Temporomandibular joint prosthesis as treatment option for mandibular condyle fractures: a systematic review and meta-analysis

The aim of this study was to perform a systematic review of the literature on the temporomandibular joint (TMJ) prosthesis as a treatment option after mandibular condyle fracture. Three databases were searched (PubMed, Embase, Cochrane Library) and 2670 unique papers were identified. A total of 337...

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Veröffentlicht in:International journal of oral and maxillofacial surgery 2023-01, Vol.52 (1), p.88-97
Hauptverfasser: Niezen, E.T., van Minnen, B., Bos, R.R.M., Dijkstra, P.U.
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container_title International journal of oral and maxillofacial surgery
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creator Niezen, E.T.
van Minnen, B.
Bos, R.R.M.
Dijkstra, P.U.
description The aim of this study was to perform a systematic review of the literature on the temporomandibular joint (TMJ) prosthesis as a treatment option after mandibular condyle fracture. Three databases were searched (PubMed, Embase, Cochrane Library) and 2670 unique papers were identified. A total of 337 studies were included (121 case reports, 89 case series, and 127 cohort/clinical studies). In total 14,396 patients and 21,560 prostheses were described. Of the 127 cohort or clinical studies, 100 (79%) reported inclusion criteria, 54 (43%) reported exclusion criteria, and 96 (76%) reported the inclusion period. The base population from which patients were recruited was reported in 57 studies (45%). The reason for TMJ prosthesis implantation was reported for 4177 patients (29.0%). A history of condylar fracture was present in 83 patients (2.0%); a history of mandibular trauma was present in 580 patients (13.9%). The meta-analysis showed a pooled prevalence of condylar fracture of 1.6% (95% confidence interval 0.9–2.4%) and a pooled prevalence of trauma or condylar fracture of 11.3% (95% confidence interval 7.1–16.0%). Heterogeneity was highly significant (P 
doi_str_mv 10.1016/j.ijom.2022.05.014
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Three databases were searched (PubMed, Embase, Cochrane Library) and 2670 unique papers were identified. A total of 337 studies were included (121 case reports, 89 case series, and 127 cohort/clinical studies). In total 14,396 patients and 21,560 prostheses were described. Of the 127 cohort or clinical studies, 100 (79%) reported inclusion criteria, 54 (43%) reported exclusion criteria, and 96 (76%) reported the inclusion period. The base population from which patients were recruited was reported in 57 studies (45%). The reason for TMJ prosthesis implantation was reported for 4177 patients (29.0%). A history of condylar fracture was present in 83 patients (2.0%); a history of mandibular trauma was present in 580 patients (13.9%). The meta-analysis showed a pooled prevalence of condylar fracture of 1.6% (95% confidence interval 0.9–2.4%) and a pooled prevalence of trauma or condylar fracture of 11.3% (95% confidence interval 7.1–16.0%). Heterogeneity was highly significant (P &lt; 0.001). The TMJ prosthesis appears to be reserved for patients with persistent pain, bony or fibrous ankylosis, or osteomyelitis after primary closed or open treatment of fractures of the mandibular condyle.</description><identifier>ISSN: 0901-5027</identifier><identifier>EISSN: 1399-0020</identifier><identifier>DOI: 10.1016/j.ijom.2022.05.014</identifier><identifier>PMID: 35752530</identifier><language>eng</language><publisher>Denmark: Elsevier Inc</publisher><subject>Ankylosis - etiology ; Arthroplasty ; Bone fractures ; Humans ; Joint prosthesis ; Mandibular condyle ; Mandibular Condyle - injuries ; Mandibular Condyle - surgery ; Mandibular fractures ; Mandibular Fractures - complications ; Mandibular Fractures - surgery ; Meta-analysis ; Systematic review ; Temporomandibular joint ; Temporomandibular Joint - injuries ; Temporomandibular Joint - surgery ; Temporomandibular Joint Disorders - etiology ; Tooth Ankylosis - complications</subject><ispartof>International journal of oral and maxillofacial surgery, 2023-01, Vol.52 (1), p.88-97</ispartof><rights>2022 The Authors</rights><rights>Copyright © 2022 The Authors. 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Heterogeneity was highly significant (P &lt; 0.001). 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Heterogeneity was highly significant (P &lt; 0.001). The TMJ prosthesis appears to be reserved for patients with persistent pain, bony or fibrous ankylosis, or osteomyelitis after primary closed or open treatment of fractures of the mandibular condyle.</abstract><cop>Denmark</cop><pub>Elsevier Inc</pub><pmid>35752530</pmid><doi>10.1016/j.ijom.2022.05.014</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Ankylosis - etiology
Arthroplasty
Bone fractures
Humans
Joint prosthesis
Mandibular condyle
Mandibular Condyle - injuries
Mandibular Condyle - surgery
Mandibular fractures
Mandibular Fractures - complications
Mandibular Fractures - surgery
Meta-analysis
Systematic review
Temporomandibular joint
Temporomandibular Joint - injuries
Temporomandibular Joint - surgery
Temporomandibular Joint Disorders - etiology
Tooth Ankylosis - complications
title Temporomandibular joint prosthesis as treatment option for mandibular condyle fractures: a systematic review and meta-analysis
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