Conservative treatment of temporomandibular joint condylar fractures: A systematic review conducted according to <scp>PRISMA</scp> guidelines and the Cochrane Handbook for Systematic Reviews of Interventions

Franco, Rocco; Minervini, Giuseppe; Blasio, Marco Di; Isola, Gaetano; Cicciù, Marco

doi:10.1111/joor.13497

Cited by 38 publications

(18 citation statements)

References 44 publications

(77 reference statements)

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“…While numerous adverse effects of cancer treatment are now well managed, certain outcomes, such as mucositis and salivary gland hypofunction, remain nearly inevitable consequences of oral cancer treatment [ 86 , 87 , 88 ]. Mucositis, particularly during chemotherapy and radiation, is a debilitating and painful condition with potential interruptions and dose reductions impacting treatment outcomes [ 81 , 89 , 90 , 91 , 92 , 93 , 94 , 95 ]. Pain intensity in mucositis is linked to tissue damage and local inflammation, requiring aggressive analgesic management, often involving opioids [ 96 ].…”

Section: Introductionmentioning

confidence: 99%

Advancing Postoperative Pain Management in Oral Cancer Patients: A Systematic Review

Inchingolo,

Dipalma,

Inchingolo

et al. 2024

Pharmaceuticals

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The goal of this review is to shed light on the management of orofacial discomfort after a cancer diagnosis in the head and neck region. A search was conducted on PubMed, Scopus, and Web of Science to identify studies on postoperative pain control in oral cancer. The review included open-access research, investigations into pain management, randomized clinical trials, retrospective studies, case-control studies, prospective studies, English-written studies, and full-text publications. Exclusion criteria included animal studies; in vitro studies; off-topic studies; reviews, case reports, letters, or comments; and non-English language. Three reviewers independently accessed databases and assigned a quality rating to the chosen articles. The review explores postoperative pain management in oral cancer patients; highlighting persistent opioid use; the efficacy of adjuvant drugs, such as gabapentin; and a multimodal approach. It emphasizes the need for personalized pain management, recognizing individual pain perception and tailoring interventions. Integrating pharmacological and non-pharmacological strategies is crucial for comprehensive pain management. The review also serves as a guide for future research, emphasizing the need for standardized methodologies and diverse participant populations.

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Section: Introductionmentioning

confidence: 99%

Advancing Postoperative Pain Management in Oral Cancer Patients: A Systematic Review

Inchingolo,

Dipalma,

Inchingolo

et al. 2024

Pharmaceuticals

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“…In addition, analgesic drugs cannot be given via the oral route in the immediate postoperative period and IMF may be used to stabilize the dental occlusion after postorthognathic surgery. Although the IMF helps to promote favorable dental occlusion by stabilizing the fractured segments, but it can also pose challenges in terms of maintaining airway patency [ 21 ]. Patients with IMF can be at risk for pulmonary aspiration, especially when nausea or vomiting occurs after general anesthesia or opioid administration.…”

Section: Introductionmentioning

confidence: 99%

Single Dose Intravenous Paracetamol versus Placebo in Postorthognathic Surgery Pain: A Randomized Clinical Trial

