Department of Maxillo-Facial and Reconstructive Surgery and Stomatology, Dupuytren, University Hospital, 2, Avenue Martin Luther King, 87042 Limoges, France; STROMALab, Toulouse University, EFS, ENVT, INSERM U1031, Cedex, France.
Department of Maxillo-Facial and Reconstructive Surgery and Stomatology, Dupuytren, University Hospital, 2, Avenue Martin Luther King, 87042 Limoges, France.
J Craniomaxillofac Surg. 2019 Jul;47(7):1104-1109. doi: 10.1016/j.jcms.2019.03.031. Epub 2019 Apr 6.
There are several ways to fill the depression created after temporal muscle flap. Historically, many methods have been described but biomaterials are increasingly used for this indication. We conducted a systematic review of the literature on the use of biomaterials to fill this depression.
The databases MEDLINE (via PubMed), Cochrane Library, EBSCO, Web of Sciences and Embase were searched for clinical trial reports, case series, case reports and cohort studies from 1991 to 2015. We conducted a systematic review of the use and efficacy of different biomaterials. Patient satisfaction was systematically researched.
We identified 11 articles (196 patients) which were included in the systematic review. The biomaterials used are polymethyl methacrylate (PMMA), polyethylene (PE), lipofilling, Titanium (Ti) and Mersilene Mesh (MM). Complications occurred only with PMMA and MM. Patient satisfaction was rather good in all the studies.
There is no evidence of the superiority of one biomaterial over another as there was a lack of high quality studies. More randomized and controlled studies are required to draw conclusions on the matter.
颞肌瓣切除后有几种方法可以填充凹陷。历史上，已经描述了许多方法，但生物材料越来越多地用于该适应症。我们对生物材料用于填充这种凹陷的文献进行了系统回顾。
从 1991 年到 2015 年，我们在 MEDLINE（通过 PubMed）、Cochrane 图书馆、EBSCO、Web of Sciences 和 Embase 数据库中搜索了临床试验报告、病例系列、病例报告和队列研究。我们对不同生物材料的使用和疗效进行了系统评价。系统地研究了患者满意度。
我们确定了 11 篇文章（196 名患者），这些文章被纳入了系统评价。使用的生物材料有聚甲基丙烯酸甲酯（PMMA）、聚乙烯（PE）、脂肪填充、钛（Ti）和 Mersilene 网（MM）。仅在 PMMA 和 MM 中出现并发症。所有研究的患者满意度都相当好。
由于缺乏高质量的研究，没有证据表明一种生物材料优于另一种生物材料。需要更多的随机对照研究来得出关于这一问题的结论。
