Functional Rehabilitation After Mandibular Fracture - A Systematic Review

Overview

Journal Ann Maxillofac Surg

Date 2023 Mar 6

PMID 36874767

Authors

Zygimantas Petronis

Nerija Spaicyte

Dovydas Sakalys

Gintaras Januzis

Affiliations

Soon will be listed here.

Abstract

Background: The objective of this study was to evaluate the efficiency of functional rehabilitation in terms of mouth opening, quality of life, healing process, occlusion and dysfunction, between different treatment methods, after condylar fractures, based on the current literature.

Methods: Using the PRISMA guidelines in search of clinical trials published between 2011 and 2021, a literature analysis was performed. This search was conducted using the following Medical Subject Headings (MeSH) terms: rehabilitation OR mouth opening recovery OR function recovery AND mandibular fracture OR condylar fracture.

Results: The literature search resulted in a total of 110 study articles, of which seven publications were used in the present review, according to a selection based on the pre-established eligibility criteria. The review showed that open reduction resulted in a better three-dimensional recovery of mandibular movements and revealed greater results regarding the absence of the symptoms after applied treatment. However, studies assessing closed reduction, especially performed with intermaxillary fixation screws (IMFS), revealed excellent results in terms of quality of life, mouth opening and occlusal parameters.

Discussion: This systematic literature review showed that open reduction resulted in a better three-dimensional recovery of mandibular movements and showed greater results regarding the absence of symptoms. However, studies assessing CR, especially those performed with IMFS, revealed excellent results in terms of quality of life, mouth opening and occlusal parameters.

Citing Articles

Condyle Fracture Fixed with Custom-Made Titanium Mesh and a Miniplate: A Case Report.

Kawai T, Kawamata S, Suzuki S, Ishikawa Y, Ikeda Y, Yasuge E Am J Case Rep. 2023; 24:e940681.

PMID: 37376731 PMC: 10316717. DOI: 10.12659/AJCR.940681.

Postoperative Complications following Open Reduction and Rigid Internal Fixation of Mandibular Condylar Fracture Using the High Perimandibular Approach.

Tatsumi H, Matsuda Y, Toda E, Okui T, Okuma S, Kanno T Healthcare (Basel). 2023; 11(9).

PMID: 37174836 PMC: 10178098. DOI: 10.3390/healthcare11091294.

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