Burden of Care of Various Infant Orthopedic Protocols for Improvement of Nasolabial Esthetics in Patients With CUCLP

Author:

Singer Emily1,Daskalogiannakis John12,Russell Kathy A.34,Mercado Ana M.5,Hathaway Ronald R.6,Stoutland Alicia78,Long Ross E.89,Fessler Jennifer8,Semb Gunvor1011,Shaw William C.12

Affiliation:

1. Department of Orthodontics, University of Toronto, Toronto, Ontario, Canada

2. Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada

3. Division of Orthodontics, Dalhousie University, Halifax, Nova Scotia, Canada

4. Cleft Palate Team, IWK Health Centre, Halifax, Nova Scotia, Canada

5. Division of Orthodontics, Ohio State University, Columbus, OH, USA

6. Craniofacial Centre, Peyton Manning Children’s Hospital at St. Vincent, Indianapolis, IN, USA

7. Albert Einstein Medical Center, Philadelphia, PA, USA

8. Lancaster Cleft Palate Clinic, PA, USA

9. Department of Surgery, Penn State University College of Medicine, Lancaster, PA, USA

10. Oslo Cleft Team, Department of Plastic Surgery, University of Oslo, Oslo, Norway

11. Senior Lecturer in Craniofacial Anomalies, University of Manchester, Manchester, UK

12. Orthodontics and Dentofacial Development, University of Manchester, Manchester, UK. Singer is in private practice, Whitby, ON, Canada. Hathaway is now with Craniofacial and Surgical Orthodontics, Division of Craniofacial Plastic and Reconstructive Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA. Stoutland is in private practice, Philadelphia, PA, USA.

Abstract

Objectives: 1. To evaluate the orthodontic burden of care of nasoalveolar molding (NAM) and modified McNeil for the treatment of patients with complete unilateral cleft lip and palate (CUCLP). 2. To compare the esthetic outcomes of each with those of centers not utilizing infant orthopedics (IO). Design: Retrospective cohort study. Setting: Institutional. Participants: Four cohorts with repaired CUCLP (n = 149) from 3 centers. Interventions: Two cohorts were treated in the same center and had either traditional infant orthopedics (TIO) or NAM and 2 were treated in centers not employing IO. Main Outcome Measures: Burden of care data for the IO groups were compared using t tests. Frontal and profile photographs at approximately age 5 were collected for ratings of nasolabial esthetics, using a modification of the Asher-McDade method. Intrarater and interrater reliabilities were determined using weighted κ statistics. Median ratings were compared using a Kruskal-Wallis test. