European Journal of Orthodontics, 2017, 1–1 doi:10.1093/ejo/cjx101 Letter to the Editor Reply Impact of adenotonsillectomy on the dentofacial development of obstructed children Dear Sir, diversity was furthermore present with regard to the methods of We would like to thank Prof. Linder-Aronson very much for the different studies. The studies that were included in the review his kind words regarding the design of our systematic review, were well executed and of high value. Nevertheless, the nature ‘Impact of adenotonsillectomy on the dentofacial development of of this type of aetiological studies does not allow a high quality obstructed children: a systematic review and meta-analysis’, that research setting and we found it necessary to mention this as well was published in the European Journal of Orthodontics 2017, on pp. 510 and 517. p. 509–518 (1). We are honoured with his comments, not only In our review, we have attempted to represent and respect the current because Prof. Linder-Aronson is a specialist in this field, but also evidence on the impact of adeno-/tonsillectomy on dentofacial develop- because many of the relevant articles in our review were (co-) ment in children. We do however believe that there is still more to learn authored by him. and think that the full scope of this subject is not yet completely clear. We agree with Prof. Linder-Aronson that the value of systematic That is why we have been cautious in phrasing the conclusions. reviews helps the reader to catch up with the present knowledge of We thank Prof. Linder-Aronson for his valuable comments and a topic. The purpose of our review was therefore to inform read- hope that this correspondence can contribute to clarify the conclu- ers about the current literature regarding the association between sions of the review. adeno- and/or tonsillectomy and dentofacial deformity in children (as stated in the introduction of our review). Subsequently, we have attempted to assess the body of evidence in order to provide a Conflict of interest nuanced interpretation to the readers. None declared. As stated in the review (pp. 509 and 517) and emphasized by Bibi Becking and Jop Verweij Prof. Linder-Aronson in his letter, several similar studies show Richard van Merkesteyn consistent patterns after surgery in obstructed children. These pat- Leiden University Medical Center the Netherlands terns include normalization of upper and lower incisor inclination, transverse dental improvement, and normalization of the horizontal mandibular growth pattern. In the review, we were able to pool the Reference quantitative data of the ML-SNL measurements showing horizontal 1. Becking, B.E., Verweij, J.P., Kalf-Scholte, S.M., Valkenburg, C., Bakker, catch-up growth after adeno-/tonsillectomy (p. 516). E.W.P. and van Merkesteyn, J.P.R. (2017) Impact of adenotonsillectomy We did, however, also find considerable diversity, especially in on the dentofacial development of obstructed children: a systematic review the intra-oral orthodontic outcomes of the different studies. Great and meta-analysis. European Journal of Orthodontics, 39, 509–518. © The Author(s) 2018. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: firstname.lastname@example.org Downloaded from https://academic.oup.com/ejo/advance-article-abstract/doi/10.1093/ejo/cjx101/4823018 by Ed 'DeepDyve' Gillespie user on 12 July 2018
The European Journal of Orthodontics – Oxford University Press
Published: Jan 24, 2018
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