述。
检索得到21篇论文，共210例患者，治疗时间为1991年至2012年。正颌手术是最常用的治疗方法（42%），有时会联合开放性关节手术（19%）。正颌手术和开放性关节手术病例的稳定性分别为57%和100%。在所有正颌手术和开放性关节手术病例中，分别有19%和10%的病例采用了髁突切除术并用肋软骨移植或颞下颌关节全关节假体进行重建，效果良好（分别为95%和100%）。骨生成性牵张治疗的病例较少（1%）。所有病例中有9%接受了保守治疗。
需要开展更大规模的对比研究以获得基于证据的推荐意见。
