Evaluación de los cambios en la posición del cóndilo mandibular después de cirugía ortognática: una revisión sistemática y metaanálisis
DOI:
https://doi.org/10.15517/bfajm739Palabras clave:
Cirugía ortognática; Cóndilo mandibular; Procedimientos quirúrgicos ortognáticos.Resumen
La presente investigación tiene como objetivo evaluar los cambios en la posición del cóndilo mandibular tras la osteotomía sagital bilateral (BSSO) y la cirugía ortognática bimaxilar. Se realizó una búsqueda de palabras clave relevantes en las bases de datos internacionales Cochrane, Embase y MEDLINE (PubMed y Ovid) hasta enero de 2025. La calidad de los estudios se determinó mediante la escala Newcastle-Ottawa. El cambio promedio de los valores condilares se utilizó como medida de efecto, aplicando un modelo de efectos aleatorios y métodos REML con intervalos de confianza (IC) del 95%. El metaanálisis se llevó a cabo utilizando Stata (versión 17). El cambio promedio en la posición condilar izquierda entre los valores pre y postoperatorios de BSSO fue de -0.28º (ES -0.28º; IC 95%: -1.59º, 1.03º; p<0.05). Se observaron valores promedio no significativos en la posición condilar pre y postoperatoria de BSSO y de cirugía ortognática bimaxilar en el plano sagital izquierdo (p>0.05). Los hallazgos sugieren que la posición del cóndilo mandibular después de la cirugía se ve influida, en cierta medida, por la intervención ortognática.
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Derechos de autor 2025 Ali Sharifi, Mehran Rahbar, Mojtaba Sheykhian, Javad Hayati Garjan.
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