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Outcomes of Maxillary Orthognathic Surgery in Patients with Cleft Lip and Palate: A Literature Review.
J Maxillofac Oral Surg 2019; 18(4):500-508JM

Abstract

Purpose

Cleft lip and palate (CLP) patients often require orthognathic surgical correction due to maxillary hypoplasia secondary to primary surgeries, through either distraction osteogenesis (DO) or conventional orthognathic surgery (CO). The objective was to evaluate both surgical techniques regarding functional, aesthetics and quality-of-life and stability outcomes for the patient.

Materials and Method

The PubMed database was searched with the inclusion criteria: studies in English detailing maxillary orthognathic surgery on non-syndromic patients with CLP. Clinical trials, systematic reviews, meta-analysis, reviews, randomized control trials were included. Studies with less than five patients and studies reporting bimaxillary surgery were excluded. References lists of these studies were consulted for more studies to be included. Studies were then evaluated for relevance, quality checked for risk of bias and divided based on the results studied. In total, 22 studies published between 1997 and 2017 were included.

Results

Most studies had low levels of bias. The evidence to support one surgical technique before the other was low. DO offered better stability. No clear evidence exists on which technique had the best aesthetic results and functional improvement. DO may cause higher levels of anxiety and distress in patients compared to CO.

Conclusion

Regarding all outcomes studied, the scrutinized literature did not allow for the recommendation of one specific technique. Future multicentre collaboration may enable greater sample size and better statistical comparison of results of both techniques.

Authors+Show Affiliations

Oral and Maxillofacial Surgery, Department of Odontology/Faculty of Medicine, Umeå University, 901 85 Umeå, Sweden.Oral and Maxillofacial Surgery, Department of Odontology/Faculty of Medicine, Umeå University, 901 85 Umeå, Sweden.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31624427

Citation

Ganoo, Tulika, and Mats Sjöström. "Outcomes of Maxillary Orthognathic Surgery in Patients With Cleft Lip and Palate: a Literature Review." Journal of Maxillofacial and Oral Surgery, vol. 18, no. 4, 2019, pp. 500-508.
Ganoo T, Sjöström M. Outcomes of Maxillary Orthognathic Surgery in Patients with Cleft Lip and Palate: A Literature Review. J Maxillofac Oral Surg. 2019;18(4):500-508.
Ganoo, T., & Sjöström, M. (2019). Outcomes of Maxillary Orthognathic Surgery in Patients with Cleft Lip and Palate: A Literature Review. Journal of Maxillofacial and Oral Surgery, 18(4), pp. 500-508. doi:10.1007/s12663-019-01217-w.
Ganoo T, Sjöström M. Outcomes of Maxillary Orthognathic Surgery in Patients With Cleft Lip and Palate: a Literature Review. J Maxillofac Oral Surg. 2019;18(4):500-508. PubMed PMID: 31624427.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcomes of Maxillary Orthognathic Surgery in Patients with Cleft Lip and Palate: A Literature Review. AU - Ganoo,Tulika, AU - Sjöström,Mats, Y1 - 2019/03/30/ PY - 2018/06/01/received PY - 2019/03/19/accepted PY - 2020/12/01/pmc-release PY - 2019/10/19/entrez PY - 2019/10/19/pubmed PY - 2019/10/19/medline KW - Cleft lip and palate KW - Conventional orthognathic surgery KW - Distraction osteogenesis KW - Le Fort I osteotomy KW - Review SP - 500 EP - 508 JF - Journal of maxillofacial and oral surgery JO - J Maxillofac Oral Surg VL - 18 IS - 4 N2 - Purpose: Cleft lip and palate (CLP) patients often require orthognathic surgical correction due to maxillary hypoplasia secondary to primary surgeries, through either distraction osteogenesis (DO) or conventional orthognathic surgery (CO). The objective was to evaluate both surgical techniques regarding functional, aesthetics and quality-of-life and stability outcomes for the patient. Materials and Method: The PubMed database was searched with the inclusion criteria: studies in English detailing maxillary orthognathic surgery on non-syndromic patients with CLP. Clinical trials, systematic reviews, meta-analysis, reviews, randomized control trials were included. Studies with less than five patients and studies reporting bimaxillary surgery were excluded. References lists of these studies were consulted for more studies to be included. Studies were then evaluated for relevance, quality checked for risk of bias and divided based on the results studied. In total, 22 studies published between 1997 and 2017 were included. Results: Most studies had low levels of bias. The evidence to support one surgical technique before the other was low. DO offered better stability. No clear evidence exists on which technique had the best aesthetic results and functional improvement. DO may cause higher levels of anxiety and distress in patients compared to CO. Conclusion: Regarding all outcomes studied, the scrutinized literature did not allow for the recommendation of one specific technique. Future multicentre collaboration may enable greater sample size and better statistical comparison of results of both techniques. SN - 0972-8279 UR - https://www.unboundmedicine.com/medline/citation/31624427/Outcomes_of_Maxillary_Orthognathic_Surgery_in_Patients_with_Cleft_Lip_and_Palate:_A_Literature_Review DB - PRIME DP - Unbound Medicine ER -
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