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[A meta-analysis of condylar fracture treatment]
1Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China.
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.
