A CIRURGIA ORTOGNÁTICA COMO TRATAMENTO SECUNDÁRIO EM PACIENTES COM FISSURAS LABIOPALATINAS: Uma revisão integrativa

Abstract

Cleft lip and cleft palate (CLP) is the most common craniofacial anomaly worldwide and can influence maxillary growth, leading to midface hypoplasia. Various therapies are proposed for managing this condition, including orthodontic interventions, conventional orthognathic surgery (CO), and/or distraction osteogenesis (DO) to achieve functional and aesthetic outcomes and improve the quality of life for affected individuals. This is an integrative literature review on orthognathic surgery as a surgical approach to address secondary clinical features in patients with cleft lip and palate. The research was conducted using databases such as Cochrane Library, Embase, PubMed (MEDLINE), Lilacs, and SciElo, with indexed descriptors from DeCS/MeSH, considering studies published between 2019 and 2024 in Portuguese, English, and Spanish. Based on preliminary analysis, 26 articles were selected for full reading, including primary studies and reference books on the topic. Ultimately, 13 studies were included due to their relevance to the research focus. It is concluded that the use of CO and DO techniques is effective for the surgical management of cleft patients, necessitating surgical planning and evaluation of the effects of different surgeries on CLP patients.