Interventions for the management of mandibular fractures.
Identifieur interne : 000988 ( PubMed/Checkpoint ); précédent : 000987; suivant : 000989Interventions for the management of mandibular fractures.
Auteurs : Mona Nasser [Royaume-Uni] ; Nikolaos Pandis ; Padhraig S. Fleming ; Zbys Fedorowicz ; Edward Ellis ; Kamran AliSource :
- The Cochrane database of systematic reviews [ 1469-493X ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- complications : Mouth, Edentulous.
- instrumentation : Fracture Fixation.
- methods : Fracture Fixation.
- therapy : Mandibular Fractures.
- Adolescent, Adult, Aged, Atrophy, Humans, Middle Aged, Randomized Controlled Trials as Topic, Young Adult.
Abstract
Fractures of the mandible (lower jaw) are a common occurrence and usually related to interpersonal violence or road traffic accidents. Mandibular fractures may be treated using open (surgical) and closed (non-surgical) techniques. Fracture sites are immobilized with intermaxillary fixation (IMF) or other external or internal devices (i.e. plates and screws) to allow bone healing. Various techniques have been used, however uncertainty exists with respect to the specific indications for each approach.
DOI: 10.1002/14651858.CD006087.pub3
PubMed: 23835608
Affiliations:
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Fleming</name></author><author><name sortKey="Fedorowicz, Zbys" sort="Fedorowicz, Zbys" uniqKey="Fedorowicz Z" first="Zbys" last="Fedorowicz">Zbys Fedorowicz</name></author><author><name sortKey="Ellis, Edward" sort="Ellis, Edward" uniqKey="Ellis E" first="Edward" last="Ellis">Edward Ellis</name></author><author><name sortKey="Ali, Kamran" sort="Ali, Kamran" uniqKey="Ali K" first="Kamran" last="Ali">Kamran Ali</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23835608</idno><idno type="pmid">23835608</idno><idno type="doi">10.1002/14651858.CD006087.pub3</idno><idno type="wicri:Area/PubMed/Corpus">000C14</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000C14</idno><idno type="wicri:Area/PubMed/Curation">000C14</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000C14</idno><idno type="wicri:Area/PubMed/Checkpoint">000C14</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000C14</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Interventions for the management of mandibular fractures.</title><author><name sortKey="Nasser, Mona" sort="Nasser, Mona" uniqKey="Nasser M" first="Mona" last="Nasser">Mona Nasser</name><affiliation wicri:level="1"><nlm:affiliation>Peninsula Dental School, University of Plymouth, Plymouth, UK. mona.nasser.pcmd@gmail.com</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Peninsula Dental School, University of Plymouth, Plymouth</wicri:regionArea><wicri:noRegion>Plymouth</wicri:noRegion></affiliation></author><author><name sortKey="Pandis, Nikolaos" sort="Pandis, Nikolaos" uniqKey="Pandis N" first="Nikolaos" last="Pandis">Nikolaos Pandis</name></author><author><name sortKey="Fleming, Padhraig S" sort="Fleming, Padhraig S" uniqKey="Fleming P" first="Padhraig S" last="Fleming">Padhraig S. Fleming</name></author><author><name sortKey="Fedorowicz, Zbys" sort="Fedorowicz, Zbys" uniqKey="Fedorowicz Z" first="Zbys" last="Fedorowicz">Zbys Fedorowicz</name></author><author><name sortKey="Ellis, Edward" sort="Ellis, Edward" uniqKey="Ellis E" first="Edward" last="Ellis">Edward Ellis</name></author><author><name sortKey="Ali, Kamran" sort="Ali, Kamran" uniqKey="Ali K" first="Kamran" last="Ali">Kamran Ali</name></author></analytic><series><title level="j">The Cochrane database of systematic reviews</title><idno type="eISSN">1469-493X</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Atrophy</term><term>Fracture Fixation (instrumentation)</term><term>Fracture Fixation (methods)</term><term>Humans</term><term>Mandibular Fractures (therapy)</term><term>Middle Aged</term><term>Mouth, Edentulous (complications)</term><term>Randomized Controlled Trials as Topic</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Atrophie</term><term>Bouche édentée ()</term><term>Essais contrôlés randomisés comme sujet</term><term>Fractures mandibulaires ()</term><term>Humains</term><term>Jeune adulte</term><term>Ostéosynthèse ()</term><term>Ostéosynthèse (instrumentation)</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Fracture Fixation</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Fracture Fixation</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Mandibular Fractures</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Atrophy</term><term>Humans</term><term>Middle Aged</term><term>Randomized Controlled Trials as Topic</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Atrophie</term><term>Bouche édentée</term><term>Essais contrôlés randomisés comme sujet</term><term>Fractures mandibulaires</term><term>Humains</term><term>Jeune adulte</term><term>Ostéosynthèse</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Fractures of the mandible (lower jaw) are a common occurrence and usually related to interpersonal violence or road traffic accidents. Mandibular fractures may be treated using open (surgical) and closed (non-surgical) techniques. Fracture sites are immobilized with intermaxillary fixation (IMF) or other external or internal devices (i.e. plates and screws) to allow bone healing. Various techniques have been used, however uncertainty exists with respect to the specific indications for each approach.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23835608</PMID><DateCompleted><Year>2013</Year><Month>12</Month><Day>20</Day></DateCompleted><DateRevised><Year>2016</Year><Month>06</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1469-493X</ISSN><JournalIssue CitedMedium="Internet"><Issue>7</Issue><PubDate><Year>2013</Year><Month>Jul</Month><Day>08</Day></PubDate></JournalIssue><Title>The Cochrane database of systematic reviews</Title><ISOAbbreviation>Cochrane Database Syst Rev</ISOAbbreviation></Journal><ArticleTitle>Interventions for the management of mandibular fractures.</ArticleTitle><Pagination><MedlinePgn>CD006087</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/14651858.CD006087.pub3</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Fractures of the mandible (lower jaw) are a common occurrence and usually related to interpersonal violence or road traffic accidents. Mandibular fractures may be treated using open (surgical) and closed (non-surgical) techniques. Fracture sites are immobilized with intermaxillary fixation (IMF) or other external or internal devices (i.e. plates and screws) to allow bone healing. Various techniques have been used, however uncertainty exists with respect to the specific indications for each approach.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The objective of this review is to provide reliable evidence of the effects of any interventions either open (surgical) or closed (non-surgical) that can be used in the management of mandibular fractures, excluding the condyles, in adult patients.</AbstractText><AbstractText Label="SEARCH METHODS" NlmCategory="METHODS">We searched the following electronic databases: the Cochrane Oral Health Group's Trials Register (to 28 February 2013), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2013, Issue 1), MEDLINE via OVID (1950 to 28 February 2013), EMBASE via OVID (1980 to 28 February 2013), metaRegister of Controlled Trials (to 7 April 2013), ClinicalTrials.gov (to 7 April 2013) and the WHO International Clinical Trials Registry Platform (to 7 April 2013). The reference lists of all trials identified were checked for further studies. There were no restrictions regarding language or date of publication.</AbstractText><AbstractText Label="SELECTION CRITERIA" NlmCategory="METHODS">Randomised controlled trials evaluating the management of mandibular fractures without condylar involvement. Any studies that compared different treatment approaches were included.</AbstractText><AbstractText Label="DATA COLLECTION AND ANALYSIS" NlmCategory="METHODS">At least two review authors independently assessed trial quality and extracted data. Results were to be expressed as random-effects models using mean differences for continuous outcomes and risk ratios for dichotomous outcomes with 95% confidence intervals. Heterogeneity was to be investigated to include both clinical and methodological factors.