Evidence map›Paper›PMID 26374747›Full record

ReviewClinical oral investigations2016

Management of the premaxilla in the treatment of bilateral cleft of lip and palate: what can the literature tell us?

Gerhard K P Bittermann, Ad P de Ruiter, Nard G Janssen, Arnold J N Bittermann, Aebele M van der Molen, Robert J J van Es, Antoine J W P Rosenberg, R Koole

Open access · hybridAbstract readReview
In one paragraph

Review in Clinical oral investigations, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. A Custom Stabilizing Splint for the Management of BLCP with Protruding Premaxilla.Plastic and reconstructive surgery. Global open · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Gerhard K P BittermannDepartment of Oral and Maxillofacial Surgery, University Medical Centre Utrecht, G05.129, Heidelberglaan 100, Utrecht, 3584 CX, Utrecht, The Netherlands. koen.bittermann@me.com.
Ad P de RuiterDepartment of Oral and Maxillofacial Surgery, University Medical Centre Utrecht, G05.129, Heidelberglaan 100, Utrecht, 3584 CX, Utrecht, The Netherlands.
Nard G JanssenDepartment of Oral and Maxillofacial Surgery, University Medical Centre Utrecht, G05.129, Heidelberglaan 100, Utrecht, 3584 CX, Utrecht, The Netherlands.
Arnold J N BittermannDepartment of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Aebele M van der MolenDepartment of Plastic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Robert J J van EsDepartment of Oral and Maxillofacial Surgery, University Medical Centre Utrecht, G05.129, Heidelberglaan 100, Utrecht, 3584 CX, Utrecht, The Netherlands.
Antoine J W P RosenbergDepartment of Oral and Maxillofacial Surgery, University Medical Centre Utrecht, G05.129, Heidelberglaan 100, Utrecht, 3584 CX, Utrecht, The Netherlands.
R KooleDepartment of Oral and Maxillofacial Surgery, University Medical Centre Utrecht, G05.129, Heidelberglaan 100, Utrecht, 3584 CX, Utrecht, The Netherlands.
University Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn the treatment of bilateral cleft lip and palate (BCLP) patients, there is discussion about the management of the position of the premaxilla. This literature analysis summarises the literature on managing this condition. MATERIALS AND

methodsA PubMed, Embase and Cochrane Library search was conducted resulting in 4465 articles which were screened on title and abstract.

resultsSeventy-one articles were available in full text, 16 of which were included in this literature analysis. We searched on keywords timing and technique, complications, growth of the maxilla and results after bone grafting the alveolar process. This literature analysis has shown that there are various ways to correct the position of the premaxilla. These can be divided into primary, early, late secondary and tertiary intervention before the age of 8 years, between the ages of 8 and 12 years and older than 12 years. Correction is done with surgery, orthodontics or a combination, with or without bone grafting.

conclusionsAn osteotomy of the premaxilla in combination with secondary alveolar bone grafting appears to be the most successful technique. Combining early secondary alveolar bone grafting with osteotomy creates more room to ensure a watertight closure of the nasal mucosa resulting in fewer postoperative complications. Before surgery, the orthodontist should try to optimise the position of the premaxilla for its surgical correction prior to bone grafting. CLINICAL RELEVANCE: The treatment of BCLP patients is still based on experience and expert opinions. This literature analysis tries to give a summery on how to handle the protruded and displaced premaxilla.

Indexed as

AdolescentBone TransplantationChildChild, PreschoolCleft LipCleft PalateHumansInfantMaxillaOrthodonticsAlveolar bone graftingBCLPOsteotomyPremaxilla

Identifiers

PMID26374747
PMCPMC4762918
OpenAlexW2237912991

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.