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Review
. 2012 Nov;82(6):1115-22.
doi: 10.2319/011212-27.1. Epub 2012 Apr 12.

Long-term skeletal stability after maxillary advancement with distraction osteogenesis in cleft lip and palate patients

Humam Saltaji  1 , Michael P Major, Mostafa Altalibi, Mohamed Youssef, Carlos Flores-Mir
Affiliations
Review

Long-term skeletal stability after maxillary advancement with distraction osteogenesis in cleft lip and palate patients

Humam Saltaji et al. Angle Orthod. 2012 Nov.

Abstract

Objective: To systematically review the long-term skeletal stability after maxillary advancement with distraction osteogenesis (DO) in cleft lip and palate (CLP) patients.

Materials and methods: Electronic databases, grey literature, and reference list searches were conducted. The inclusion criteria were stability of maxillary advancement with distraction osteogenesis assessed at the posttreatment follow-up ≥ 1 year in CLP patients. Full articles were retrieved from abstracts or titles that appear to meet the inclusion criteria or lacked sufficient detail for immediate exclusion. Once full articles were collected, they were again reviewed considering more detailed inclusion criteria for a final selection decision. A methodologic quality assessment tool was utilized.

Results: Thirty abstracts/titles met the initial search criteria, and 13 articles were finally selected. Overall, methodologic quality scores were high in only one randomized clinical trial. After maxillary advancement with DO in CLP patients, the long-term horizontal relapse in A-point was less than 15% in eight studies and between 20% and 25% in four studies. The study that was judged as a high-quality study reported 8.2% horizontal relapse in A-point. The relapse rate was higher in DO with external distracter device than DO with internal distracter device.

Conclusions: Current evidence suggests maxillary advancement with DO has good stability in CLP patients with moderate and severe maxillary hypoplasia.

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Figures

Figure 1
Figure 1
Flow diagram of the literature search.
See this image and copyright information in PMC

References

    1. Swennen G, Colle F, De May A, Malevez C. Maxillary distraction in cleft lip palate patients: a review of six cases. J Craniofac Surg. 1999;10:117–122. - PubMed
    1. Figueroa A. A, Polley J. W, Friede H, Ko E. W. Long-term skeletal stability after maxillary advancement with distraction osteogenesis using a rigid external distraction device in cleft maxillary deformities. Plast Reconstr Surg. 2004;114:1382–1392. - PubMed
    1. Iannetti G, Cascone P, Saltarel A, Ettaro G. Le Fort I in cleft patients: 20 years' experience. J Craniofac Surg. 2004;15:662–669. - PubMed
    1. Polley J. W, Figueroa A. A. Management of severe maxillary deficiency in childhood and adolescence through distraction osteogenesis with an external, adjustable, rigid distraction device. J Craniofac Surg. 1997;8:181–185. - PubMed
    1. Scolozzi P. Distraction osteogenesis in the management of severe maxillary hypoplasia in cleft lip and palate patients. J Craniofac Surg. 2008;19:1199–1214. - PubMed