Chinese Journal of Tissue Engineering Research ›› 2017, Vol. 21 ›› Issue (4): 650-656.doi: 10.3969/j.issn.2095-4344.2017.04.026

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Efficacy of interpositional arthroplasty versus reconstruction arthroplasty for temporomandibular joint ankylosis: a Meta-analysis

Yishakejiang Maimaiti1, Wu Jun1, Maimaitituxun Tuerdi2   

  1. 1Department of Alveolar Surgery, Urumqi Stomatology Hospital, Urumqi 830002, Xinjiang Uyghur Autonomous Region, China; 2 Department of Maxillofacial Trauma and Orthognathic Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Urumqi Autonomous Region, China
  • Received:2017-01-10 Online:2017-02-08 Published:2017-03-13
  • Contact: Corresponding author: Maimaitituxun Tuerdi, M.D., Associate chief physician, Associate professor, Master’s superviser, Department of Maxillofacial Trauma and Orthognathic Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Urumqi Autonomous Region, China
  • About author:Yishakejiang Maimaiti, Master, Physician, Department of Alveolar Surgery, Urumqi Stomatology Hospital, Urumqi 830002, Xinjiang Uyghur Autonomous Region, China
  • Supported by:

    Open Projects of Xinjiang Medical Animal Model Research Key Laboratory, No. XJDX1103-2013-05

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Abstract:

Abstract
BACKGROUND: At present, studies on interpositional arthroplasty versus reconstruction arthroplasty for temporomandibular joint ankylosis remain scarce and controversial.
OBJECTIVE: To systematically review the efficacy of interpositional arthroplasty versus reconstruction arthroplasty in the treatment of temporomandibular joint ankylosis.
METHODS: A computer-based online search was conducted in VIP, Wangfang, PubMed, Ovid, Embase, Clinical Evidence, Cochrance Library databases before December 2015 to compare the efficacy of interpositional arthroplasty versus reconstruction arthroplasty for temporomandibular joint ankylosis. Meta-analysis of maximal incisal opening and recurrence rate were performed using Stata13.1 software by extracting data from the relevant articles.
RESULTS AND CONCLUSION: A total of 15 studies were included. Meta-analysis results of maximal incisal opening: the total combined result was MD=0.99，95%CI (-1.43, 3.40), Z=0.80, P=0.424, I2=73.9%, and the analysis results from temporomandibular myofascial flap group versus costochondral graft group showed that MD=0.84, 95%CI (-1.94, 3.63), Z=0.59, P=0.553, I2=82.2%; from the other material group MD=2.08, 95%CI (-3.03, 7.19), Z=0.80, P=0.426, I2=0.0%. The recurrence rate: OR=1.13, 95%CI (0.59, 2.15), Z=0.36, P=0.721, I2=0.0%. Egger test and Begg test showed that there were no publication biases in the literatures. The sensitivity test showed that the meta-analysis results were steady because no study influenced the total combined result in the Meta-analysis. These results indicate that interpositional arthroplasty exhibited similar efficacy as reconstruction arthroplasty in the treatment of temporomandibular joint ankylosis. This study was limited by a lack of high-quality studies.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: Temporomandibular Joint, Ankylosis, Arthroplasty, Cartilage, Transplantation, Tissue Engineering

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