Cochrane · intervention · CD006538

Interventions for the treatment of fractures of the mandibular condyle

Sharif, MO, Fedorowicz, Z, Drews, P, et al. · Cochrane Database of Systematic Reviews · 2010 · Cochrane Library

Oral Health Oral and maxillofacial surgery2 versionsAMSTAR 2: not assessed

Full textEvery question was extracted from the full review (methods and results), not only its Summary of Findings table.

Questions

current version

GRADE rated

No studies

Included studies

as reported

No studies 1 · 100%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Review question

Element	Planned (methods)	Found (results)
Population	Adults, over 18 years of age, with unilateral or bilateral fractures of the mandibular condyles	Not reported
Intervention	Any form of open method of reduction and fixation	Not reported
Comparison	Any form of closed (conservative) management of mandibular condyle fractures: no active intervention (other than soft diet, analgesics or antibiotics), or intermaxillary (maxillary-mandibular) fixation with rigid or elastic traction	Not reported
Outcomes	Primary outcomes: 1. Status of occlusion (assessed by trialists); 2. Degree of function post-operatively (mouth opening and mobility, protrusive or translatory movements, facial nerve function, ankylosis); 3. Aesthetics (symmetry, vertical facial height); 4. Post-operative pain (validated analogue scale e.g. VAS, or medication use). Secondary outcomes: 1. Quality of life (validated questionnaire); 2. Patient satisfaction (questionnaire). Adverse effects: inflammatory complications (osteomyelitis, hematoma, pseudarthrosis, wound dehiscence, persistent dysaesthesia, post-operative infection, abscess), anaesthetic complications, nerve injury, disturbance of occlusal function/deviation of the mandible/internal TMJ derangements/ankylosis, need for re-treatment or corrective surgery. Costs (direct and indirect).	Not reported
Study designs	Randomised controlled clinical trials (RCTs)	Not reported
Timing	Not specified	Not reported

Search date: 2010-03. Databases: The Cochrane Oral Health Group's Trials Register; The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2010, Issue 2); MEDLINE (1950 to 12th March 2010); EMBASE (1980 to 12th March 2010)

Questions and results

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Open reduction and fixation vs Closed (conservative) management (no active intervention other than soft diet, analgesics or antibiotics; or intermaxillary/maxillary-mandibular fixation with rigid or elastic traction)

Population: Adults, over 18 years of age, with unilateral or bilateral fractures of the mandibular condyles

1 question

Outcome	Effect	Evidence	Status / GRADE
Outcome NR same question in other reviews	no estimate extracted	0 studies	No studies