Sumphaongern,

Jansisyanont

2024

Anesthesiology Research and Practice

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Background. The postorthognathic surgery patients experienced moderate to severe pain and could be at risk for opioid-related side effects. The aim of this study was to evaluate the efficacy of a single dose of intravenous paracetamol to control postorthognathic surgery pain and reduce opioid consumption. Methods. The patients were randomized into two groups. The study group received intravenous paracetamol and the control group received a placebo immediately postoperation. The visual analogue pain scale (VAS) at 1-, 4-, 8-, 12-, 16-, 20-, and 24 -h postoperatively, morphine consumption, side effects from morphine, and patient satisfaction were analyzed. Results. Sixty-two patients (thirty-one patients in each group) were included. The postoperative VAS in the study group was significantly lower than those in the control group (p value <0.001) at all time points. The total postoperative morphine consumption in the study group (45.1 ± 21.2 mcg/kg) was significantly lower compared with the control group (136.5 ± 49.9 mcg/kg) (p value <0.001). Patient satisfaction was significantly higher in the study group (4.7 ± 0.5 out of 5 points) than in the control group (4.1 ± 0.7 out of 5 points) (p value <0.001). The incidence of nausea and vomiting was significantly lower in the study group compared with the control group (p value <0.001 and 0.002, respectively). Conclusion. A single dose of intravenous paracetamol as part of multimodal analgesia was effective for postorthognathic surgery pain. It provided significant benefits to patients, including reduced pain scores, decreased opioid consumption, reduced nausea and vomiting, and improved satisfaction. This trial is registered with TCTR20210908002.

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“…Physiotherapy, a crucial component of this interdisciplinary approach, offers a variety of therapeutic interventions to improve jaw mobility, alleviate pain, and strengthen muscle strength [ 10 , 11 ]. The interventions involve a variety of therapeutic exercises, manual techniques, and modalities such as heat, cold, or electrical stimulation [ 12 , 13 ]. The primary goal of personalized physiotherapy interventions is to optimize oral function and alleviate the limitations associated with TMJ ankylosis, ultimately improving overall well-being [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

The role of physiotherapy interventions in the management of temporomandibular joint ankylosis: a systematic review and meta-analysis

Saini,

Ibrahim,

Khader

et al. 2024

Head Face Med

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Background The main aim of this systematic review and meta-analysis was to identify peer-reviewed scholarly journal articles reporting the significance of physiotherapy interventions in managing TMJ ankylosis. In addition, this study aimed to critically appraise the existing evidence on the prevalence and clinical presentation, physiotherapy intervention approaches, efficacy of physiotherapy interventions, adverse effects, and safety of physiotherapy interventions in TMJ ankylosis management. Methods An all-inclusive literature search was conducted using the PubMed, Google Scholar, and Scopus electronic databases. The researchers screened the potential articles and assessed for eligibility based on the reported inclusion and exclusion criteria. The quality evaluation tool for observational cohort and cross-sectional studies developed by the National Institutes of Health (NIH) and the Cochrane Collaboration's Risk of Bias Tool were used to assess the quality of the included studies. Researchers also comprehensively analyzed the data, reported the results, and discussed them according to the predominant themes. Results The primary electronic database search yielded 409 articles, of which 25 were included in this review. A secondary search was conducted from citations of the included studies, yielding 74 articles, of which six were included in the study. A significantly higher prevalence of bony ankylosis than fibrous ankylosis, with an overall effect size of p < 0.00001. In addition, there were significantly more unilateral than bilateral presentations with an overall effect size of p < 0.00001. Moreover, there were 78 reported complications out of 245 subjects according to five included studies demonstrating a significant effect size with p = 0.001 following the treatment protocols. Conclusion This study highlighted the prevalence of bony ankylosis in temporomandibular joint ankylosis, emphasizing its impact on patients' well-being. On the other hand, the results show that physiotherapy is essential to optimize postoperative outcomes and minimize adverse events such as re-ankylosis. Practitioners and healthcare professionals must monitor postoperative recovery and ensure strict adherence to physiotherapy protocols for optimal outcomes.

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Conservative treatment of temporomandibular joint condylar fractures: A systematic review conducted according to PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions

Cited by 38 publications

References 44 publications

Advancing Postoperative Pain Management in Oral Cancer Patients: A Systematic Review

Advancing Postoperative Pain Management in Oral Cancer Patients: A Systematic Review

Single Dose Intravenous Paracetamol versus Placebo in Postorthognathic Surgery Pain: A Randomized Clinical Trial

The role of physiotherapy interventions in the management of temporomandibular joint ankylosis: a systematic review and meta-analysis

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