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
Full textEvery question was extracted from the full review (methods and results), not only its Summary of Findings table.
Questions
1
current version
GRADE rated
0
No studies
1
Included studies
0
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
Current version onlyOpen 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
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR | no estimate extracted | 0 studies | No studies |
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
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR | no estimate extracted | 0 studies | No studies |