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Influence of vomer flap on craniofacial growth in patients with cleft lip and palate: A systematic review
Affiliation:1. Department of Oral Maxillofacial and Head & Neck Oncology, Shanghai Ninth People''s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China;2. Department of Stomatology, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, 215004, China;1. Dept. of Cranio-Maxillofacial Surgery, Campus Virchow – Clinic, Charité University Hospital, Berlin, Germany;2. Dept. of Cranio-Maxillfacial Surgery, Trauma Hospital, Berlin, Germany;1. School of Dentistry, University of Araraquara (UNIARA), Avenida Antônia Camargo de Oliveira, 170, Vila Suconasa, Araraquara, São Paulo, Brazil;2. Anhanguera College and University, Augusto Bambozzi St., 100, Matão, São Paulo, Brazil;3. Piracicaba Dental School, State University of Campinas FOP-UNICAMP, Limeira Ave, 901, Piracicaba, São Paulo, Brazil;4. School of Dentistry, Federal University of Uberlândia (UFU), República do Piratini St., 1102, Uberlândia, Minas Gerais, Brazil;1. Department of Oral and Maxillofacial Surgery — Head and Neck Surgery, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland;2. Department of Pathology — Head and Neck Surgery, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland;3. Department of Oncology — Head and Neck Surgery, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland;4. Department of Otorhinolaryngology — Head and Neck Surgery, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland;5. Department of Oncology, Turku University Hospital, Turku, Finland;6. Department of Otorhinolaryngology — Head and Neck Surgery, Oulu University Hospital, Oulu, Finland;7. Division of Ear, Nose and Throat Diseases, Department of Clinical Sciences, Intervention and Technology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden;8. Research Programme in Systems Oncology, Faculty of Medicine, University of Helsinki, Helsinki, Finland;1. Center for Bionics, Korea Institute of Science and Technology, Seoul, Republic of Korea;2. Division of Bio-Medical Science & Technology, KIST School, Korea University of Science and Technology, Seoul, Republic of Korea;3. Department of Plastic and Reconstructive Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea;4. Biomedical Engineering Research Center, Asan Medical Center, Seoul, Republic of Korea
Abstract:The aim of this review was to evaluate the impact of the vomer flap on craniofacial growth in patients with cleft lip and palate. The review was conducted according to the PRISMA checklist and is registered in the International Prospective Register of Systematic Reviews (PROSPERO — CRD42018095714). Two investigators performed the research using the PubMed/MEDLINE, Embase, and Web of Science databases for studies published until November 2018. The focused question was ‘Does the vomer flap have a lesser impact on craniofacial growth in patients with cleft lip and palate?’. A total of 13 articles was selected for this review, comparing the vomer flap technique with other flap surgery techniques. The outcomes analyzed were: facial development (primary outcome); and the growth of the maxilla and mandible, occlusion, occurrence of fistula, and speech development (secondary outcomes). It was concluded that there is no difference in impact between vomer flap and the other flap surgery techniques on craniofacial development.
Keywords:Cleft lip  Cleft palate  Vomer flap  Growth and development  Systematic review
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