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Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 8. Assessing naso-labial appearance in 5-year-olds - a preliminary study

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Pedersen, KM, Humerinta, K, Küseler, A, Skaare, P, Bellardie, H, Shaw, W, Karsten, AL-A, Kåre Sæle, P, Rizell, S, Marcusson, A, Eyres, P & Semb, G 2017, 'Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 8. Assessing naso-labial appearance in 5-year-olds - a preliminary study' Journal of Plastic Surgery and Hand Surgery, bind 51, nr. 1, s. 64-72. https://doi.org/10.1080/2000656X.2016.1266492

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Pedersen, Kirsten Mølsted ; Humerinta, Kirsti ; Küseler, Annelise ; Skaare, Pål ; Bellardie, Haydn ; Shaw, William ; Karsten, Agneta Linder-Aronson ; Kåre Sæle, Paul ; Rizell, Sara ; Marcusson, Agneta ; Eyres, Philip ; Semb, Gunvor. / Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate : 8. Assessing naso-labial appearance in 5-year-olds - a preliminary study. I: Journal of Plastic Surgery and Hand Surgery. 2017 ; Bind 51, Nr. 1. s. 64-72.

Bibtex

@article{9207b49507e54de3908b724ad0f242aa,
title = "Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 8. Assessing naso-labial appearance in 5-year-olds - a preliminary study",
abstract = "BACKGROUND AND AIM: Facial appearance is one of the most relevant measures of success in cleft lip and palate treatment. The aim was to assess nasolabial appearance at 5 years of age in all children in the project. In this part of the project the local protocol for lip closure continued to be used because the primary lip and nose operations were not part of the randomisation. The great majority of the surgeons used Millard's technique together with McComb's technique for the nose. One center used Tennison-Randalls technique and in one center the centers own technique as well as nose plugs were used.METHODS: Three hundred and fifty-nine children participated in this part of the project. Standardised photos according to a specific protocol developed for the Scandcleft project were taken. Only the nasolabial area was shown, the surrounding facial features were masked. Three components were scored using a 5-point ordinal scale. A new developed Scandcleft Yardstick was used.RESULTS: The reliability of the method was tested using the weighted kappa statistics. Both the interrater and intrarater reliability scores were good to very good. There were statistically significant differences between the three trials.CONCLUSION: The Millard procedure combined with McComb technique had been used in the majority of the cases in all three trials. There were statistically significant differences between the three trials concerning upper lip, nasal form, and cleft side profile.TRIAL REGISTRATION: ISRCTN29932826.",
keywords = "Journal Article",
author = "Pedersen, {Kirsten M{\o}lsted} and Kirsti Humerinta and Annelise K{\"u}seler and P{\aa}l Skaare and Haydn Bellardie and William Shaw and Karsten, {Agneta Linder-Aronson} and {K{\aa}re S{\ae}le}, Paul and Sara Rizell and Agneta Marcusson and Philip Eyres and Gunvor Semb",
year = "2017",
month = "2",
doi = "10.1080/2000656X.2016.1266492",
language = "English",
volume = "51",
pages = "64--72",
journal = "Journal of Plastic Surgery and Hand Surgery",
issn = "2000-656X",
publisher = "Informa Healthcare",
number = "1",

}

RIS

TY - JOUR

T1 - Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate

T2 - 8. Assessing naso-labial appearance in 5-year-olds - a preliminary study

AU - Pedersen, Kirsten Mølsted

AU - Humerinta, Kirsti

AU - Küseler, Annelise

AU - Skaare, Pål

AU - Bellardie, Haydn

AU - Shaw, William

AU - Karsten, Agneta Linder-Aronson

AU - Kåre Sæle, Paul

AU - Rizell, Sara

AU - Marcusson, Agneta

AU - Eyres, Philip

AU - Semb, Gunvor

PY - 2017/2

Y1 - 2017/2

N2 - BACKGROUND AND AIM: Facial appearance is one of the most relevant measures of success in cleft lip and palate treatment. The aim was to assess nasolabial appearance at 5 years of age in all children in the project. In this part of the project the local protocol for lip closure continued to be used because the primary lip and nose operations were not part of the randomisation. The great majority of the surgeons used Millard's technique together with McComb's technique for the nose. One center used Tennison-Randalls technique and in one center the centers own technique as well as nose plugs were used.METHODS: Three hundred and fifty-nine children participated in this part of the project. Standardised photos according to a specific protocol developed for the Scandcleft project were taken. Only the nasolabial area was shown, the surrounding facial features were masked. Three components were scored using a 5-point ordinal scale. A new developed Scandcleft Yardstick was used.RESULTS: The reliability of the method was tested using the weighted kappa statistics. Both the interrater and intrarater reliability scores were good to very good. There were statistically significant differences between the three trials.CONCLUSION: The Millard procedure combined with McComb technique had been used in the majority of the cases in all three trials. There were statistically significant differences between the three trials concerning upper lip, nasal form, and cleft side profile.TRIAL REGISTRATION: ISRCTN29932826.

AB - BACKGROUND AND AIM: Facial appearance is one of the most relevant measures of success in cleft lip and palate treatment. The aim was to assess nasolabial appearance at 5 years of age in all children in the project. In this part of the project the local protocol for lip closure continued to be used because the primary lip and nose operations were not part of the randomisation. The great majority of the surgeons used Millard's technique together with McComb's technique for the nose. One center used Tennison-Randalls technique and in one center the centers own technique as well as nose plugs were used.METHODS: Three hundred and fifty-nine children participated in this part of the project. Standardised photos according to a specific protocol developed for the Scandcleft project were taken. Only the nasolabial area was shown, the surrounding facial features were masked. Three components were scored using a 5-point ordinal scale. A new developed Scandcleft Yardstick was used.RESULTS: The reliability of the method was tested using the weighted kappa statistics. Both the interrater and intrarater reliability scores were good to very good. There were statistically significant differences between the three trials.CONCLUSION: The Millard procedure combined with McComb technique had been used in the majority of the cases in all three trials. There were statistically significant differences between the three trials concerning upper lip, nasal form, and cleft side profile.TRIAL REGISTRATION: ISRCTN29932826.

KW - Journal Article

U2 - 10.1080/2000656X.2016.1266492

DO - 10.1080/2000656X.2016.1266492

M3 - Journal article

VL - 51

SP - 64

EP - 72

JO - Journal of Plastic Surgery and Hand Surgery

JF - Journal of Plastic Surgery and Hand Surgery

SN - 2000-656X

IS - 1

ER -

ID: 51559147