Minimally invasive orthognathic surgery: a systematic review

被引:41
作者
AlAsseri, N. [1 ,2 ]
Swennen, G. [1 ]
机构
[1] Gen Hosp St Jan Bruges, Dept Surg, Div Maxillofacial Surg, Brugge, Belgium
[2] Prince Sultan Mil Med City, Dept Maxillofacial Surg, Riyadh, Saudi Arabia
关键词
corrective jaw surgery; endoscopically assisted orthognathic procedures; minimally invasive surgery; orthognathic; orthognathic surgery; piezoelectric osteotomy; Piezosurgery; Piezotome; FORT-I OSTEOTOMY; VERTICAL RAMUS OSTEOTOMY; SAGITTAL SPLIT OSTEOTOMY; RAPID MAXILLARY EXPANSION; PIEZOELECTRIC SURGERY; PTERYGOMAXILLARY SEPARATION; HYPOTENSIVE ANESTHESIA; CONVENTIONAL SAW; BLOOD-LOSS; PIEZOSURGERY;
D O I
10.1016/j.ijom.2018.04.017
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Minimally invasive techniques are currently applied in many oral and maxillofacial surgical procedures, including orthognathic surgery. A systematic review on the application of potentially minimally invasive procedures in orthognathic surgery was performed to provide a clear overview of the relevant published data. Articles in English on minimally invasive orthognathic procedures, published in the scientific literature, were obtained from the PubMed, Embase, and Cochrane Library databases, and an additional manual search (revised 31 December 2016). After screening the abstracts and applying the eligibility criteria, 403 articles were identified. All articles reporting the potential for minimally invasive orthognathic surgery were included (n = 44). The full papers were evaluated in detail and categorized as articles on a minimally invasive surgical approach (n = 4), endoscopically assisted orthognathic procedures (n = 17), or the use of a piezoelectric device in orthognathic surgery (n = 25); two articles were each included in two categories. Although a small incision and minimal dissection is the basic principle of a minimally invasive technique, most articles (90.9%) reported the endoscope and piezoelectric instrument as important tools in minimally invasive orthognathic surgery. Evidence from available studies suggests that patients undergoing minimally invasive orthognathic surgery have less morbidity and make a faster recovery. Further research should aim to obtain higher levels of evidence.
引用
收藏
页码:1299 / 1310
页数:12
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