Analysis of Dental Arch Relationships in Swedish Unilateral Cleft Lip and Palate Subjects: 20-Year Longitudinal Consecutive Series Treated with Delayed Hard Palate Closure
| Autor: | Anna Elander, Puneet Batra, Catharina Hagberg, Hans Friede, Jan Lilja, Lars Enocson, Michael Mars, Emma Worrell |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Palate Hard medicine.medical_specialty Time Factors Adolescent Cleft Lip Dentistry Dental Occlusion 03 medical and health sciences 0302 clinical medicine medicine Humans Child 030223 otorhinolaryngology Orthodontics business.industry Dental occlusion Dental Models Retrospective cohort study 030206 dentistry medicine.disease Models Dental Cleft Palate Plastic surgery Dental arch Treatment Outcome medicine.anatomical_structure Otorhinolaryngology Child Preschool Cohort Hard palate Oral Surgery Malocclusion Epidemiologic Methods business |
| Zdroj: | The Cleft Palate-Craniofacial Journal. 43:606-611 |
| ISSN: | 1545-1569 1055-6656 |
| Popis: | Objective: To evaluate the dental arch relationships for a consecutive series from Goteborg, Sweden, who had delayed hard palate closure. Design: Retrospective study. Setting: Sahlgrenska University Hospital, Goteborg, Sweden. Patients: The dental study models of 104 consecutive unilateral cleft lip and palate subjects. The study cohort was born between 1979 and 1994. Longitudinal records were available at ages 5 (n = 94), 10 (n = 97), 16 (n = 59), and 19 years (n = 46). Five assessors rated models according to the GOSLON Yardstick on two separate occasions each. Interventions: These patients had been operated upon according to the Goteborg protocol of delayed hard palate closure (at age 8 years). Results: 85% of subjects were rated in groups 1 and 2 (excellent or very good outcome), 12% were rated in group 3 (satisfactory), and 3% were assigned to group 4 (poor). No patients presented in Group 5 (very poor). Weighted kappa statistics for double determination of Yardstick allocation for five assessors demonstrated values between .65 and .90 for interrater agreement (good/very good) and between .70 and .90 for intrarater agreement (very good). Conclusions: Delayed hard palate closure as practiced in Goteborg since 1979 has produced the best GOSLON Yardstick ratings in a consecutive series of patients ever recorded worldwide, since the Yardstick was first used in 1983. However, it is noteworthy that a new protocol has been introduced in Goteborg since 1994, in which hard palate closure is done at 3 years due to concerns regarding speech. |
| Databáze: | OpenAIRE |
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