Cone-Beam Computed Tomographic Assessment of Maxillary Sinus Characteristics in Patients With Cleft Lip and Palate: A Systematic Review and Meta-Analysis

Srivastav, Sukeshana; Tewari, Nitesh; Duggal, Ritu; Goel, Shubhi; Rahul, Morankar; Mathur, Vijay Prakash; Yadav, Rahul; Upadhyaya, Ashish

doi:10.1177/10556656221080359

Cited by 4 publications

(8 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These steps resulted in the inclusion of 18 more SRs. Altogether, 144 SRs and MAs [ 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , ...…”

Section: Resultsunclassified

“…It was observed that only three studies performed before 2010 could qualify during the two-stage scrutiny [ 72 , 112 , 113 ]. Among the journals, the highest number of papers (n = 30) was published in the Cleft Palate Craniofacial Journal (CPCJ) [ 21 , 35 , 46 , 47 , 48 , 49 , 63 , 65 , 66 , 76 , 86 , 92 , 94 , 100 , 101 , 115 , 116 , 121 , 123 , 125 , 128 , 137 , 140 , 142 , 146 , 150 , 152 , 155 , 161 , 162 ] followed by The Cochrane Library (n = 8) [ 9 , 16 , 68 , 88 , 92 , 93 , 100 , 106 ] and the International Journal of Oral and Maxillofacial Surgery (n = 7) [ 31 , 72 , 89 , 93 , 106 , 110 , 135 ]. There was diversity among the journals of different specialties that had published the SRs related to CLP ( Supplementary Material S4 ).…”

Section: Resultsmentioning

confidence: 99%

“…A search for gray literature was performed in 83 SRs [ 22 , 25 , 26 , 27 , 28 , 29 , 31 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 43 , 44 , 45 , 50 , 54 , 56 , 57 , 60 , 62 , 64 , 66 , 67 , 68 , 76 , 77 , 79 , 80 , 81 , 82 , 83 , 84 , 87 , 88 , 89 , 91 , 93 , 99 , 102 , 103 , 104 , 105 , 108 , 109 , 111 , 112 , 113 , 114 , 115 , 116 , 117 , 118 , 119 , 120 , 121 , ...…”

Section: Resultsmentioning

confidence: 99%

“…The study characteristics under this domain and their further categorization under various subdomains are detailed in Supplementary Material S4 . Among 46 SRs [ 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 ], only 17 [ 24 , 29 , 36 , 37 , 41 , 42 , 46 , 47 , 50 , 54 , 57 , 58 , 60 , 61 , 63 ...…”

Section: Resultsmentioning

confidence: 99%

“…Among 46 SRs [ 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 ], only 17 [ 24 , 29 , 36 , 37 , 41 , 42 , 46 , 47 , 50 , 54 , 57 , 58 , 60 , 61 , 63 , 66 ] registered their protocol prior to conducting the study ( Figure 4 )....…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Evidence Mapping and Quality Analysis of Systematic Reviews on Various Aspects Related to Cleft Lip and Palate

Srivastav,

Tewari,

Antonarakis

et al. 2023

JCM

Self Cite

View full text Add to dashboard Cite

Background: Management of cleft lip and palate is interdisciplinary. An evidence-mapping approach was envisaged to highlight the existing gaps in this field, using only the highest level of evidence. Objectives: To conduct evidence mapping and quality analysis of systematic reviews and meta-analyses related to any aspect of cleft lip and palate. Search Methods: The cleft lip and palate field was divided into 9 domains and 50 subdomains and a method of categorization of systematic reviews was established. A comprehensive search strategy was carried out in seven databases along with the search of gray literature and references of included articles. Selection criteria: Systematic reviews related to any aspect of cleft lip and palate, conducted by a minimum of two reviewers, with a comprehensive search strategy and adequate quality analysis were included. Data collection and analysis: A self-designed, pre-piloted data-extraction sheet was used to collect information that was analyzed through an expert group discussion. Quality analysis was performed using ROBIS-I, AMSTAR 2, and the PRISMA checklist. Results: A total of 144 systematic reviews published between 2008 and 2022 were included. The largest number of these could be categorized in the therapeutic domain (n = 58). A total of 27% of the studies were categorized as inconclusive, 40% as partially conclusive, and 33% as conclusive. As per ROBIS-I, 77% of reviews had high risk of bias while 58% were graded as critically low in quality as per AMSTAR 2. The majority of systematic reviews showed low reporting errors. Conclusions: The majority of systematic reviews related to cleft lip and palate relate to therapeutic and prognostic domains and show high risk of bias and critically low quality regardless of the source journal. The results of this paper might serve as a starting point encouraging authors to carry out high-quality research where evidence is lacking. Registration: A multidisciplinary expert-group formulated an a priori protocol, registered in Open Science Framework (DOI 10.17605/OSF.IO/NQDV2).

