Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

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

Research output: Contribution to journalJournal articleResearchpeer-review

  1. The Danish Scale for visual rating of massive weight loss body contours. Conceptualization and construct

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Patient-and observer-reported long-term scar quality of wide local excision scars in melanoma patients

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. ICG angiography in immediate and delayed autologous breast reconstructions: peroperative evaluation and postoperative outcomes

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Laser-assisted indocyanine green angiography in implant-based immediate breast reconstruction: a retrospective study

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. A core undergraduate curriculum in plastic surgery - a Delphi consensus study in Scandinavia

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. A Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 1. Planning and management

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 6. Dental arch relationships in 5 year-olds

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Kirsten Mølsted Pedersen
  • Kirsti Humerinta
  • Annelise Küseler
  • Pål Skaare
  • Haydn Bellardie
  • William Shaw
  • Agneta Linder-Aronson Karsten
  • Paul Kåre Sæle
  • Sara Rizell
  • Agneta Marcusson
  • Philip Eyres
  • Gunvor Semb
View graph of relations

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.

Original languageEnglish
JournalJournal of Plastic Surgery and Hand Surgery
Volume51
Issue number1
Pages (from-to)64-72
Number of pages9
ISSN2000-656X
DOIs
Publication statusPublished - Feb 2017

    Research areas

  • Journal Article

ID: 51559147