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[A meta-analysis of condylar fracture treatment].
Duan, Deng-hui; Zhang, Yi.
Afiliación
  • Duan DH; Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 41(7): 388-90, 2006 Jul.
Article en Zh | MEDLINE | ID: mdl-17067450
OBJECTIVE: To systematically evaluate the surgical and non-surgical treatment of condylar fracture using Meta-analysis system. METHODS: The key words: mandible, condyle, fracture and treatment/therapy were adopted to search for the objective articles from following Data-base: Medline, Embase, CCTR and CNKI. The available data were statistically dealt with by software package (RevMan 4.1). RESULTS: In 172 associated articles, only 10 (5.8%) fulfilled the entrance criteria, involving 711 cases. A total of 307 patients underwent surgical treatment due to severely displacement or dislocation of fragment, 239 of the m (78.0%) being subcondylar fracture. A total of 404 patients received non-surgical management, 278 of them (68.7%) being lower level fracture without significant displacement. Surgical treatment outbalanced non-surgical approach in rehabilitation of occlusional relationship and an adverse outcome was noted in term of maximum mouth opening, but the re was no significant difference in postoperative joint pain. CONCLUSIONS: Severely displaced and dislocated condylar fracture is indicated for surgical treatment.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cóndilo Mandibular / Fracturas Mandibulares Tipo de estudio: Clinical_trials / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Humans Idioma: Zh Revista: Zhonghua Kou Qiang Yi Xue Za Zhi Asunto de la revista: ODONTOLOGIA Año: 2006 Tipo del documento: Article País de afiliación: China Pais de publicación: China
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cóndilo Mandibular / Fracturas Mandibulares Tipo de estudio: Clinical_trials / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Humans Idioma: Zh Revista: Zhonghua Kou Qiang Yi Xue Za Zhi Asunto de la revista: ODONTOLOGIA Año: 2006 Tipo del documento: Article País de afiliación: China Pais de publicación: China