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Summary of Systematic Review

Long-Term Effects of Presurgical Infant Orthopedics in Patients with Cleft Lip and Palate: A Systematic Review
Uzel, A., & Alparslan, Z. N. (2011).
Cleft Palate-Craniofacial Journal, 48(5), 587-95.

This review meets the criteria for a high-quality evidence-based systematic review.

Indicators of Review Quality:

The review states a clearly focused question or aim Yes
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality Yes
Quality assessments are reproducible Yes
Characteristics of the included studies are provided Yes

Description:
This is a systematic review of randomized controlled trials and controlled clinical trials investigating the efficiency of presurgical infant orthopedics (PSIO) on long-term outcomes in children with cleft lip and palate.

Question(s)/Aim(s) Addressed:
Do infant orthopedic (IO) appliances have long-term advantages with respect to treatment outcomes in patients with cleft lip and palate?

Population:
Children with cleft lip and palate

Intervention/Assessment:
Presurgical infant orthopedics

Number of Studies Included:
12

Years Included:
Through 2010.

Conclusions:

Cleft Lip and Palate 

  • Treatment

    • Speech

      • Prosthetic Devices

        • Passive IO appliances had no positive effects on speech in children with unilateral cleft lip and palate.

        • Patient Perspective: PSIO had no effect on mother's satisfaction during the first year of life

    • Swallowing/Feeding

      • "PSIO with passive and active appliances had no positive effects on feeding or consequent nutritional status in patients with UCLP [unilateral cleft lip and palate]" (p. 592).

      • Patient Perspective: PSIO had no effect on mother's satisfaction during the first year of life.

Pediatric Dysphagia

  • Treatment

    • Prosthetics

      • "PSIO with passive and active appliances had no positive effects on feeding or consequent nutritional status in patients with UCLP [unilateral cleft lip and palate]" (p. 592).

      • Patient Perspective: PSIO had no effect on mother's satisfaction during the first year of life.

Sponsoring Body:
Not stated.

Keywords:
Craniofacial Disorders, Oral Prosthetic Device

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