Which index should be used to measure primary surgical outcome for unilateral cleft lip and palate patients?

Jones, Thomas J.; Leary, Sam D; Atack, Nikki; Ireland, Tony; Sandy, Jonathan R

doi:10.1093/ejo/cjw013

Cited by 25 publications

(41 citation statements)

References 23 publications

(8 reference statements)

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“…For comparison, linear k were also calculated for stage 2 and demonstrated excellent agreement between examiners and time points (>0.84). This confirms excellent reproducibility of the modified 5-Year-Olds' Index, higher than that reported for other studies using the 5-Year-Olds' Index (Atack et al, 1997b;Chawla et al, 2012;Mikoya et al, 2014;Al-Ghatam et al, 2015;Jones et al, 2016).…”

Section: Use Of the Vassupporting

confidence: 84%

“…Should there be equal disagreement between the scores (ie, 2 scores of 4 and 2 scores of 5) or a range of scores (ie, 2, 3, 4, 4), the final score was determined by discussion between examiners 1 and 2 until the agreement was reached. The same process had been used in the previous scoring studies using the CCUK models by Al-Ghatam et al (2015) and Jones et al (2016).…”

Section: Methodsmentioning

confidence: 99%

“…The 5-Year-Olds’ Index was developed in the late 1990s to measure dentoalveolar outcomes at 5 years of age (Atack et al, 1997a) and has recently been recommended as the gold standard measure for surgical outcomes in UCLP at 5 years of age (Jones et al, 2016). The rationale being the only intervention children with UCLP would have had up until this point, that would influence the position of the teeth, would be primary surgery.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcome Measures in UCLP: The Modified 5-Year-Olds’-Index—Development and Reliability

Mittal

Ireland

Atack

et al. 2018

The Cleft Palate-Craniofacial Journal

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Section: Use Of the Vassupporting

confidence: 84%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Outcome Measures in UCLP: The Modified 5-Year-Olds’-Index—Development and Reliability

Mittal

Ireland

Atack

et al. 2018

The Cleft Palate-Craniofacial Journal

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“…The GOSLON Yardstick is a standard outcome assessment of the dental relationship used for those children with a complete unilateral cleft lip and palate (CUCLP) . The Baruru‐BCLP Yardstick was recently developed to assess the dental relationship for children with complete bilateral cleft lip and palate (CBCLP) in the deciduous (6 years old), mixed (9 years old) and permanent (12 years old) dentitions .…”

Section: Introductionmentioning

confidence: 99%

Dental arch relationship outcomes for children with complete unilateral and complete bilateral cleft lip and palate in New Zealand

Fowler

Keall

Kennedy

et al. 2019

Orthod Craniofacial Res

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Objectives: To evaluate dental arch relationships of patients with complete unilateral and complete bilateral cleft lip and palate (CUCLP/CBCLP) in New Zealand. Setting and sample population: Retrospective nationwide observational outcomes study involving 100 CUCLP and 32 CBCLP non-syndromic patients. Material and methods: Four calibrated assessors, blinded to the origin of the randomized digital models, used the GOSLON (UCLP) and the Bauru-BCLP (BCLP) Yardsticks and a 100 mm visual analogue scale (VAS) (UCLP&BCLP) to assess dental arch relationships. Weighted Kappa statistics were used to determine the intra-and inter-rater reliability for the GOSLON/Bauru-BCLP Yardsticks and correlations for the VAS.Results: Intra-rater reliability ranged from 0.57 to 0.88 (GOSLON), 0.62-0.84 (Bauru-BCLP) and 0.45-0.93 (VAS). Inter-rater reliability ranged from 0.62 to 0.86, (GOSLON), 0.48-0.75 (Bauru-BCLP) and 0.64-0.93 (VAS). Of the 100 CUCLP models, 46% had poor/very poor, 28% fair and 26% had good/very good dental arch relationships. Of the 32 CBCLP models, 37.5% were poor/very poor, 40.6% fair and 21.9% had good/ very good dental arch relationships. The mean CUCLP VAS score was 50.5 mm (SD 19.9 mm) whilst the mean CBCLP VAS score was 40.0 mm (SD 22.0 mm) and both showed a strong relationship with their respective Yardstick scorings.

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“…Estes procedimentos representam uma abordagem importante do protocolo reabilitador (SHI e LOSEE, 2015), pois procuram reconstituir o defeito anatômico resultando em reparo funcional e estético, além de possibilitar condições favoráveis para uma qualidade de vida satisfatória (FREITAS et al, 2012;JONES et al, 2016), com o mínimo de perturbação no potencial de crescimento dos arcos dentários (MORIOKA et al, 2018 (MIKOYA et al, 2015;TOME et al, 2016, REDDY et al, 2017.…”

Section: Introdução E Síntese Bibliográfica Introdução E Síntese Biblunclassified

Avaliação morfométrica 3D dos arcos dentários de crianças com fissura labiopalatina operados por diferentes técnicas cirúrgicas

Falzoni¹

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3D morphometric evaluation of the dental arches of children with cleft lip and palate submitted to different surgical techniques This study aimed to compare the dimensional alterations of the dental arches of children with unilateral complete cleft lip and palate before and after different techniques of primary plastic surgeries. The sample comprised 168 dental casts of children, divided into two groups, according to the performed surgical protocol: Group1 (G1)-children submitted to Millard' technique for lip closure at 3 months of age and Von Langenback's technique for palate closure at 12 months of age; Group 2 (G2)-children submitted to Millard' technique for lip closure and Hans Pichler's technique for anterior palate closure at 3 months of age; and Sommerlad's technique for posterior palate closure at 12 months of age. The dental arches were evaluated before the primary surgeries (T1), after the first phase of primary surgeries (T2), and one year after the second phase of primary surgeries (T3). The dental casts were digitized and measured by using the stereophotogrammetry software. The following distances of the dental arches were measured: intercanine (CC'), inter-tuberosity (TT'), anterior arch length (I-CC'), total arch length (I-TT'), anterior cleft width (PP'), posterior cleft width (UU'), area of greater palatal segments (PSgreater), area of smaller palatal segments (PSsmaller), cleft area (CA), and total area (TA). To analyze the intra-and interexaminer reproducibility, Interclass Correlation Coefficient (ICC) was used. Repeated measures ANOVA (followed by Tukey test or dependent t test) analyzed the intragroup comparison. Independent t test was used to verify the intergroup differences at the evaluated phases (p<0.05). Group 1 exhibited statistically significant differences for the following measurements: CC

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Which index should be used to measure primary surgical outcome for unilateral cleft lip and palate patients?

Cited by 25 publications

References 23 publications

Outcome Measures in UCLP: The Modified 5-Year-Olds’-Index—Development and Reliability

Outcome Measures in UCLP: The Modified 5-Year-Olds’-Index—Development and Reliability

Dental arch relationship outcomes for children with complete unilateral and complete bilateral cleft lip and palate in New Zealand

Avaliação morfométrica 3D dos arcos dentários de crianças com fissura labiopalatina operados por diferentes técnicas cirúrgicas

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