Document Type : Original Article
Authors
1
Assistant Professor of Plastic Burn and Maxillofacial Surgery, Faculty of Medicine - Ain Shams University-Cairo -Egypt.
2
Plastic, Burn, and Maxillofacial Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
3
Professor of Plastic Burn and Maxillofacial Surgery, Faculty of Medicine - Ain Shams University-Cairo -Egypt.
4
Lecturer of Plastic Burn and Maxillofacial Surgery, Faculty of Medicine - Ain Shams University-Cairo -Egypt.
Abstract
Background: Post-burn microstomia, often caused by commissure injury, can result in functional and aesthetic challenges. Scar tissue and constriction around the mouth can impede oral activities and development, necessitating surgical intervention. The use of pressure garments and splints poses concerns, and while mucosal flap techniques are common, optimal management remains debated. Addressing psychological and physical impacts is crucial in developing comprehensive treatments for post-burn microstomia.
Aim of the Work: This work presents a meta-analysis study on the different techniques used for the management of post-burn microstomia.
Methods: This study adheres to MOOSE and PRISMA-P guidelines, focusing on "Microstomia" management techniques. Searches are conducted in various databases using relevant keywords. Inclusion criteria cover post-burn oral complication management studies, including cross-sectional, prospective, and experimental designs. The review process involves independent assessment by reviewers and data extraction. Meta-analysis using Comprehensive Meta-Analysis software includes odds ratios with confidence intervals, random effects model, sensitivity analysis, and examination of publication bias indicators. we have collected information from papers published between 1990 and 2022 This data was collected in the period between 2022-2023.
Results: The study found that commissuroplasty was the main intervention technique (68.97%), with positive outcomes in the functional improvement and oral competence, while complications such as necrosis, drooling, and sensory issues improved over time, and patient satisfaction varied by technique.
Conclusion: The study provides a comprehensive analysis of microstomia management, covering demographics, interventions, complications, outcomes, and satisfaction. While certain techniques show promise, further research is required to optimize strategies and improve long-term results
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