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Condylar resorption following mandibular advancement or bimaxillary osteotomies: A systematic review of systematic reviews

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Názov: Condylar resorption following mandibular advancement or bimaxillary osteotomies: A systematic review of systematic reviews
Autori: Togninalli, David, Antonarakis, Gregory, Schatz, Jean-Paul
Zdroj: Journal of Stomatology, Oral and Maxillofacial Surgery. 123:e948-e955
Informácie o vydavateľovi: Elsevier BV, 2022.
Rok vydania: 2022
Predmety: Bone Resorption / epidemiology, Orthognathic Surgical Procedures, 617.6, Mandibular Condyle, Mandibular Condyle / surgery, Bone resorption, Mandibular condyle, Bone Resorption / etiology, 03 medical and health sciences, 0302 clinical medicine, Mandibular osteotomy, Orthognathic surgical procedure, Systematic review, Humans, Female, Mandibular Advancement / adverse effects, Prospective Studies, Bone Resorption, Orthognathic Surgical Procedures / methods, Mandibular Advancement, Orthognathic Surgical Procedures / adverse effects, Systematic Reviews as Topic
Popis: Several systematic reviews have been published on the effects of mandibular surgery on condylar remodeling without reaching a consensus. The purpose of this systematic review of systematic reviews was to assess the impact of mandibular advancement or bimaxillary surgeries on condylar resorption. A literature search, using several electronic databases, was carried out by two reviewers independently. Article preselection was based on titles and abstracts, and final article selection based on full-text analysis of preselected studies. After final study selection, the quality of studies was assessed using the AMSTAR 2 tool. A decision algorithm was subsequently established to choose the best body of evidence. From an initial yield of 1'848 articles, 23 systematic reviews were identified for further analysis, with ten studies being included in the final selection. Despite the generally low quality of the reviews, certain associations could be made: young patients, female patients, and those with a high mandibular plane angle are more prone to condylar resorption following mandibular advancement osteotomies, especially if anterior rotation of the mandible is performed during surgery. Patients undergoing bimaxillary surgery also appear to have a higher risk of developing condylar resorption. In conclusion, these results confirm the multi-factorial nature of condylar resorption, stressing the need for well-controlled prospective studies with long-term follow-up to clearly identify potential risk factors associated with orthognathic surgery.
Druh dokumentu: Article
Popis súboru: application/pdf
Jazyk: English
ISSN: 2468-7855
DOI: 10.1016/j.jormas.2022.03.008
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/35263683
Rights: CC BY
Prístupové číslo: edsair.doi.dedup.....ff314b31462f4025c8d5e059f8188cbf
Databáza: OpenAIRE
Popis
Abstrakt:Several systematic reviews have been published on the effects of mandibular surgery on condylar remodeling without reaching a consensus. The purpose of this systematic review of systematic reviews was to assess the impact of mandibular advancement or bimaxillary surgeries on condylar resorption. A literature search, using several electronic databases, was carried out by two reviewers independently. Article preselection was based on titles and abstracts, and final article selection based on full-text analysis of preselected studies. After final study selection, the quality of studies was assessed using the AMSTAR 2 tool. A decision algorithm was subsequently established to choose the best body of evidence. From an initial yield of 1'848 articles, 23 systematic reviews were identified for further analysis, with ten studies being included in the final selection. Despite the generally low quality of the reviews, certain associations could be made: young patients, female patients, and those with a high mandibular plane angle are more prone to condylar resorption following mandibular advancement osteotomies, especially if anterior rotation of the mandible is performed during surgery. Patients undergoing bimaxillary surgery also appear to have a higher risk of developing condylar resorption. In conclusion, these results confirm the multi-factorial nature of condylar resorption, stressing the need for well-controlled prospective studies with long-term follow-up to clearly identify potential risk factors associated with orthognathic surgery.
ISSN:24687855
DOI:10.1016/j.jormas.2022.03.008