Treatment Outcome for Children Born with Cleft Lip and Palate

Author(s):  
Jonathan Sandy ◽  
Nicky Kilpatrick ◽  
Anthony Ireland
2011 ◽  
Vol 22 (1) ◽  
pp. 333-336 ◽  
Author(s):  
Stacey L. Clark ◽  
John F. Teichgraeber ◽  
Ruth G. Fleshman ◽  
Joi D. Shaw ◽  
Carmen Chavarria ◽  
...  

2005 ◽  
Vol 42 (1) ◽  
pp. 83-92 ◽  
Author(s):  
Gunvor Semb ◽  
Viveca Brattström ◽  
Kirsten Mølsted ◽  
Birte Prahl-Andersen ◽  
Petra Zuurbier ◽  
...  

Objective To assess patient/parent satisfaction with the treatment they had received from their respective teams, and to explore interrelationships between satisfaction, objectively rated outcome, and the burden of care. Design This study reports cross-sectional data as part of the overall longitudinal cohort study reported in the other four papers of this series. Setting Multidisciplinary cleft services in Northern Europe. Subjects 127 consecutively treated 17-year-olds with repaired complete unilateral cleft lip and palate and their parents. Main Outcome Measure Patient/parent satisfaction. Results Generally, there was a high level of patient/parent satisfaction. There were no relationships among satisfaction, objectively rated outcomes, and the amount of care. Conclusions This study highlights various challenges involved in questionnaire surveys into patient/parent satisfaction, and underlines the need for collective efforts to improve our understanding of this issue.


2018 ◽  
Vol 55 (5) ◽  
pp. 682-687 ◽  
Author(s):  
Anas Imran Arshad ◽  
Mohammad Khursheed Alam ◽  
Mohammad Fadhli Khamis

Objectives: The aim of this study is to assess the treatment outcome of complete unilateral cleft lip and palate (CUCLP) patients using modified Huddart/Bodenham scoring system (MHB). To determine whether there is an association of congenital and postnatal factors with the treatment outcome. Design: Retrospective observational study. Setting: Two regional cleft-referral centers. Main Outcome Measures: In the current study, 101 pairs of dental models of non-syndromic CUCLP patients were retrieved from hospital archives. Each occlusal relationship from central incisor till the first permanent molars were scored except the lateral incisor. Sum of 10 occlusal relationships in each study sample gave a total occlusion score. The primary outcome was the mean total occlusion score. Results: According to MHB, a mean (standard deviation) total occlusion score of –8.92 (6.89) was determined. Based on treatment outcome, 66 cases were favorable (grades 1, 2, and 3) and 35 cases were unfavorable (grades 4 and 5). Chi-square tests indicated, difference of cheiloplasty ( P = .001) and palatoplasty ( P < .001) statistically significant. Five variables—gender, family history of cleft, cleft side, cheiloplasty, and palatoplasty—were analyzed with a logistic regression model. Conclusions: Final model indicated that cases treated with modified Millard technique (cheiloplasty) and Veau-Wardill-Kilner method (palatoplasty) had higher odds of unfavorable treatment outcome.


2011 ◽  
Vol 48 (4) ◽  
pp. 455-461 ◽  
Author(s):  
Theodosia Bartzela ◽  
Charlotte Leenarts ◽  
Ewald Bronkhorst ◽  
Wilfred Borstlap ◽  
Christos Katsaros ◽  
...  

Author(s):  
Mohammad Khursheed Alam ◽  
Sanjida Haque ◽  
Takashi S. Kajii ◽  
Yoshiaki Sato ◽  
Mohd Fadhli Khamis ◽  
...  

2017 ◽  
Vol 26 (2) ◽  
pp. 195-202
Author(s):  
Mazida Najwa Md. Zin ◽  
Mohammad Khursheed Alam ◽  
Sanjida Haque ◽  
Tohru Imanishi ◽  
Jin Toriya ◽  
...  

2005 ◽  
Vol 42 (1) ◽  
pp. 69-77 ◽  
Author(s):  
Viveca Brattström ◽  
Kirsten Mølsted ◽  
Birte Prahl-Andersen ◽  
Gunvor Semb ◽  
William C. Shaw

Objective To compare craniofacial morphology and nasolabial appearance up to age 17 in individuals with repaired complete unilateral cleft lip and palate (UCLP) treated at five European centers. Design Longitudinal cohort study. Setting Multidisciplinary cleft services in Northern Europe. Subjects 127 consecutively treated individuals with repaired complete UCLP. Main outcome measures Cephalometric variables, 14 angular and 2 ratio variables, and panel ratings of nasolabial appearance, 4 variables. Results The results revealed that at ages 12 and 17, two centers had a flatter profile (gs-sn-pgs) and retrognathic maxilla (sss-ns-sms). Additionally, one of the two centers had increased lower face height. Ratings of nasolabial appearance showed more similarity between the centers. Conclusion The results confirm that systematic differences in craniofacial morphology and nasolabial appearance may occur between different cleft centers, but do not allow specific caused factors to be identified.


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