Growth Outcomes Audit for Unilateral Cleft Lip and Palate (UCLP) After 2-stage Palate Repair

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorKURIMORI, Erika Tiemi
dc.contributor.authorGARIB, Daniela
dc.contributor.authorGRAZIADEI, Silvia Maria
dc.contributor.authorSATHLER, Renata
dc.contributor.authorDALBEN, Gisele da Silva
dc.contributor.authorLAURIS, Rita de Cassia Moura Carvalho
dc.contributor.authorSOUZA-BROSCO, Telma Vidoto
dc.contributor.authorNOBREGA, Eudes Soares de Sa
dc.contributor.authorALONSO, Nivaldo
dc.contributor.authorTONELLO, Cristiano
dc.contributor.authorOZAWA, Terumi Okada
dc.date.accessioned2024-04-05T19:26:53Z
dc.date.available2024-04-05T19:26:53Z
dc.date.issued2023
dc.description.abstractPurpose: 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 ?(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.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.description.sponsorshipThe authors thank all plastic surgeons, orthodontists, participants of this study, and the whole interdisciplinary HRAC team for their valuable contribution to the present study. They also thank the Smile Train for their support and partnership.
dc.description.sponsorshipSmile Train
dc.identifier.citationJOURNAL OF CRANIOFACIAL SURGERY, v.34, n.6, p.1756-1759, 2023
dc.identifier.doi10.1097/SCS.0000000000009569
dc.identifier.eissn1536-3732
dc.identifier.issn1049-2275
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/58724
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINSeng
dc.relation.ispartofJournal of Craniofacial Surgery
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINSeng
dc.subjectCUCLPeng
dc.subjectdental arch relationshipeng
dc.subjectmaxillary growtheng
dc.subjectvomerine flapeng
dc.subject.otherscandcleft randomized-trialseng
dc.subject.otherdental arch relationshipseng
dc.subject.otherprimary surgeryeng
dc.subject.otherfacial growtheng
dc.subject.otherhard palateeng
dc.subject.othervomer flapeng
dc.subject.otherpalatoplastyeng
dc.subject.otherocclusioneng
dc.subject.otherprotocolseng
dc.subject.otherchildreneng
dc.subject.wosSurgeryeng
dc.titleGrowth Outcomes Audit for Unilateral Cleft Lip and Palate (UCLP) After 2-stage Palate Repaireng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalKURIMORI, Erika Tiemi:Univ Sao Paulo, Bauru Dent Sch, Dept Orthodont, Bauru, SP, Brazil
hcfmusp.author.externalGARIB, Daniela:Univ Sao Paulo, Bauru Dent Sch, Dept Orthodont, Bauru, SP, Brazil; Univ Sao Paulo, Dept Orthodont, Hosp Rehabil Craniofacial Anomalies, Bauru, SP, Brazil
hcfmusp.author.externalGRAZIADEI, Silvia Maria:Univ Sao Paulo, Dept Orthodont, Hosp Rehabil Craniofacial Anomalies, Bauru, SP, Brazil
hcfmusp.author.externalSATHLER, Renata:Univ Sao Paulo, Dept Orthodont, Hosp Rehabil Craniofacial Anomalies, Bauru, SP, Brazil
hcfmusp.author.externalDALBEN, Gisele da Silva:Univ Sao Paulo, Dept Pedriat Dent, Hosp Rehabil Craniofacial Anomalies, Bauru, SP, Brazil
hcfmusp.author.externalLAURIS, Rita de Cassia Moura Carvalho:Univ Sao Paulo, Dept Orthodont, Hosp Rehabil Craniofacial Anomalies, Bauru, SP, Brazil
hcfmusp.author.externalSOUZA-BROSCO, Telma Vidoto:Univ Sao Paulo, Dept Plast Surg, Hosp Rehabil Craniofacial Anomalies, Bauru, SP, Brazil
hcfmusp.author.externalNOBREGA, Eudes Soares de Sa:Univ Sao Paulo, Dept Plast Surg, Hosp Rehabil Craniofacial Anomalies, Bauru, SP, Brazil
hcfmusp.author.externalTONELLO, Cristiano:Univ Sao Paulo, Med Sch, Bauru, SP, Brazil
hcfmusp.author.externalOZAWA, Terumi Okada:Univ Sao Paulo, Dept Orthodont, Hosp Rehabil Craniofacial Anomalies, Bauru, SP, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcNIVALDO ALONSO
hcfmusp.description.beginpage1756
hcfmusp.description.endpage1759
hcfmusp.description.issue6
hcfmusp.description.volume34
hcfmusp.origemWOS
hcfmusp.origem.dimensionspub.1163121323
hcfmusp.origem.pubmed37552130
hcfmusp.origem.scopus2-s2.0-85169183539
hcfmusp.origem.wosWOS:001059187900066
hcfmusp.publisher.cityPHILADELPHIAeng
hcfmusp.publisher.countryUSAeng
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