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Effects of Secondary Alveolar Bone Grafting on Maxillary Growth in Cleft Lip or Palate Patients: A Systematic Review and Meta-Analysis.
- Source :
- Cleft Palate Craniofacial Journal; Nov2024, Vol. 61 Issue 11, p1860-1872, 13p
- Publication Year :
- 2024
-
Abstract
- Objective : To assess the effect of secondary alveolar bone grafting (SABG) on maxillary growth in patients with unilateral cleft lip or palate (UCL/P) Design : Systematic review and Meta-analysis Methods : Pubmed, Cochrane Library, Embase, Scopus, Web of Science and manual search was performed to assess the maxillary growth following SABG in UCL/P patients Patients and Participants: Non-syndromic patients with UCL/P Main Outcome Measure: Comparison of maxillary growth between patients with UCL/P who underwent SABG and UCL/P patients who had not undergone SABG or non-cleft control Results : 39 of the identified 233 articles were assessed for inclusion and exclusion criteria after duplicate removal and title and abstract reading. 7 articles (1 prospective, and 6 retrospective studies) were included in the qualitative analysis and 2 articles were subjected to quantitative analysis. Four studies had a low risk of bias and three studies had a moderate risk of bias. Meta-analysis revealed a significant reduction of SNA and no significant difference in ANB in the SABG group compared to the non-cleft control group(I<superscript>2 </superscript>= 0%). There was no significant difference in ANB between SABG and non-cleft control; however, results showed high heterogeneity(I<superscript>2 </superscript>= 83%). Meta-analysis of SNA and ANB showed no significant difference between SABG and the cleft control group; however, there was high heterogeneity. Conclusions : The studies showed a low to moderate risk of bias. SABG causes inhibition of maxillary growth in patients with cleft lip or palate when compared to patients with non-cleft control. Due to high heterogeneity, comparison to cleft control showed insufficient evidence. [ABSTRACT FROM AUTHOR]
- Subjects :
- ORAL surgery
MEDICAL information storage & retrieval systems
SURGERY
PATIENTS
HUMAN growth
TREATMENT effectiveness
META-analysis
DESCRIPTIVE statistics
SYSTEMATIC reviews
MEDLINE
JAWS
BONE grafting
MEDICAL databases
CLEFT lip
MAXILLA
ONLINE information services
PATIENT satisfaction
CLEFT palate
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 10556656
- Volume :
- 61
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- Cleft Palate Craniofacial Journal
- Publication Type :
- Academic Journal
- Accession number :
- 180405493
- Full Text :
- https://doi.org/10.1177/10556656231188600