Orthognathic surgery: Are perioperative steroids beneficial?

Bariatric surgery and marked weight loss is likely to improve knee complaints but there is a need for high quality studies

This review of perioperative systemic corticosteroids on clinically important outcomes in patients undergoing orthognathic surgery identified 8 small RCTs. A reduction in facial oedema was seen in those receiving systemic corticosteroids. However the quality of the studies is limited and there is lack of evidence on other outcomes or adverse effects.

[read the full story...]

Orthognathic surgery: limited evidence on antibiotic prophylaxis?

The authors sought to review available literature relating to SSRI withdrawal syndromes

2 reviews and 2 RCTs were discussed in this review of the effect of antibiotics on postoperative infections in orthognathic surgery. There is a lack ofclarity on the preferred antibiotic and the optimal duration of administration.

[read the full story...]

Titanium or resorbable plates for orthognathic surgery

shutterstock_71153206

This Cochrane review compared titanium & bioresorbable fixation systems for orthognathic surgery. Only 2 RCTS were identified providing insufficient evidence to determine if titanium plates or resorbable plates are superior.

[read the full story...]

Hypotensive anaesthesia: effective in reducing blood loss in orthognathic surgery

shutterstock_71153206

The potential use of hypotensive anaesthesia for maxillofacial surgery was first noted in the 1950s. Since then a number of studies have been reported on the effects of hypotensive anaesthesia in relation to blood loss operating time and surgical field quality producing conflicting results. The aim of this review was to evaluate the efficacy of [read the full story…]

Distraction osteogenesis or orthognathic surgery for hypoplastic maxilla in cleft lip and palate

cleftlip

This Cochrane review of maxillary distraction osteogenesis compared to orthognathic surgery for the treatment of hypoplastic maxilla in people with cleft lip and palate only identified a single small trial providing very low quality evidence. Further high quality research is needed.

[read the full story...]

Patient satisfaction with combined orthodontic treatment and orthognathic surgery

shutterstock_1033530

This review of patient satisfaction with combined orthodontic treatment and orthognathic surgery included 8 studies and identified a number of factors associated with patients’ satisfaction or dissatisfaction. However, the quality of the available evidence was limited.

[read the full story...]

Distraction osteogenesis: little evidence available of effectiveness in maxillary hypoplasia in cleft lip and palate patients

shutterstock_246532594

This review only found 1 study reported in 5 articles at high risk of bias that compared distraction osteogenesis to conventional orthognathic surgery for the treatment of maxillary hypoplasia in cleft lip and palate patients. More high quality trials are needed.

[read the full story...]

Orthognathic surgery: antibiotic prophylaxis reduced surgical site infection

shutterstock_70250746

This new Cochrane review identified 11 RCTs and suggests that for those undergoing orthognathic surgery, long term antibiotic prophylaxis decreased the risk of surgical site infection compared with short-term regimens.

[read the full story...]

Some evidence to suggest that bioresorbable plates may be effective for orthognathic surgery

shutterstock_1033530

Internal fixation for orthognathic surgery is commonly performed using titanium plates and screws although in recent years there has been an increase in the use of bioresorbable fixation systems.  However there are concerns about the stability of fixation. The aim of this review was to include all publicly available literature on the skeletal stability of [read the full story…]

New Cochrane Protocols February 2013

shutterstock_74352844

There are three new protocols on the February issue of the Cochrane Library The first protocol Carrasco-Labra A, Brignardello-Petersen R, Yanine N, Araya I, Rada G, Chadwick RG. Professionally-applied chemically-induced whitening of teeth in adults (Protocol). Cochrane Database of Systematic Reviews 2013, Issue 2. Art. No.: CD010379. DOI: 10.1002/14651858.CD010379.  aims to assess the effects of [read the full story…]