| Operative management of temporomandibular joint ankylosis: a systematic review and meta-analysis. | |
| | |
MedLine Citation:
|
PMID: 22209104 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: Two common treatments of temporomandibular joint ankylosis are gap arthroplasty and ankylosis resection and reconstruction of the ramus-condyle unit with a costochondral graft. The purpose of the present study was to answer the following clinical question: "Among patients with temporomandibular joint ankylosis, do those patients who undergo gap arthroplasty, compared with those who undergo ankylosis resection and ramus-condyle unit reconstruction with a costochondral graft have better postoperative mandibular range of motion?" METHODS: A systematic search of the published data was performed to identify eligible studies. The primary predictor variable was treatment type (ie, gap arthroplasty or ankylosis resection and ramus-condyle unit reconstruction). The main outcome was the change in maximal incisal opening postoperatively. A random effects model was used to compute the pooled weighted mean difference between the pre- and postoperative maximal incisal opening in both treatment groups. RESULTS: Four studies met the inclusion criteria. Those undergoing gap arthroplasty had a significantly greater maximal incisal opening than the group undergoing ankylosis resection and ramus-condyle unit reconstruction. The weighted mean difference between the 2 groups was 2.4 mm (95% confidence interval 0.9 to 4.0; P = .002). CONCLUSIONS: Subjects with temporomandibular joint ankylosis who underwent gap arthroplasty had significantly better postoperative maximal incisal opening than those undergoing ankylosis resection and ramus-condyle unit reconstruction with a costochondral graft. |
| | |
Authors:
|
Alexander Katsnelson; Michael R Markiewicz; David A Keith; Thomas B Dodson |
Related Documents
:
|
11044414 - Treatment of aortocoronary vein graft lesions with membrane-covered stents: a multicent... 18655114 - Long-term clinical, angiographic, and intravascular ultrasound outcomes of biodegradabl... 17439734 - Age-based clinical and angiographic outcomes after sirolimus-eluting stent implantation... 8553994 - Impaired fibrinolysis early after percutaneous transluminal coronary angioplasty is ass... 1543264 - Morphological and northern blot analysis of juxtaglomerular cells in experimental hydro... 8360134 - Randomized comparison of oral fluconazole versus oral polyenes for the prevention of fu... |
Publication Detail:
|
Type: Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review Date: 2011-12-30 |
Journal Detail:
|
Title: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons Volume: 70 ISSN: 1531-5053 ISO Abbreviation: J. Oral Maxillofac. Surg. Publication Date: 2012 Mar |
Date Detail:
|
Created Date: 2012-02-29 Completed Date: 2012-04-23 Revised Date: 2013-01-14 |
Medline Journal Info:
|
Nlm Unique ID: 8206428 Medline TA: J Oral Maxillofac Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 531-6 Citation Subset: AIM; D; IM |
Copyright Information:
|
Copyright © 2012 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA 02114, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Ankylosis
/
complications,
surgery* Arthroplasty / methods* Humans Mandible / surgery Outcome Assessment (Health Care) Range of Motion, Articular Temporomandibular Joint / surgery Temporomandibular Joint Disorders / complications, surgery* |
| Comments/Corrections | |
Comment In:
|
J Evid Based Dent Pract. 2012 Dec;12(4):190-2
[PMID:
23177494
]
J Oral Maxillofac Surg. 2012 Jul;70(7):1505 [PMID: 22698289 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Clinical and Dental Computed Tomographic Evaluation 1 Year After Coronectomy.
Next Document: Long-Term Donor-Site Morbidity After Microsurgical Fibular Graft: Is There a Difference Between the ...