Eighteen-Year Follow-Up of 160 Consecutive Individuals Born With Unilateral Cleft Lip or Cleft Lip and Alveolus Treated by the Oslo Cleft Lip and Palate Team

Mandal, Emeline; Filip, Charles; Andersson, Maud Els-Marie; Øgaard, Bjørn

doi:10.1177/1055665618820753

Cited by 3 publications

(2 citation statements)

References 46 publications

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“…A retrospective cohort study including 220 child born with unilateral CL+A, concluded that the findings of this study provide a reference for morphologic variations in CL+A and insight into the surgical burden of care until the age of 18 years. These results are consistent with the results of our study on the influence of the management of cleft lip and palate on the quality of life of children and adolescents [38].…”

Section: Orofacial Functions and Quality Of Lifesupporting

confidence: 93%

Quality of Life in Adolescents with Cleft Lip and Palate

Elmouden¹,

Elgasmi²,

Ousehal³

2020

Current Treatment of Cleft Lip and Palate

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The cleft lip and palate (CLP) is the second most common congenital anomaly in the world; therefore, understanding the quality of life in children and adolescents with this malformation is extremely important. The study of the quality of life in this population is based on how the patient feels about his condition and how it affects his general well-being depending on the problems he may encounter concerning bone growth, phonation, speaking, facial appearance, and social relationship. As part of a descriptive survey, the aim was to assess and study the quality of life of patients with labio-palatal clefts operated and undergoing medical management, as well as the quality of life perceived by their parents to evaluate the family impact of this dysmorphia. According to the studies, teenagers had the lowest quality of life rates in the items: physical appearance and self-esteem, so the psychological support for patients and their families with multidisciplinary treatment that meets standards, are the keys to improving the quality of life of this category of patients.

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Section: Orofacial Functions and Quality Of Lifesupporting

confidence: 93%

Quality of Life in Adolescents with Cleft Lip and Palate

Elmouden¹,

Elgasmi²,

Ousehal³

2020

Current Treatment of Cleft Lip and Palate

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“…This may have several important ramifications on and nasolabial aesthetic outcomes. However, it is important to note that other studies that have based ‘severity’ on involvement of the palate in the cleft and completeness of the cleft, rather than lip tissue hypoplasia have not replicated the findings by Chong et al 28–30 …”

Section: Discussionmentioning

confidence: 96%

Should left‐ and right‐sided unilateral cleft lip and palate patients be grouped together when reporting the outcomes?

Al‐Hassani,

Fowler,

Wren

et al. 2024

Orthod Craniofacial Res

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ObjectivesInvestigate associations between cleft laterality in patients with non‐syndromic unilateral cleft lip and palate (UCLP) and oral‐health, dental‐arch, speech, audiological, psychological and nasolabial‐aesthetic outcomes.MethodsSecondary data analysis of the outcomes of 5‐year‐old children with non‐syndromic complete UCLP identified from three studies: Cleft Collective (n = 155), Cleft Care UK (CCUK) (n = 266) and Clinical Standards Advisory Group (CSAG) study (n = 238). Outcome measures included occlusal assessment using the 5‐year‐old's index score, speech intelligibility rating using the CAPS‐A Audit tool, audiological assessment using pure tone audiometry, nasolabial aesthetic assessment using the Asher‐McDade tool, oral‐health assessment using decayed, missing, filled teeth scores and parent‐reported outcomes. Logistic regression with adjustment for age, sex and index‐of‐multiple‐deprivation scores were performed.ResultsNo differences were found in patient‐reported outcomes between the left and right clefts in the Cleft Collective study. From the CCUK study, right clefts had poorer speech (n = 236; 95% CI 1.09, 3.42; and P = .03) and hearing outcomes (n = 211; 95% CI 1.03, 3.43; P = .04). In the CSAG study, patients with left clefts were more likely to be teased (n = 213; 95% CI 0.26, 0.85; and P = .01).ConclusionWeak associations between cleft laterality, speech, hearing and psychological outcomes were found, however the findings were inconsistent across the studies. This study contributes to evidence of associations between laterality and outcomes in children born with UCLP.

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Cleft Laterality Dental Arch Relationship Outcomes for Children with Unilateral Cleft Lip and Palate in New Zealand

Fowler,

Keall,

Kennedy

et al. 2024

The Cleft Palate Craniofacial Journal

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Objectives To investigate cleft laterality dental arch relationship outcomes of children with non-syndromic complete unilateral cleft lip and palate (UCLP) in New Zealand. Design A retrospective nationwide study. Settings Virtual 3D orthodontic study models collected prior to undertaking secondary alveolar bone grafting. Participants A total of 104 patients with UCLP (L = 80: R = 24). Outcome measures Four calibrated assessors used the GOSLON Yardstick and 100 mm Visual Analogue Scale (VAS) to score the randomised models on 2 separate assessment sessions. Weighted Kappa were used to determine the intra/inter-rater reliability for the GOSLON and correlations for the VAS. Results Intra-rater reliability ranged from 0.57-0.88 (GOSLON) and 0.45-0.93 (VAS). Inter-rater reliability ranged from 0.62-0.86 (GOSLON) and 0.64-0.93 (VAS). GOSLON scores for the left UCLP were 31.2% for good/very good; 26.3% for fair; 42.5% for poor/very poor while the right UCLP scored 8.3% for good/very good; 37.5% for fair; 54.2% for poor/very poor. The mean VAS for left and right UCLP were 53.4 (sd 22.5) and 44.6 (sd 17.1) respectively. Neither the GOSLON nor VAS differences reached statistical significance (both P = .08). Conclusions From a clinical perspective right UCLP had worse dental arch relationship outcomes, however, these differences failed to reach statistical significance. Further studies using larger sample sizes are required to determine if cleft laterality is an important consideration when investigating UCLP dental arch outcomes.

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Eighteen-Year Follow-Up of 160 Consecutive Individuals Born With Unilateral Cleft Lip or Cleft Lip and Alveolus Treated by the Oslo Cleft Lip and Palate Team

Cited by 3 publications

References 46 publications

Quality of Life in Adolescents with Cleft Lip and Palate

Quality of Life in Adolescents with Cleft Lip and Palate

Should left‐ and right‐sided unilateral cleft lip and palate patients be grouped together when reporting the outcomes?

Cleft Laterality Dental Arch Relationship Outcomes for Children with Unilateral Cleft Lip and Palate in New Zealand

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