Craniomaxillofacial deformities/sleep disorders/cosmetic surgeryDoes Temporomandibular Joint Pathology With or Without Surgical Management Affect the Stability of Counterclockwise Rotation of the Maxillomandibular Complex in Orthognathic Surgery? A Systematic Review and Meta-Analysis
Section snippets
Materials and Methods
To address the purpose of this study, the authors designed and conducted a systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement for reporting systematic reviews.10
Results of Search
Figure 1 presents the process of evaluating articles for inclusion in the review and meta-analysis. The search strategy yielded 1,132 articles from all databases and 3 additional articles were identified through a manual search. Of 1,135 articles, 400 were duplicates and removed, 450 articles were excluded after reading the titles and abstracts, and full-text articles of the remaining 285 studies were reviewed independently by the 2 authors (E.A.A. and L.M.W.) for eligibility, and 273 of these
Discussion
This study investigated whether TMJ pathology with or without surgical management affects the stability of CCWR of the MMC in orthognathic surgery. The results of this study suggest that stability of CCWR of the MMC depends on the presurgical status of the TMJs. The result of the meta-analysis infers that CCWR of the MMC is a stable procedure for patients with 1) healthy TMJs, 2) concomitant TMJ disc repositioning with Mitek anchors, and 3) TMJ reconstruction with patient-fitted total TMJ
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Conflict of Interest Disclosures: None of the authors have any relevant financial relationship(s) with a commercial interest.