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. 2022 Feb;59(2):156-165.
doi: 10.1177/1055665621998176. Epub 2021 Mar 8.

Systematic Review of the Long-Term Effects of Presurgical Orthopedic Devices on Patient Outcomes

Katie Garland  1 , Brendan McNeely  2 , Luc Dubois  3 , Damir Matic  1
Affiliations

Systematic Review of the Long-Term Effects of Presurgical Orthopedic Devices on Patient Outcomes

Katie Garland et al. Cleft Palate Craniofac J. 2022 Feb.

Abstract

Objective: To perform a systematic review of the literature to identify the long-term effects of presurgical orthopedic (PSO) device use on patient outcomes.

Design: A comprehensive literature review of Embase and Ovid databases was performed to identify all English-language publications related to unilateral cleft lip and palate, presurgical devices, and patient outcomes. Studies were excluded if they did not report patient outcomes beyond 2 years of age, did not describe the use of a PSO device, were case reports (n < 10), or were purely descriptive studies.

Main outcome measures: Reported patient outcomes following the use of PSO devices.

Results: Following a review of all articles by 2 independent reviews, 30 articles were selected for inclusion. Overall, there was no reported consensus as to the long-term effects of PSO devices. Furthermore, this study identified that only 10% of published research controlled for confounding factors that could influence the reported results. Confounding factors that were identified included different operating surgeon, different surgical protocols, and different rates of revision surgeries.

Conclusions: Overall, this systematic review identified 2 important conclusions. Firstly, there is no consensus in the literature about the long-term effects of PSO devices on long-term patient outcomes. Secondly, research in this domain is limited by confounding factors that influence the applicability of the reported results.

Keywords: cleft palate; growth; nasolabial aesthetics; occlusion; outcomes; presurgical orthopedic devices.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Flowchart of study inclusion.
Figure 2.
Figure 2.
Distribution of positive, negative, or inconclusive results in all articles.
Figure 3.
Figure 3.
Types of variability in the methodology of the reviewed studies.
See this image and copyright information in PMC

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