</AbstractText><AbstractText Label="MAIN RESULTS" NlmCategory="RESULTS">Twelve studies, assessed as high (six) and unclear (six) risk of bias, comprising 689 participants (830 fractures), were included. Interventions examined different plate materials and morphology; use of one or two lag screws; microplate versus miniplate; early and delayed mobilization; eyelet wires versus Rapid IMF™ and the management of angle fractures with intraoral access alone or combined with a transbuccal approach. Patient-oriented outcomes were largely ignored and post-operative pain scores were inadequately reported. Unfortunately, only one or two trials with small sample sizes were conducted for each comparison and outcome. Our results and conclusions should therefore be interpreted with caution. We were able to pool the results for two comparisons assessing one outcome. Pooled data from two studies comparing two miniplates versus one miniplate revealed no significant difference in the risk of post-operative infection of surgical site (risk ratio (RR) 1.32, 95% CI 0.41 to 4.22, P = 0.64, I(2) = 0%). Similarly, no difference in post-operative infection between the use of two 3-dimensional (3D) and standard (2D) miniplates was determined (RR 1.26, 95% CI 0.19 to 8.13, P = 0.81, I(2) = 27%). The included studies involved a small number of participants with a low number of events.</AbstractText><AbstractText Label="AUTHORS' CONCLUSIONS" NlmCategory="CONCLUSIONS">This review illustrates that there is currently inadequate evidence to support the effectiveness of a single approach in the management of mandibular fractures without condylar involvement. The lack of high quality evidence may be explained by clinical diversity, variability in assessment tools used and difficulty in grading outcomes with existing measurement tools. Until high level evidence is available, treatment decisions should continue to be based on the clinician's prior experience and the individual circumstances.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nasser</LastName><ForeName>Mona</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Peninsula Dental School, University of Plymouth, Plymouth, UK. mona.nasser.pcmd@gmail.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pandis</LastName><ForeName>Nikolaos</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Fleming</LastName><ForeName>Padhraig S</ForeName><Initials>PS</Initials></Author><Author ValidYN="Y"><LastName>Fedorowicz</LastName><ForeName>Zbys</ForeName><Initials>Z</Initials></Author><Author ValidYN="Y"><LastName>Ellis</LastName><ForeName>Edward</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Ali</LastName><ForeName>Kamran</ForeName><Initials>K</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>07</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Cochrane Database Syst Rev</MedlineTA><NlmUniqueID>100909747</NlmUniqueID><ISSNLinking>1361-6137</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="UpdateOf"><RefSource>Cochrane Database Syst Rev. 2007;(1):CD006087</RefSource><PMID Version="1">17253578</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001284" MajorTopicYN="N">Atrophy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005592" MajorTopicYN="N">Fracture Fixation</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008337" MajorTopicYN="N">Mandibular Fractures</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009066" MajorTopicYN="N">Mouth, Edentulous</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016032" MajorTopicYN="N">Randomized Controlled Trials as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>7</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>7</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>12</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23835608</ArticleId><ArticleId IdType="doi">10.1002/14651858.CD006087.pub3</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><noCountry><name sortKey="Ali, Kamran" sort="Ali, Kamran" uniqKey="Ali K" first="Kamran" last="Ali">Kamran Ali</name><name sortKey="Ellis, Edward" sort="Ellis, Edward" uniqKey="Ellis E" first="Edward" last="Ellis">Edward Ellis</name><name sortKey="Fedorowicz, Zbys" sort="Fedorowicz, Zbys" uniqKey="Fedorowicz Z" first="Zbys" last="Fedorowicz">Zbys Fedorowicz</name><name sortKey="Fleming, Padhraig S" sort="Fleming, Padhraig S" uniqKey="Fleming P" first="Padhraig S" last="Fleming">Padhraig S. Fleming</name><name sortKey="Pandis, Nikolaos" sort="Pandis, Nikolaos" uniqKey="Pandis N" first="Nikolaos" last="Pandis">Nikolaos Pandis</name></noCountry><country name="Royaume-Uni"><noRegion><name sortKey="Nasser, Mona" sort="Nasser, Mona" uniqKey="Nasser M" first="Mona" last="Nasser">Mona Nasser</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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