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Hard palate-repair technique and facial growth in patients with cleft lip and palate: a systematic review.
Br J Oral Maxillofac Surg. 2013 Dec; 51(8):851-7.BJ

Abstract

The vomer flap technique for repair of the hard palate is assumed to improve maxillary growth because it causes less scarring in growth-sensitive areas of the palate. The aim of this systematic review was to investigate the effect of techniques using the vomer flap compared with the palatal flap on facial growth in patients with cleft lip and palate. All papers published before 21 July 2012 were sought in the databases PubMed and MEDLINE. Search terms included "facial growth", "cleft lip and palate", "palatal repair technique", and "vomer flap". Additional studies were identified by hand searching the reference lists of the papers retrieved from the electronic search. Two independent reviewers assessed the eligibility of studies for inclusion, extracted the data, and assessed the quality of the methods. Six studies met the selection criteria. Outcomes assessed in 4 studies were dentofacial morphology after vomer or palatal flap, maxillary dental arch in 1 study, and dental arch relations in 2 studies. The quality of the methods used in 3 studies was poor. Contradictory results and a lack of high-quality and long-term outcomes of reviewed studies provided no conclusive scientific evidence about whether the vomer flap technique has more or less of an adverse effect on maxillary growth than the palatal flap. Further well-designed, well-controlled, and long-term studies particularly of the vomer flap (2-stage) and palatal flap (von Langenbeck or two-flap, 1-stage) are needed.

Authors+Show Affiliations

College of Medicine, Chang Gung University, Taoyuan, Taiwan.No affiliation info available

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

24045106

Citation

Lee, Ying-Hsin, and Yu-Fang Liao. "Hard Palate-repair Technique and Facial Growth in Patients With Cleft Lip and Palate: a Systematic Review." The British Journal of Oral & Maxillofacial Surgery, vol. 51, no. 8, 2013, pp. 851-7.
Lee YH, Liao YF. Hard palate-repair technique and facial growth in patients with cleft lip and palate: a systematic review. Br J Oral Maxillofac Surg. 2013;51(8):851-7.
Lee, Y. H., & Liao, Y. F. (2013). Hard palate-repair technique and facial growth in patients with cleft lip and palate: a systematic review. The British Journal of Oral & Maxillofacial Surgery, 51(8), 851-7. https://doi.org/10.1016/j.bjoms.2013.08.012
Lee YH, Liao YF. Hard Palate-repair Technique and Facial Growth in Patients With Cleft Lip and Palate: a Systematic Review. Br J Oral Maxillofac Surg. 2013;51(8):851-7. PubMed PMID: 24045106.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hard palate-repair technique and facial growth in patients with cleft lip and palate: a systematic review. AU - Lee,Ying-Hsin, AU - Liao,Yu-Fang, Y1 - 2013/09/14/ PY - 2013/04/07/received PY - 2013/08/19/accepted PY - 2013/9/19/entrez PY - 2013/9/21/pubmed PY - 2015/2/20/medline KW - Cleft lip and palate KW - Facial growth KW - Palatal flap KW - Palate-repair technique KW - Vomer flap SP - 851 EP - 7 JF - The British journal of oral & maxillofacial surgery JO - Br J Oral Maxillofac Surg VL - 51 IS - 8 N2 - The vomer flap technique for repair of the hard palate is assumed to improve maxillary growth because it causes less scarring in growth-sensitive areas of the palate. The aim of this systematic review was to investigate the effect of techniques using the vomer flap compared with the palatal flap on facial growth in patients with cleft lip and palate. All papers published before 21 July 2012 were sought in the databases PubMed and MEDLINE. Search terms included "facial growth", "cleft lip and palate", "palatal repair technique", and "vomer flap". Additional studies were identified by hand searching the reference lists of the papers retrieved from the electronic search. Two independent reviewers assessed the eligibility of studies for inclusion, extracted the data, and assessed the quality of the methods. Six studies met the selection criteria. Outcomes assessed in 4 studies were dentofacial morphology after vomer or palatal flap, maxillary dental arch in 1 study, and dental arch relations in 2 studies. The quality of the methods used in 3 studies was poor. Contradictory results and a lack of high-quality and long-term outcomes of reviewed studies provided no conclusive scientific evidence about whether the vomer flap technique has more or less of an adverse effect on maxillary growth than the palatal flap. Further well-designed, well-controlled, and long-term studies particularly of the vomer flap (2-stage) and palatal flap (von Langenbeck or two-flap, 1-stage) are needed. SN - 1532-1940 UR - https://www.unboundmedicine.com/medline/citation/24045106/Hard_palate_repair_technique_and_facial_growth_in_patients_with_cleft_lip_and_palate:_a_systematic_review_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0266-4356(13)00406-3 DB - PRIME DP - Unbound Medicine ER -