Maxillary distraction osteogenesis versus orthognathic surgery for cleft patients

Happy baby is smilingCleft lip and palate is one of the most common birth defects and can cause difficulties with feeding, speech and hearing, as well as psychosocial problems. Treatment of clefts is lengthy, typically taking from birth to adulthood to complete. Upper jaw growth in cleft patients is highly variable, and in a relatively high percentage, it does not develop completely. A type of surgery called orthognathic surgery, which involves surgical cutting of bone to realign the upper jaw (osteotomy), is usually performed in this situation. An alternative intervention is known as distraction osteogenesis, which achieves bone lengthening by gradual mechanical distraction (cutting of bone and moving the ends apart incrementally to allow new bone to form in the gap). Continue reading

Prioritising our reviews – the results are in!

prioritiesThe Cochrane Oral Health Group has been conducting a prioritisation exercise over the last six months, and the results are now available! Continue reading