Sikora Maciej, Chęciński Maciej, Nowak Zuzanna, Chlubek Dariusz
Department of Maxillofacial Surgery, Hospital of the Ministry of Interior, Wojska Polskiego 51, 25-375 Kielce, Poland.
Department of Biochemistry and Medical Chemistry, Pomeranian Medical University, Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland.
J Clin Med. 2021 May 11;10(10):2049. doi: 10.3390/jcm10102049.
The retroauricular approach (RA) has been developed in order to expose the temporomandibular joint in a way that minimizes the risk of injury to the facial nerve and masks the postoperative scar. One of its characteristics is an excellent posterolateral view of the mandibular head, which allows for the preservation of the lateral temporomandibular joint ligaments in the course of open intracapsular surgery.
The aim of this study is to systematically review the currently used variants and modifications of RA.
The construction of the following study is based on PICOS and PRISMA protocols. A systematic literature search was performed based on the PubMed and BASE search engines; furthermore the authors performed a more detailed search in the Google Scholar article database as well as a loop search within the references of papers included in the systematic review.
Searching medical articles databases, Google Scholar, and references yielded a total of 85 records. First the titles and abstracts were blindly screened which was followed by a full-text eligibility check resulting in eventually including and qualifying 7 articles for detailed analysis.
All known variants and modifications of RA are characterized by high safety for the facial nerve and an aesthetically hidden scar. There were no reports of auricle necrosis in the collected material.
In this systematic review, 2 variants and 2 modifications of RA that allow for open temporomandibular joint surgery have been identified; all of them together cover a large spectrum of indications for joint surgery, including reposition and osteosynthesis of mandibular head fractures, eminoplasty, or eminectomy and treatment of some forms of ankylosis.
耳后入路（RA）已被开发出来，以便以一种将面神经损伤风险降至最低并掩盖术后疤痕的方式暴露颞下颌关节。其特点之一是对下颌头有极佳的后外侧视野，这使得在开放性囊内手术过程中能够保留颞下颌关节外侧韧带。
本研究的目的是系统回顾目前使用的RA的变体和改良方法。
本研究的构建基于PICOS和PRISMA协议。基于PubMed和BASE搜索引擎进行了系统的文献检索；此外，作者还在谷歌学术文章数据库中进行了更详细的检索，并在系统评价中纳入的论文参考文献中进行了循环检索。
检索医学文章数据库、谷歌学术和参考文献共得到85条记录。首先对标题和摘要进行盲筛，随后进行全文合格性检查，最终纳入并筛选出7篇文章进行详细分析。
所有已知的RA变体和改良方法都具有对面神经高度安全和美学上隐蔽疤痕的特点。在所收集的材料中没有耳廓坏死的报告。
在本系统评价中，已确定了2种RA变体和2种改良方法，可用于开放性颞下颌关节手术；它们共同涵盖了广泛的关节手术适应证，包括下颌头骨折的复位和骨合成、髁突成形术或髁突切除术以及某些形式的关节强直的治疗。
