Comparison between open and closed reduction techniques for mandibular fractures: A systematic review

Area of Science:

• Oral and Maxillofacial Surgery
• Trauma Management
• Surgical Techniques

Background:

• Management of mandibular fractures remains a subject of debate.
• Both closed reduction and open reduction are widely employed treatment modalities.

Purpose of the Study:

• To systematically review and compare open versus closed reduction for mandibular fractures.
• To assess functional outcomes, complication rates, aesthetics, and patient satisfaction.

Main Methods:

• Conducted an exhaustive literature search across multiple databases.
• Selected studies directly comparing open and closed reduction for mandibular fractures.

Main Results:

• Open reduction demonstrates superiority in early functional recovery, reduced immobilization, and enhanced aesthetics.
• Closed reduction offers advantages of prolonged treatment duration but is associated with less severe surgical complications.
• Both techniques are effective for achieving successful fracture healing.

Conclusions:

• The choice between open and closed reduction should be individualized based on the patient's clinical condition.
• While open reduction provides faster functional recovery and better aesthetics, closed reduction may be preferred for its lower surgical complication profile.