A comparative clinical evaluation of the outcome of patients treated for bilateral fracture of the mandibular condyles

Surgical versus non-surgical treatment of mandibular condylar fractures: a meta-analysis

“…12,16, All e-mails were sent within a period of 24 h. The authors of six (18%) studies replied. [29][30][31]33,38,52 Five RCTs, [42][43][44][45]51 13 CCTs, 12,25,28,29,32,[35][36][37]40,41,46,47,49 and 18 retrospective studies 16,[20][21][22][23][24]26,27,30,31,33,34,38,39,48,50,52,53 were included in the meta-analysis.…”

“…16,23,29,32,39,[43][44][45][46]49 Three studies evaluated only patients with bilateral MCFs. 26,38,50 Two studies included diacapitular (intracapsular) MCFs only, 34,41 three studies included only subcondylar MCFs, 35,45,51 and one study included only condylar head and high condylar fractures. 37 The absence of head fractures was also mentioned, 31,43,49 as well as the absence of midface fractures, 16,43 maxillary fractures, 38 pan-facial fractures, 51 or any other facial fracture, 44,52 except for associated MFs.…”

“…44 One study assessed only patients younger than 14 years of age, 12 and another evaluated only patients in the age range of 20-40 years. 51 The absence of any history of TMJ disorder/dysfunction was cited as an inclusion criterion in nine studies, 12,29,35,37,[40][41][42][43]45 sufficient dentition to allow MMF and reproduce occlusal relationships was cited in 10 studies, 12,29,35,37,40,41,[43][44][45]50 and the absence of severe pre-traumatic dysgnathia was mentioned as an inclusion criterion in eight studies. 12,29,35,37,[40][41][42][43] Ten studies did not report the inclusion criteria.…”

“…The presence of associated MFs was reported in 19 studies, but only seven studies reported the precise location of the (11) Pre-auricular (11) (2), others (7) Intraoral (14), preauricular (3) (25), body (10) angle (9) 2.0-mm titanium miniplate (48) Retro-mandibular fractures. 24,32,33,38,47,50,53 The most prevalent associated MF was fracture of the symphysis/parasymphysis region, with 78.3% (227/290) of the reported associated MFs of known location. Fourteen studies reported the aetiology of the MCFs; traffic accident (including motor vehicle and bicycle accidents) was the most prevalent aetiology in 11 studies, 25,28,30,31,33,38,43,45,47,50,53 fall was the most prevalent aetiology in two studies, 26,52 and assault/altercation was the most prevalent in one study.…”

“…Some studies had short maximum follow-up periods, like 3 months 47 or 6 months. 42,45,50,51 Four studies did not report the follow-up period. 22,36,39,53 Concerning the surgical treatment group, 22 studies performed the fixation using one 2.0-mm miniplate in one or more patients, 12,16,20,[24][25][26]28,30,32,33,35,38,40,[42][43][44][45]47,48,[50][51][52] and five studies used two 2.0-mm miniplates, 12,35,43,48,52 whereas one study used a locking 2.0-mm miniplate, 48 five studies used 1.2-mm microplates, 12,28,37,40,41 six studies used wire osteosynthesis, 20,21,23,28,33,38 two studies used mini-dynamic compression Plates, …”