Cambios Faciales y su Estabilidad en el Tiempo en Pacientes con Fisura Labiopalatina no Sindrómica Sometidos a Distracción Osteogénica Maxilar con Distractor Externo Rígido: Revisión Narrativa

Translated title of the contribution: Facial Changes and their Stability over Time in Non-Syndromic Cleft Lip and Palate Patients Undergoing Maxillary Distraction Osteogenesis Through Rigid External Distractor: Narrative Review

María Trinidad Guerrero Lehuede, Vicente Traub Valdés*, Maria Ignacia Zursiedel, Cristián Álamos Samur, Alfredo Noguera-Pantoja, Carolina Macarena Gutiérrez Melis, Pedro Ignacio Sole Ventura

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Cleft lip and palate is the world’s most prevalent head and neck malformation, within which, nonsyndromic is the most frequent. Patients with this malformation in many cases present maxillary hypoplasia. Maxillary distraction osteogenesis through a rigid external distractor constitutes an alternative to correct this skeletal deficiency. The objective of this study was to describe facial changes and their stability over time in non-syndromic cleft lip and palate patients undergoing distraction osteogenesis through rigid external distractor. An electronic search was carried out in PubMed database, Epistemonikos, EBSCO, BEIC and The Cochrane Library through the keywords cleft palate; cleft lip and palate; distraction osteogenesis; osteodistraction; callotasis; callotases; callus distraction, maxillary hypoplasia; midface hypoplasia; hypoplastic maxilla; maxillary deficiency; retromaxilla and maxillary retrognatism, related to each other with the Boolean terms AND and OR. For this analysis 20 articles were selected: 2 systematic reviews, 3 clinical trials, 14 descriptive observational studies and 1 analytic observational study. Maxillary distraction osteogenesis through rigid external distractor is an effective alternative in the treatment of midface retrusion in non-syndromic cleft lip and palate patients. However, this technique does not completely achieve stable changes, due to multiple factors related to its recurrence.
Translated title of the contributionFacial Changes and their Stability over Time in Non-Syndromic Cleft Lip and Palate Patients Undergoing Maxillary Distraction Osteogenesis Through Rigid External Distractor: Narrative Review
Original languageSpanish
Pages (from-to)123-131
Number of pages9
JournalInternational journal of odontostomatology
Volume13
Issue number2
DOIs
StatePublished - Jun 2019

Keywords

  • distraction osteogenesis
  • cleft lip and palate
  • Le Fort osteotomy
  • orthognathic surgery

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