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Growth Outcomes Audit for Unilateral Cleft Lip and Palate (UCLP) After 2-stage Palate Repair.
Kurimori, Érika Tiemi; Garib, Daniela; Graziadei, Silvia Maria; Sathler, Renata; Dalben, Gisele da Silva; Lauris, Rita de Cassia Moura Carvalho; Souza-Brosco, Telma Vidoto; Nobrega, Eudes Soares de Sá; Alonso, Nivaldo; Tonello, Cristiano; Ozawa, Terumi Okada.
Afiliación
  • Kurimori ÉT; Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru/SP, Brazil.
  • Garib D; Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru/SP, Brazil.
  • Graziadei SM; Departments of Orthodontics.
  • Sathler R; Departments of Orthodontics.
  • Dalben GDS; Departments of Orthodontics.
  • Lauris RCMC; Pedriatric Dentistry.
  • Souza-Brosco TV; Departments of Orthodontics.
  • Nobrega ESS; Plastic Surgery.
  • Alonso N; Plastic Surgery.
  • Tonello C; Craniofacial Surgery, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru/SP, Brazil.
  • Ozawa TO; Medicine School, University of São Paulo, Bauru/SP, Brazil.
J Craniofac Surg ; 34(6): 1756-1759, 2023 Sep 01.
Article en En | MEDLINE | ID: mdl-37552130
PURPOSE: To assess the impact of 1 and 2-stage palatoplasty protocol on the dental arch relationships in unilateral cleft lip and palate (UCLP) in a single center. METHODS: Our study consisted of 349 individuals divided into 2 groups according to the palatoplasty protocol. Two-stage group comprised 169 subjects with UCLP (mean age: 6.9 y, 110 male and 59 female) who underwent lip, nasal ala, and anterior palate repair with vomer flap from 3 to 6 months (first surgery stage). Soft palate repair occurred from 12 to 18 months (second surgery stage). The one-stage group comprised 180 subjects with UCLP (mean age: 7.2 y, 108 male and 72 female) who underwent 1-stage palatoplasty. Dental models were evaluated by 3 experienced orthodontists applying Goslon Yardstick and the 5-year-old index (FYOI). The influence of the palatoplasty technique and surgeon factor on the interarch relationship was evaluated. The weighted Kappa was used to assess intraexaminer and interexaminer agreements for comparisons of dental arch relationships. Intergroup comparisons were conducted using the χ 2 test ( P <0.05). RESULTS: The intraexaminer reliability was very good (0.81 to 0.98) and interexaminer reliability varied from satisfactory to very good (0.56 to 0.83). The mean occlusal index of the 2-stage and 1-stage groups was 2.77 and 3.03, respectively. The variability of the mean index between surgeons varied from 2.38 to 3.2 in the 2-stage group and 2.91 to 3.2 in the 1-stage group. There were significant differences in the frequency of Goslon 5 index ( P =0.002) between groups, with the 2-stage group presenting less cases (1.18%) than the group 1-stage (11.11%). CONCLUSION: The interarch relationship was similar for both palate repair protocols. Two-stage palatoplasty showed a decreased prevalence of Goslon index 5.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Labio Leporino / Fisura del Paladar Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J Craniofac Surg Asunto de la revista: ODONTOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Labio Leporino / Fisura del Paladar Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J Craniofac Surg Asunto de la revista: ODONTOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos