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Autogenous grafts for reconstruction arthroplasty in temporomandibular joint (TMJ) ankylosis: A systematic review and meta-analysis

      Abstract

      Purpose

      Autogenous methods for reconstruction arthroplasty (RA) for surgical management of TMJ have been extensively reported. The present review aimed to systematically review and pool data on clinical outcomes of autogenous grafts for RA in subjects with TMJ ankylosis.

      Methods

      Major electronic databases and prominent subject-specific journals were searched till December 2020. Randomised controlled trials (RCTs), cohort studies, and retrospective studies reporting outcomes of autogenous grafts for RA in TMJ ankylosis were included.

      Results

      A total of 35 studies with 700 subjects were included. The most commonly employed grafts were costochondral grafts (CCG) and coronoid process grafts. Post-operative change in maximum incisor opening (MIO) was comparable amongst all grafts and was in the clinically acceptable range (27.21 – 31.38 mm). The recurrence rate was comparable for all grafts and was ≈ 8% except for coronoid grafts, where the recurrence rate was 2.98%. Growth assessment for CCG revealed that 55.89%, 30.89%, and 13.24% of subjects depicted optimal growth, overgrowth, and undergrowth, respectively.

      Conclusions

      Within the limitations of the present review, the recurrence rate for all grafts was comparable except for coronoid graft which depicted least recurrence rate and resultant post-operative change in MIO was in clinically acceptable range.

      Keywords

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