Abstract

Orofacial cleft deformities are prevalent congenital defects which can affect approximately 7.75 neonates out of every 10 000 live births.1 As these patients age, they receive surgical correction of their orofacial clefts, and subsequent midface hypoplasia is a commonly reported problem. Between institutions, the reported incidence of the surgical correction for midface hypoplasia varies drastically. The relationship between the need for orthognathic corrective surgery, the institution’s preferred surgical protocol, and threshold for orthognathic surgery remains unclear. Some institutions report orthognathic surgery rates as high as 70%.2 An improved understanding of the overall incidence of orthognathic surgery and treatment patterns is important to determine optimal treatment and standard of care for these patients.

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