Systematic mapping review of orthognathic surgery - 18/05/22

Doi : 10.1016/j.jormas.2022.05.011

Josefina Bendersky ^a,^b,^i,^⁎ , Macarena Uribe ^b , Maximiliano Bravo ^c , Juan Pablo Vargas ^b , Enrique Flores ^d , Ignacio Aguero ^d , Julio Villanueva ^e,^f , Gerard Urrutia ^a,^g,^h,ⁱ , Xavier Bonfill ^a,^g,^h,ⁱ
^a Iberoamerican Cochrane Center, Institut d'Recerca-Servei d'Epidemiologia Clínica i Salut Pública. Carrer de Sant Quintí, 89, 08041 Barcelona, Spain
^b School of Dentistry, Faculty of Medicine, Pontifical Catholic University of Chile, Vicuña Mackenna 4860, Santiago, Chile
^c Oral and Maxillofacial Surgery Program, Universidad de los Andes, Santiago, Chile
^d Faculty of Dentistry, University of Chile, Olivos 943, Independencia, Santiago, Chile.
^e Department of Oral & Maxillofacial Surgery and Cochrane Associated Center at Faculty of Dentistry, University of Chile, Olivos 943, Independencia, Santiago, Chile.
^f Servicio de Cirugía Maxilofacial. Hospital Clínico San Borja‐Arriarán. Sta. Rosa 1234, Santiago, Región Metropolitana, Chile
^g Iberoamerican Cochrane Center, c (IIB Sant Pau). Carrer de Sant Quintí, 77, 08041 Barcelona, Spain
^h Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Av. Monforte de Lemos, 3-5. Pabellón 11. Planta 0 28029 Madrid, Spain
ⁱ Universitat autónoma de Barcelona, Campus de la UAB, Plaça Cívica, 08193 Bellaterra, Barcelona, Spain

^⁎Corresponding author.

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Abstract

Study design

Systematic mapping review

Aim and scope

The objective of this mapping review was to identify, describe, and organize clinical research currently available from systematic reviews and primary studies regarding co-interventions and different surgical modalities used in orthognathic surgery (OS) and their outcomes.

Methods

Systematic reviews (SRs), randomized controlled trials, and observational studies that evaluated perioperative OS co-interventions and surgical modalities were identified in an exhaustive search of MEDLINE, EMBASE, Epistemonikos, Lilacs, Web of Science, and CENTRAL. Grey literature was also screened.

Results

Included were 35 SRs and 253 primary studies, 103 from SRs, and another 150 identified in our search. Overall, SR quality was rated as critically low, with only two SRs rated as of high quality. 19 questions on population, interventions, comparisons, and outcomes (PICO) extracted from the SRs focused on osteosynthesis methods, surgical cutting devices, and use of antibiotics, corticosteroids, and induced hypotension. Also identified were 15 research gaps. Evidence bubble maps were created to graphically depict the available evidence.

Conclusion

Future high-quality research, both primary and secondary, is needed to address the knowledge gaps identified in this systematic mapping review.

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Keywords : Orthognathic surgery, Mapping review, Orthognathic co-interventions, Orthognathic procedures, Le Fort surgery, Sagittal split osteotomy

Abbreviations : AMSTAR, ATP, IV, LLL, NSD, OS, PICO, PONV, PRF, RCT, SR, TMJ