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Closed versus open treatment of mandibular condylar process fractures: A meta-analysis of retrospective and prospective studies


Berner, Tanja; Essig, Harald; Schumann, Paul; Blumer, Michael; Lanzer, Martin; Rücker, Martin; Gander, Thomas (2015). Closed versus open treatment of mandibular condylar process fractures: A meta-analysis of retrospective and prospective studies. Journal of Cranio-Maxillofacial Surgery, 43(8):1404-1408.

Abstract

INTRODUCTION: The treatment of fractures of the mandibular process remains controversial, although there is a trend towards open reduction and internal fixation. This study compared open and closed treatments and assessed the results with a meta-analysis.
MATERIALS AND METHODS: A literature search of PubMed found eight studies that met the search criteria and were included in the meta-analysis.
RESULTS: The studies increasingly suggest better results for open treatment, in terms of mouth opening, protrusion, laterotrusion, pain, and malocclusion. In the meta-analysis, the outcome was significantly better for laterotrusion and protrusion in patients treated by open reduction and internal fixation.
CONCLUSION: Due to the different study protocols and lack of information on classification, follow-up time, and inclusion criteria, comparison of the studies remains difficult and further prospective, randomized studies should examine these issues.

Abstract

INTRODUCTION: The treatment of fractures of the mandibular process remains controversial, although there is a trend towards open reduction and internal fixation. This study compared open and closed treatments and assessed the results with a meta-analysis.
MATERIALS AND METHODS: A literature search of PubMed found eight studies that met the search criteria and were included in the meta-analysis.
RESULTS: The studies increasingly suggest better results for open treatment, in terms of mouth opening, protrusion, laterotrusion, pain, and malocclusion. In the meta-analysis, the outcome was significantly better for laterotrusion and protrusion in patients treated by open reduction and internal fixation.
CONCLUSION: Due to the different study protocols and lack of information on classification, follow-up time, and inclusion criteria, comparison of the studies remains difficult and further prospective, randomized studies should examine these issues.

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3 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Cranio-Maxillofacial Surgery
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:Mandibular condylar fracture; Open treatment; Closed treatment; Meta-analysis
Language:English
Date:October 2015
Deposited On:15 Dec 2015 10:56
Last Modified:05 Apr 2016 19:40
Publisher:Elsevier
ISSN:1010-5182
Publisher DOI:https://doi.org/10.1016/j.jcms.2015.07.027
PubMed ID:26321068

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