Endoscopic surgery versus open reduction treatment of mandibular condyle fractures: A meta-analysis |
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| Affiliation: | 1. Department of Maxillofacial Surgery, Prosthetics and Traumatology, School of Dentistry, Universidade de São Paulo (USP), Sao Paulo, Brazil;2. School of Dentistry, Centro Universitário Das Faculdades Metropolitanas Unidas (FMU), Sao Paulo, Brazil;1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Recep Tayyip Erdogan University, Central Rize, Rize, Turkey;2. Department of Maxillofacial Surgery, Faculty of Dentistry, Karadeniz Technical University, Akcaabat, Trabzon, Turkey;3. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Health Sciences, Uskudar, Istanbul, Turkey;4. Department of Radiology, Faculty of Medicine, Karadeniz Technical University, Akcaabat, Trabzon, Turkey;1. Specialist in Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Glückstraße 11, 91056, Erlangen, Germany;2. Head of Nephropathology, University of Erlangen-Nuremberg, Glückstraße 11, 91056, Erlangen, Germany;3. Resident, Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Glückstraße 11, 91056, Erlangen, Germany;4. Doctoral Students, Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Glückstraße 11, 91056, Erlangen, Germany;5. Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Glückstraße 11, 91056, Erlangen, Germany;6. Former Head of Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Glückstraße 11, 91056, Erlangen, Germany;7. Head of Department of Oral and Maxillofacial Surgery, University of Erlangen-Nuremberg, Glückstraße 11, 91056, Erlangen, Germany;8. Specialist in Pathology, University of Erlangen-Nuremberg, Glückstraße 11, 91056, Erlangen, Germany;1. Department of Otorhinolaryngology, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, South Korea;2. Department of Medicine, The Graduate School of Yonsei University, Seoul, South Korea;3. Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, South Korea;4. The Airway Mucus Institute, Yonsei University College of Medicine, Seoul, South Korea;1. Assistant Professor, Division of Oral and Maxillofacial Surgery, Department of Oral, Head, and Neck Oncology and Microvascular Surgery, University of Texas Medical Branch at Galveston, Galveston, TX; and Instructor, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia;2. Associate Professor, Division of Oral and Maxillofacial Surgery, and Director, Residency Program, University of Miami Miller School of Medicine, Miami, FL |
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| Abstract: | The aim of the study was to compare open reduction with internal fixation (ORIF) and endoscopic open reduction with internal fixation (EORIF) of condylar fractures (CF) in adults in terms of reducing both needing of reoperation and/or facial nerve injury.An electronic search was undertaken (PubMed/MEDLINE, Web of Science, SCOPUS, and The Cochrane Library). The inclusion criteria were full text, published from their inception to June 2020, clinical trials, randomized or not, and retrospective studies, that compared ORIF and EORIF. The estimates of an intervention were expressed as the risk ratio (RR).From the 1338 articles found, 5 publications were included. There was no statistically significant difference between ORIF and EORIF regarding needing of reoperation (RR = 2.46, p = 0.42) or facial nerve injury (RR = 0.45, p = 0.14).Meta-analysis suggests that there is no difference between open reduction with internal fixation (ORIF) and endoscopic open reduction with internal fixation (EORIF) of condylar fractures (CF) regarding facial nerve injury risk or need for reoperation. |
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| Keywords: | Mandibular condyle Mandibular fractures Endoscopy Fracture fixation Systematic review Meta-analysis |
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