Complications following orthognathic surgery for patients with cleft lip/palate: A systematic review
The purpose of this systematic review is to update the available data for complications following orthognathic surgery in cleft lip and/or palate patients. Methods: Three electronic databases (Medline, Embase, and Cochrane) were searched for publications from 1990 to 2014. Results: A total of 26 art...
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| Format: | Article |
| Language: | English |
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Elsevier
2016-04-01
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| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664615003472 |
| _version_ | 1828165401616318464 |
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| author | Kazuaki Yamaguchi Daniel Lonic Lun-Jou Lo |
| author_facet | Kazuaki Yamaguchi Daniel Lonic Lun-Jou Lo |
| author_sort | Kazuaki Yamaguchi |
| collection | DOAJ |
| description | The purpose of this systematic review is to update the available data for complications following orthognathic surgery in cleft lip and/or palate patients.
Methods: Three electronic databases (Medline, Embase, and Cochrane) were searched for publications from 1990 to 2014.
Results: A total of 26 articles were selected including 1003 patients (male: 391, female: 353, 259: not mentioned) who underwent maxillary osteotomies for cleft lip/palate. Mean age at surgery was 19.3 years (range: 8.5–60 years). Overall perioperative complications were reported in 126 cases (12.76%). The most common complication was closure failure of pre-existing palatal fistula (28.57%), followed by velopharyngeal impairment (16.79%), closure failure of pre-existing alveolar fistula (10.74%), gingival recession (4.55%), and failure of premaxilla stabilization in bilateral cases (4.55%). Severe vascular complications included one arteriovenous fistula (0.10%), one maxillary aneurysm (0.10%), and one cavernous sinus thrombosis (0.10%). Mean horizontal relapse rate was 17.9% (range: −20.0% to 37.2%), and mean vertical relapse rate was 35.4% (range: −25.9% to 162.5%). Reoperation rate was 12.2% (range: 0.0–64.0%). Prospective studies or randomized trials were rare.
Conclusion: To obtain a dataset with higher evidence, a prospective multicenter study should be conducted with clearly defined criteria for each complication. |
| first_indexed | 2024-04-12T01:43:04Z |
| format | Article |
| id | doaj.art-9bc987274ca0400a85d7e1699bf9b6d1 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-04-12T01:43:04Z |
| publishDate | 2016-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-9bc987274ca0400a85d7e1699bf9b6d12022-12-22T03:53:09ZengElsevierJournal of the Formosan Medical Association0929-66462016-04-01115426927710.1016/j.jfma.2015.10.009Complications following orthognathic surgery for patients with cleft lip/palate: A systematic reviewKazuaki Yamaguchi0Daniel Lonic1Lun-Jou Lo2Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, TaiwanDepartment of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, TaiwanDepartment of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, TaiwanThe purpose of this systematic review is to update the available data for complications following orthognathic surgery in cleft lip and/or palate patients. Methods: Three electronic databases (Medline, Embase, and Cochrane) were searched for publications from 1990 to 2014. Results: A total of 26 articles were selected including 1003 patients (male: 391, female: 353, 259: not mentioned) who underwent maxillary osteotomies for cleft lip/palate. Mean age at surgery was 19.3 years (range: 8.5–60 years). Overall perioperative complications were reported in 126 cases (12.76%). The most common complication was closure failure of pre-existing palatal fistula (28.57%), followed by velopharyngeal impairment (16.79%), closure failure of pre-existing alveolar fistula (10.74%), gingival recession (4.55%), and failure of premaxilla stabilization in bilateral cases (4.55%). Severe vascular complications included one arteriovenous fistula (0.10%), one maxillary aneurysm (0.10%), and one cavernous sinus thrombosis (0.10%). Mean horizontal relapse rate was 17.9% (range: −20.0% to 37.2%), and mean vertical relapse rate was 35.4% (range: −25.9% to 162.5%). Reoperation rate was 12.2% (range: 0.0–64.0%). Prospective studies or randomized trials were rare. Conclusion: To obtain a dataset with higher evidence, a prospective multicenter study should be conducted with clearly defined criteria for each complication.http://www.sciencedirect.com/science/article/pii/S0929664615003472cleft lipcomplicationmaxillary osteotomyorthognathic surgerysystematic review |
| spellingShingle | Kazuaki Yamaguchi Daniel Lonic Lun-Jou Lo Complications following orthognathic surgery for patients with cleft lip/palate: A systematic review Journal of the Formosan Medical Association cleft lip complication maxillary osteotomy orthognathic surgery systematic review |
| title | Complications following orthognathic surgery for patients with cleft lip/palate: A systematic review |
| title_full | Complications following orthognathic surgery for patients with cleft lip/palate: A systematic review |
| title_fullStr | Complications following orthognathic surgery for patients with cleft lip/palate: A systematic review |
| title_full_unstemmed | Complications following orthognathic surgery for patients with cleft lip/palate: A systematic review |
| title_short | Complications following orthognathic surgery for patients with cleft lip/palate: A systematic review |
| title_sort | complications following orthognathic surgery for patients with cleft lip palate a systematic review |
| topic | cleft lip complication maxillary osteotomy orthognathic surgery systematic review |
| url | http://www.sciencedirect.com/science/article/pii/S0929664615003472 |
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