Question · asked by 1 review

Maxillary distraction osteogenesis vs Orthognathic surgery (conventional Le Fort I osteotomy): Clinical morbidities (adverse effects)

Population
Adolescents or adults (15 years or older) with an established diagnosis of complete cleft lip and alveolar process, or complete unilateral or bilateral cleft lip and palate (involving the alveolar process); non-syndromic, requiring surgical correction of maxillary hypoplasia
Intervention
Maxillary distraction osteogenesis
Comparison
Orthognathic surgery (conventional Le Fort I osteotomy)
Outcome
Clinical morbidities (adverse effects)

The review found no eligible studies for this question.

What each review found

Current versions only
No studies found 1 · 33.3%GRADE not reported 0 · 0%Very low 2 · 66.7%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Maxillary distraction osteogenesis vs Orthognathic surgery (conventional Le Fort I osteotomy)
Clinical morbidities (adverse effects) · Adolescents or adults (15 years or older) with an established diagnosis of complete cleft lip and alveolar process, or… · 12 months
Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients (2018) · Cochrane All outcomes
SoF (Very Low): Clinical morbidities assessed with questionnaires, follow-up 12 months; risk with orthognathic surgery 3/14; risk with maxillary distraction osteogenesis 3/15; relative effect -; 29 participants (1…1 study · 29 participantsVery low
Maxillary distraction osteogenesis vs Orthognathic surgery (conventional Le Fort I osteotomy)
Clinical morbidities (adverse effects) · Adolescents or adults (15 years or older) with an established diagnosis of complete cleft lip and alveolar process, or… · 12 months
Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients (2016) · Cochrane All outcomesearlier version CD010403.PUB2, superseded
SoF (Very Low): Clinical morbidities assessed with questionnaires, follow-up 12 months; risk with orthognathic surgery 3/14; risk with maxillary distraction osteogenesis 3/15; relative effect -; 29 participants (1…1 study · 29 participantsVery low
Maxillary distraction osteogenesis vs Orthognathic surgery (conventional Le Fort I osteotomy)
Adverse effects / clinical morbidities (e.g. mucosal infection, sinusitis, transection of vessels) · Adolescents or adults (15 years or older) with an established diagnosis of complete cleft lip and alveolar process, or…
The review found no eligible studies for this question.
Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients (2013) · Cochrane All outcomesearlier version CD010403, superseded
no estimate extractedNot reportedNo studies found

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Maxillary distraction osteogenesis versus orthognathic surgery for cleft lip and palate patients
2018 · Cochrane All outcomes
2018-05Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.