Minimally invasive versus standard approach in LeFort 1 osteotomy in patients with history of cleft lip and palate.
J Stomatol Oral Maxillofac Surg
; 119(3): 187-191, 2018 Jun.
Article
en En
| MEDLINE
| ID: mdl-29408322
ABSTRACT
OBJECTIVE:
Compare literature-reported efficiency and complications of the standard maxillary advancement surgery with those of a minimally invasive mucosal approach in patients with CL/P requiring Le Fort 1 osteotomy.DESIGN:
Meta-analysis vs. retrospective analysis of 18 consecutive cases.SETTING:
Department of maxillofacial surgery at a tertiary-level public general hospital.PARTICIPANTS:
The meta-analysis encompassed Medline, Embase and Cochrane, years 1990 to 2014, inclusive. The local series concerned all squeletally mature adolescents with non-syndromic CL/P who underwent orthognathic surgery between 30 April 2004 and 27 January 2012.INTERVENTIONS:
Minimally invasive approach and perioperative orthodontics including intermaxillary fixation for 3 months after surgery. MAIN OUTCOME MEASURE(S) Assessment of complications. Standard lateral cephalograms were taken before surgery, then <1 week and 12 months after surgery. Delaire's cephalometric analysis was performed and the position of the maxilla was recorded.RESULTS:
There were no significant differences between the literature and our series regarding sex and type of deformity (P=0.634 and 0.779, respectively). The mean horizontal and vertical relapse rates were 0.61 and 1.17mm (vs. 1.29 and 1.48mm in the meta-analysis) and the overall complication rate was 22.2% (vs. 12.76% but P=0.271). There was a significant difference regarding the palatal fistula rate (0 here vs. 21.43% in meta-analysis, P=0.028).CONCLUSIONS:
The minimally invasive approach showed trends toward less relapse and less complications than conventional approaches. This technique seems adapted to the management of patients with CL/P sequelae. Other benefiting groups are underway.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Labio Leporino
/
Fisura del Paladar
Tipo de estudio:
Observational_studies
/
Systematic_reviews
Límite:
Adolescent
/
Humans
Idioma:
En
Revista:
J Stomatol Oral Maxillofac Surg
Año:
2018
Tipo del documento:
Article