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Corresponding Author

Ahmed Elsayed Abdelmoghny

Document Type

systematic-review

Abstract

Introduction: Condylar fractures represent about 10– 40% of all mandibular fractures. Different management options are prescribed. Methods: Four internet databases (Scopus, Web of Science, Cochrane Library, and PubMed) were searched for relevant published articles in the last five years from 2017 till 17th May 2022 without restrictions. We included all studies whether Cohort investigations, case investigations, or randomized clinical trials. All treatment options for mandible condylar fractures were included like ORIF, closed management, conservative management, osteosynthesis, and fixation with its combination. The assessed outcomes were maximum mouth opening (MMO), lateral excursion, occlusion deranged, pain assessed with the Visual Analogue Scale, complications, and condylar depth distance. Only we managed to perform a single arm meta-analysis on the MMO after the ORIF procedures by using Open Meta-Analyst. Results: The eligible studies were 17 studies with a total sample size of 1193 patients. The meta-analysis revealed that the mean effect of ORIF in MMO was 38.441 with a 95% confidence interval ranging from 35.188 to 41.695. ORIF showed better results compared to closed management regarding MMO, decreased protrusive and lateral excursive movements, and pain while ORIF was better than conservative management regarding occlusal derangement. In ORIF procedures, combination with disc repositioning revealed a significant positive in functional outcomes, Inter-maxillary Fixation with an occlusal splint usage was a more superior to open reduction in selected cases Conclusion: Several management types of mandibular condylar fractures exist, with various factors being taken into consideration while choosing a certain type for a certain patient.

Subject Area

Plastic surgery

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