Evaluate Closed Versus Open Reduction of Facial Fractures for Pediatric Facial Fractures: A Systematic Review and Meta-Analysis

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Hamed Mahmoudi, Hooman Amiri, Massoumeh Nowrouzi, Pouria Javaheri


Background and aim:The occurrence of facial fractures is usually relatively rare in children and should be considered separately from adult facial fractures for diagnostic and therapeutic reasons. The present study examines and compares Closed Versus Open Reduction of Facial Fractures for Pediatric Facial Fractures.

Method:Databases of PubMed, Scopus, Web of Science, EBSCO and Embase were searched for systematic literature between 2011 to August 2021. Newcastle-Ottawa Scale (NOS) used to assess quality of the cohort studies. For Data extraction, two reviewers blind and independently extracted data from abstract and full text of studies that included.95% confidence interval for risk ratio with fixed effect model and Mantel-Haenszelmethod were calculated. Meta-analysis was performed using Stata/MP v.16 software (The fastest version of Stata).

Result:In the initial review, duplicate studies were eliminated and abstracts of 126 studies were reviewed, the full text of 28 studies was reviewed by two authors, finally, six studies were selected. Risk ratio of complications rate between intervention and control groupwas 2.18 (OR, 2.18 95% CI 1.59, 2.76; p=0.00).

Conclusion: Complications rate was higher in Open Reduction of Facial Fractures compared to Closed Reduction of Facial Fractures.

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