Comparison of the Basal View and a Previously Standardized Cleft Lip Rating Scale

Klein, Gabriel; Dhawan, Arjun; Laskowski, Robert A.; Peredo, Andrew; Kelly, Raymond P.; Gelfand, Mark A; Khan, Sami U.; Bui, Dui T.; Dagum, A.B.

doi:10.1177/1055665618767422

Cited by 2 publications

(2 citation statements)

References 17 publications

(20 reference statements)

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“…34 The scale also does not take the basal view of the nose and the quality of scar into consideration. 35,36 It is imperative to note that the AMR is a 5-point ordinal scale. 14 Therefore, a statistical difference of less than 1 AMR score between groups may not translate to a clinically significant difference.…”

Section: Discussionmentioning

confidence: 99%

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Effects of nasoalveolar molding on nasolabial aesthetics in patients with cleft lip and palate during pre‐adolescence: A systematic review and meta‐analysis of retrospective studies

Likitkulthanaporn,

Boonpratham,

Honglertnapakul

et al. 2024

Orthod Craniofacial Res

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This study aims to analyze long‐term effects of nasoalveolar molding (NAM) as a part of cleft primary management protocols on nasolabial aesthetics for patients with non‐syndromic cleft lip and palate by conducting a systematic review and meta‐analysis. Six electronic databases and two journals were searched up to July 2023. Studies comparing nasolabial outcomes between NAM and non‐NAM protocols were selected for further analysis. Nasolabial aesthetics were the outcome of interest. Data extraction, methodological quality assessment, risk of bias assessment, meta‐analysis and subgroup analysis were performed. Seven retrospective cohort studies were selected for a qualitative review and four for a quantitative analysis. The risk of bias assessment was moderate for most studies. Only studies utilizing the Asher‐McDade rating (AMR) were included for meta‐analyses. The protocols with NAM exhibited a significantly lower AMR score for vermillion border than other protocols. AMR scores for nasal form and nasal symmetry from protocols with NAM were significantly lower than protocols without any pre‐surgical infant orthopaedics (PSIO) but not significantly different from protocols with other PSIO techniques. The AMR score for nasolabial profile from protocols with NAM was not significantly different from other protocols. However, subgroup analysis demonstrated that protocol combining NAM and primary rhinoplasty significantly lowered AMR scores for nasal form, nasal symmetry and nasolabial profile. For patients with unilateral cleft lip with or without palate (UCLP), this study found that a protocol combining NAM and primary rhinoplasty improved nasolabial outcomes while a protocol with NAM alone offered only limited benefits. For patients with BCLP, the available evidence remains inconclusive. Performing NAM in combination with primary rhinoplasty improves nasolabial aesthetics in patients with UCLP. PROSPERO (CRD4202128384).

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Section: Discussionmentioning

confidence: 99%

“…In addition to the quality of photographs, the AMR score could be influenced by the rater's experience and background 34 . The scale also does not take the basal view of the nose and the quality of scar into consideration 35,36 . It is imperative to note that the AMR is a 5‐point ordinal scale 14 .…”

Section: Discussionmentioning

confidence: 99%

Effects of nasoalveolar molding on nasolabial aesthetics in patients with cleft lip and palate during pre‐adolescence: A systematic review and meta‐analysis of retrospective studies

Likitkulthanaporn,

Boonpratham,

Honglertnapakul

et al. 2024

Orthod Craniofacial Res

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Evaluation of a Novel Objective Method for The Assessment of Nasal Symmetry Among Patients with Unilateral Cleft Lip

Ezra,

Bar Droma,

Baransi

et al. 2023

The Cleft Palate Craniofacial Journal

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Objective This is a cross sectional study aimed to asses novel semi objectve compter assisted method to asses the symmetry amog unilateral cleft lip patients. Design using Standard inferior view nose photos that were uploaded to Digimizer© Version 4.6.1 (2005–2016 MedCalc Software) Image Analysis, symmetry percentage was calculated and compared between cleft and non-cleft neonates. This method was compared to two subjective methods of rating symmetry. Setting This a cross sectional pilot study performed in the Univresity Medical Center using standard inferior views of unilateral cleft patients which were compared to non-cleft neonates. Patients Photographs of 71 neonates with unilateral complete and incomplete cleft lip and 30 neonates without facial cleft, which were born at the university medical center, Beer Sheba, Israel, were analyzed in a standard manner to determine nasal symmetry. Main measures the novel method proposed produced a nominal value for percentage of symmetry. Results Using Pearson's correlation test we found intra-rater reliability of 91.2% (p < 0.001) and Inter-rater reliability of 82.9% (p < 0.001). The analysis correlated with the surgeons subjective scores in both the numerical ranking method at 73% (p < 0.001) and 72.6% (p < 0.001) and the Ordinal ranking method at 87.6% (p < 0.001) and 77.7% (p < 0.001). The ability of the method to discriminate healthy from Cleft Lip patients overall was 92.3% With high sensitivity and specificity. Conclusions This method accurately distinguishes healthy patients from cleft lip patients. We have achieved High levels of inter and intra-rater reliability. Significant correlations were found between our semiobjective method and the subjective scores.

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Comparison of the Basal View and a Previously Standardized Cleft Lip Rating Scale

Cited by 2 publications

References 17 publications

Effects of nasoalveolar molding on nasolabial aesthetics in patients with cleft lip and palate during pre‐adolescence: A systematic review and meta‐analysis of retrospective studies

Effects of nasoalveolar molding on nasolabial aesthetics in patients with cleft lip and palate during pre‐adolescence: A systematic review and meta‐analysis of retrospective studies

Evaluation of a Novel Objective Method for The Assessment of Nasal Symmetry Among Patients with Unilateral Cleft Lip

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