髁突吸收的术前和术后处理：系统评价。
Management of condylar resorption before or after orthognathic surgery: A systematic review.
机构信息
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, PR China.
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, PR China.
出版信息
J Craniomaxillofac Surg. 2019 Jul;47(7):1007-1014. doi: 10.1016/j.jcms.2019.03.012. Epub 2019 Mar 15.
BACKGROUND
Orthognathic surgery is a surgical procedure for the correction of maxillofacial deformities. The existence of condylar resorption before orthognathic surgery affects the selection of surgery time and plan. Besides, condylar resorption after orthognathic surgery often leads to the recurrence of deformities and affects the long-term effect of surgery. The purpose of this study was to perform a systematic review of the management of condylar resorption before or after orthognathic surgery.
METHODS
A systematic review of the scientific literature listed on PubMed, Embase, and Cochrane Controlled Trials Register was performed, up to October 2018. The outcome of the search was reviewed with a chart.
RESULTS
Ten articles with 180 patients were included in this study based on inclusion and exclusion criteria. We compared these studies to examine the effectiveness of the management of condylar resorption.
CONCLUSION
The occurrence of condylar resorption can be influenced by complex factors. The management of condylar resorption before or after orthognathic surgery should base on the severity of condylar resorption. As the eligible studies with small sample sizes, heterogeneity in management method and outcome, high-quality clinical study concerning condylar resorption treatment is needed.
背景
正颌外科是一种用于矫正颌面畸形的手术。正颌术前髁突吸收的存在会影响手术时机和方案的选择。此外，正颌术后髁突吸收常导致畸形复发，影响手术的长期效果。本研究旨在对正颌术前或术后髁突吸收的处理进行系统评价。
方法
对 PubMed、Embase 和 Cochrane 对照试验登记处截至 2018 年 10 月的科学文献进行了系统评价。通过图表对搜索结果进行了回顾。
结果
根据纳入和排除标准，本研究共纳入 10 篇文章，180 例患者。我们比较了这些研究，以检查髁突吸收处理的有效性。
结论
髁突吸收的发生可能受到多种复杂因素的影响。正颌术前或术后髁突吸收的处理应根据髁突吸收的严重程度而定。由于纳入的研究样本量小、管理方法和结果存在异质性，因此需要开展关于髁突吸收治疗的高质量临床研究。
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