
pmid: 35263683
Several systematic reviews have been published on the effects of mandibular surgery on condylar remodeling without reaching a consensus. The purpose of this systematic review of systematic reviews was to assess the impact of mandibular advancement or bimaxillary surgeries on condylar resorption. A literature search, using several electronic databases, was carried out by two reviewers independently. Article preselection was based on titles and abstracts, and final article selection based on full-text analysis of preselected studies. After final study selection, the quality of studies was assessed using the AMSTAR 2 tool. A decision algorithm was subsequently established to choose the best body of evidence. From an initial yield of 1'848 articles, 23 systematic reviews were identified for further analysis, with ten studies being included in the final selection. Despite the generally low quality of the reviews, certain associations could be made: young patients, female patients, and those with a high mandibular plane angle are more prone to condylar resorption following mandibular advancement osteotomies, especially if anterior rotation of the mandible is performed during surgery. Patients undergoing bimaxillary surgery also appear to have a higher risk of developing condylar resorption. In conclusion, these results confirm the multi-factorial nature of condylar resorption, stressing the need for well-controlled prospective studies with long-term follow-up to clearly identify potential risk factors associated with orthognathic surgery.
Bone Resorption / epidemiology, Orthognathic Surgical Procedures, 617.6, Mandibular Condyle, Mandibular Condyle / surgery, Bone resorption, Mandibular condyle, Bone Resorption / etiology, Mandibular osteotomy, Orthognathic surgical procedure, Systematic review, Humans, Female, Mandibular Advancement / adverse effects, Prospective Studies, Bone Resorption, Orthognathic Surgical Procedures / methods, Mandibular Advancement, Orthognathic Surgical Procedures / adverse effects, Systematic Reviews as Topic
Bone Resorption / epidemiology, Orthognathic Surgical Procedures, 617.6, Mandibular Condyle, Mandibular Condyle / surgery, Bone resorption, Mandibular condyle, Bone Resorption / etiology, Mandibular osteotomy, Orthognathic surgical procedure, Systematic review, Humans, Female, Mandibular Advancement / adverse effects, Prospective Studies, Bone Resorption, Orthognathic Surgical Procedures / methods, Mandibular Advancement, Orthognathic Surgical Procedures / adverse effects, Systematic Reviews as Topic
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 10 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
