Evidence map›Paper›PMID 37733214›Full record

SynthesisOral and maxillofacial surgery2024

Can growing patients with end-stage TMJ pathology be successfully treated with alloplastic temporomandibular joint reconstruction? - A systematic review.

Yasir Rehman Khattak, Nabila Ghaffar, Muhammad Assad Gulzar, Sundas Rahim, Faisal Rafique, Zainab Jan, Shaheen Iqbal, Iftikhar Ahmad

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Oral and maxillofacial surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yasir Rehman KhattakHayatabad Medical Complex, Peshawar, Pakistan.
Nabila GhaffarAvicenna Medical College, Lahore, Pakistan.
Muhammad Assad GulzarUniversity of Veterinary and Animal Sciences, Lahore, Pakistan.
Sundas RahimPeshawar Medical and Dental College, Peshawar, Pakistan.
Faisal RafiqueType D Hospital, Latamber, Karak, Pakistan.
Zainab JanInstitute of Radiotherapy and Nuclear Medicine (IRNUM), Peshawar, Pakistan.
Shaheen IqbalInstitute of Radiotherapy and Nuclear Medicine (IRNUM), Peshawar, Pakistan.
Iftikhar AhmadInstitute of Radiotherapy and Nuclear Medicine (IRNUM), Peshawar, Pakistan. iahmadmp@gmail.com.ORCID http://orcid.org/0000-0002-2377-5808

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of alloplastic total temporomandibular joint reconstruction (TMJR) in growing patients is controversial, mainly due to immature elements of the craniomaxillofacial skeleton. The aim of this systematic review was to evaluate the use of alloplastic TMJR in growing patients, focusing on the patient's clinical presentation, surgical and medical history and efficacy of alloplastic TMJR implantation. MATERIALS AND

methodsThe literature search strategy was based on the Population, Intervention, Comparator, Outcomes and Study type (PICOS) framework. We searched Pubmed, Google Scholar, Dimension, Web of Science, X-mol, Semantic Scholar and Embase to January 2023, without any restriction on the type of publication reporting alloplastic TMJR in growing patients (age ≤ 18 years for boys and age ≤ 15 years for girls).

resultsA total of 15 studies (case reports: 09, case series: 02, cohort studies: 04) met the inclusion criteria, documenting 73 patients of growing age from 07 countries. Thirty-eight (~ 52%) cases were female. The mean ± SD (range) age and follow-up of patients in all studies was 13.1 ± 3.2 (0-17) years and 34.3 ± 21.5 (7-96) months, respectively. A total of 22 (30%) patients were implanted with bilateral alloplastic TMJR. Over half of the studies (n = 10) were published in the last 3 years. All patients underwent multiple surgeries prior to implantation of alloplastic TMJR. In extreme cases, patients underwent a total of 17 surgeries. Different types of studies reporting inconsistent variables restricted our ability to perform quality assessment measures for evidence building.

conclusionsClinical experience with alloplastic TMJR in growing patients is limited to cases showing poor prognosis with other types of reconstruction. Nevertheless, studies show promising results for the use of alloplastic TMJR in growing patients, highlighting the need for well-controlled prospective studies with long-term follow-up.

Indexed as

Temporomandibular JointTemporomandibular Joint DisordersAdolescentArthroplasty, ReplacementChildFemaleHumansJoint ProsthesisMalePlastic Surgery ProceduresAlloplastic reconstructionAutologous graftingPediatric patientsTemporomandibular joint

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.