show abstract

Section: Resultsunclassified

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Evidence Mapping and Quality Analysis of Systematic Reviews on Various Aspects Related to Cleft Lip and Palate

Srivastav,

Tewari,

Antonarakis

et al. 2023

JCM

Self Cite

View full text Add to dashboard Cite

show abstract

Sphenoid Sinus Volumes of Patients with Unilateral Cleft Lip and Palate

Erturk,

Goksel,

Yelken Kendirci

et al. 2023

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

Objective There is only one study in the literature in which 3D evaluation of sphenoid sinus volume in patients with cleft lip and palate was used. This shows that this issue has not been adequately evaluated. The present study aimed to compare the volume of the sphenoid sinuses in patients with cleft lip and palate on cone-beam computed tomography images, and to compare them with healthy controls. The high variability of sphenoid sinus volumes poses a risk for iatrogenic lesions during surgical procedures. Because the degree of pneumatization due to increased volume increases the likelihood of exposure of vital neurovascular structures such as the internal carotid artery, maxillary nerves, and optic nerves. Design Retrospective cohort study. Setting University Hospital. Patients A total of 64 patients (32 cleft palate, 32 controls) over 18 years of age who had sphenoid sinuses in the image area were included in our study. Outcomes Sphenoid Sinus Volume. Results When the groups were compared in terms of total sinus volume, there was a statistically significant difference between them. Total sinus volume was significantly mean 2.806,87 mm lower in patients with cleft lip and palate compared to the healthy group ( P = .015). Conclusion To be aware this lower volume of the sphenoid sinus in cleft lip and palate patients will be useful for the surgical approach to sphenoid sinus. However, the literature on the subject is insufficient, more comprehensive clinical and radiological studies are needed on a larger sample.

show abstract

Evaluation of Sphenoid Sinus Variations in Cleft Lip and Palate Patients: A Comprehensive Cone Beam Computed Tomography Analysis

Tepe,

Guray,

Akca

et al. 2024

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

Objective This study aims to compare sphenoid sinus variations between unilateral and bilateral cleft lip and palate (CLP) patients and healthy controls using CBCT images. It is notable for its large sample size and comparison of unilateral and bilateral cleft patients, cleft and noncleft sides, and different age groups. Design Retrospective cohort study. Setting University Hospital. Patients CBCT images of 97 CLP patients (76 unilateral, 21 bilateral) and 97 healthy controls were evaluated. Main Outcome Measures: Sphenoid sinus main types, sellar subtypes, clival, and lateral extensions were assessed for all groups. Results A significant increase in the anterior type was observed in both unilateral and bilateral CLP groups. The bilateral CLP group had a higher prevalence of the lesser wing type. In CLP and control groups, lesser wing, combined type, and lateral type were statistically significantly lower under 13 years of age. Conclusions The study highlights an elevated prevalence of anterior pneumatization in unilateral and bilateral CLP individuals, emphasizing its significance in surgery planning due to proximity to critical structures like the optic nerve and sphenopalatine artery. The increased prevalence of the lesser wing type in bilateral CLP patients requires extra caution during anterior clinoidectomy. Lower pneumatization rates in CLP patients under 13 suggest their sphenoid sinus development is similar to that of healthy individuals. Understanding these variations is crucial for appropriate surgical planning and avoiding complications during transsphenoidal surgery.

show abstract

Cone-Beam Computed Tomographic Assessment of Maxillary Sinus Characteristics in Patients With Cleft Lip and Palate: A Systematic Review and Meta-Analysis

Cited by 4 publications

References 33 publications

Evidence Mapping and Quality Analysis of Systematic Reviews on Various Aspects Related to Cleft Lip and Palate

Evidence Mapping and Quality Analysis of Systematic Reviews on Various Aspects Related to Cleft Lip and Palate

Sphenoid Sinus Volumes of Patients with Unilateral Cleft Lip and Palate

Evaluation of Sphenoid Sinus Variations in Cleft Lip and Palate Patients: A Comprehensive Cone Beam Computed Tomography Analysis

Contact Info

Product

Resources

About