A meta-analysis of condylar fracture treatment / 中华口腔医学杂志

ABSTRACT

<p><b>OBJECTIVE</b>To systematically evaluate the surgical and non-surgical treatment of condylar fracture using Meta-analysis system.</p><p><b>METHODS</b>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).</p><p><b>RESULTS</b>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.</p><p><b>CONCLUSIONS</b>Severely displaced and dislocated condylar fracture is indicated for surgical treatment.</p>