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Journal of Maxillofacial and Oral Surgery

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06-12-2022 | REVIEW PAPER

Interventions for the Management of Mandibular Coronoid Process Fractures: A Systematic Review

Published in: Journal of Maxillofacial and Oral Surgery | Issue 2/2023

Abstract

Background

The fracture of the coronoid process of mandible is one of the rarest fractures seen and the paucity of literature on the topic reflects the same. Despite the low incidence rate, the complications maybe grave which is why proper management is important. The treatment is controversial also because of the absence of standardized treatment protocol. This systematic review aims to compare the outcome of various treatment modalities available.

Methods

Registered under PROSPERO: CRD42020200700. Systematic research was conducted across databases like PubMed, Google Scholar, Pro Quest, Wiley Online. All clinical studies done till January 2021 which included participants above 14 years of age were included. Case reports, case series and studies not mentioning the treatment plan were excluded. The studies were shortlisted by the authors based on the eligibility criteria. Risk of bias was assessed using the MINORS tool and JBI checklist.

Results

A total of five studies were included. Four were retrospective studies and one was a retrospective case-controlled study. Two studies reported high, two moderate and one low risk of bias. Various treatment modalities were reported for the management of coronoid process fractures including conservative management, ORIF and coronoidectomy. Most authors preferred conservative management in asymptomatic cases and surgical management in symptomatic cases.

Discussion

No randomized control trials were found on the topic. Majority of the articles were case reports. Conservative management was preferred in minimally displaced fractures of coronoid process. However, in presence of displaced coronoid process fractures causing impediment of mandibular function surgical management is preferred.

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Title: Interventions for the Management of Mandibular Coronoid Process Fractures: A Systematic Review
Publication date: 06-12-2022
Published in: Journal of Maxillofacial and Oral Surgery / Issue 2/2023
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-022-01824-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Interventions for the Management of Mandibular Coronoid Process Fractures: A Systematic Review

Abstract

Background

Methods

Results

Discussion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Discussion

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