儿童下颌骨髁突骨折的治疗:一项系统综述。

IF 1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
eJournal of Oral Maxillofacial Research Pub Date : 2023-06-30 eCollection Date: 2023-04-01 DOI:10.5037/jomr.2023.14202
Ian Jenkyn, Robert Bosley, Claire Jenkyn, Shadi Basyuni, Christopher Fowell
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引用次数: 0

摘要

目的:本系统综述检索了三个最常用的数据库,以评估目前的证据是否表明儿科患者下颌骨髁突骨折的手术和非手术治疗之间存在差异。材料和方法:对Ovid、PubMed和Web of Science三个知名数据库进行电子文献检索。所包括的研究是在1996年1月1日至2022年4月1日期间对儿科患者进行的,以英语编写并发表。数据收集工作由两名独立审查人员进行。从没有高偏倚风险的研究中整理的数据被汇总用于手术与非手术治疗,并显示所有结果的总计数。将并发症的存在与否记录在每个结果的4 x 4表中,并使用卡方检验进行比较。结果:去除重复记录后,共筛选出182条记录。在排除不合适的报告后,20份报告被纳入审查。进一步的分析表明,纳入的研究存在较高的偏倚风险。鉴于此,对这些汇总数据的比较表明,管理方法之间没有显著差异。结论:目前看来,保守治疗在功能上是足够的,没有与手术治疗相关的风险,尽管在本综述中包括的研究中,这些风险的发生率很低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Management of Mandibular Condyle Fractures in Paediatric Patients: a Systematic Review.

Management of Mandibular Condyle Fractures in Paediatric Patients: a Systematic Review.

Management of Mandibular Condyle Fractures in Paediatric Patients: a Systematic Review.

Objectives: This systematic review searched three of the most used databases to assess if current evidence suggested a difference between surgical and non-surgical management of mandibular condyle fractures in paediatric patients.

Material and methods: An electronic literature search was conducted of three well known databases - Ovid, PubMed and Web of Science. Studies included were conducted paediatric patients, in humans, written in English and published from January 1st 1996 until April 1st 2022. Data collection was carried out by two independent reviewers. Data collated from studies without high risk of bias was pooled for surgical vs non-surgical management and total tallies of all outcomes presented. Presence or absence of complications was recorded in 4 x 4 tables for each outcome and compared using a Chi-Square test.

Results: After duplicate records were removed, 182 records were screened. After exclusion of unsuitable reports, 20 were included in the review. Further analysis showed the included studies had high risk of bias. Given this, comparison of this pooled data showed no significant difference between management methods.

Conclusions: Presently it appears conservative management is functionally adequate without risks associated with surgical management, even though incidence of these risks was shown to be low in the studies included in this review.

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