无牙萎缩性下颌骨骨折治疗的最新证据:prism - swim引导综述。

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Rathindra N Bera, Preeti Tiwari
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引用次数: 0

摘要

研究设计:prism - swim引导的系统评价。目的:1。为萎缩性下颌骨骨折的治疗提供一致的证据;2. 搜寻、评估及验证现有的管理指引(如有);3. 为萎缩性下颌骨髁突骨折的具体治疗提供证据;4. 探讨骨移植的临床适用性。方法:采用PRISMA-SWiM方案进行系统评价。普洛斯彼罗id: crd42021235111。选择具有足够结果和治疗方法数据的研究。排除了孤立病例报告、病例系列和非人类研究。质量评估采用纽卡斯尔-渥太华量表。证据水平采用牛津证据水平评估。结果:下颌体骨折是最常见的骨折类型。自我跌倒和RTA是最常见的病因。在少数研究中,髁突骨折通常采用ORIF保守治疗。下颌骨采用压迫式和非压迫式骨固定。骨移植用于有节段缺损或需要增强的病例。结论:缺乏适当的证据来确定任何单一的治疗方式。然而,共识是倾向于ORIF。许多作者首选重建钢板。然而,单侧骨折可以用微型钢板治疗。双侧骨折需要更坚固的固定。髁突骨折的切开复位内固定适用于移位或低位骨折。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Current Evidence for the Management of Edentulous Atrophic Mandible Fractures: A PRISMA-SWiM Guided Review.

Study design: PRISMA-SWiM guided systematic review.

Objective: 1. Provide consistent evidence regarding the management of atrophic mandible fractures; 2. To search, evaluate and validate existing guidelines if any for the management; 3. Provide evidence regarding specific management of condylar fractures in the atrophic mandible; 4. To address the clinical applicability of bone grafts.

Methods: A systematic review was conducted using the PRISMA-SWiM protocol. PROSPERO ID: CRD42021235111. Studies with adequate data on outcome, treatment methods were selected. Isolated case reports, case series, and non-human studies were excluded. Quality assessment was done using Newcastle -Ottawa scale. The level of evidence was assessed using Oxford Level of Evidence.

Results: Mandibular body was the most common type of fracture. Self falls and RTA were the most common etiologies. Condylar fracture was most commonly managed conservatively with ORIF employed in few studies. For the mandible compression and non-compression osteosynthesis were used. Bone grafts were used in cases with segmental defects or cases requiring augmentation.

Conclusions: There is lack of proper evidence to definitely conclude any single treatment modality. However, the consensus is towards ORIF. Reconstruction plates are preferred by many authors. However, unilateral fractures may be managed by miniplates. Bilateral fractures require more rigid fixations. Open reduction and internal fixation of condylar fracture is indicated in cases with displacement or low-level fractures.

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来源期刊
Craniomaxillofacial Trauma & Reconstruction
Craniomaxillofacial Trauma & Reconstruction DENTISTRY, ORAL SURGERY & MEDICINE-
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