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Fixation of mandibular fractures: a tincture of science
Kenneth H Dawson1, Radhika Chigurupati
1University of California at San Francisco, USA.
Aim:
To critically review the literature regarding the fixation of mandibular fractures to gain direction on which type of fixation is indicated in which clinical setting.
Methods:
A critical review of the literature based on computer searches using the Medline and Cochrane databases. The years searched were 1987 to 2002. Keywords used were: mandibular, fracture, fixation and osteosynthesis.
Results:
Eight hundred and thirty-four citations were obtained of which 127 were for case reports, orthognathic surgery or veterinary science. Thirty-nine citations dealt with non-clinical testing and four examined cost related to different treatment modalities. Six hundred and sixty-four citations were for articles reporting clinical experience, technical variations, comparative series, or proposed treatment protocols. Only a handful of papers reported studies sufficiently well designed to permit conclusions to be drawn on the relative success of various treatment approaches.
Conclusion:
The published literature on the fixation of mandibular fractures falls well short of that required for evidence based surgery.
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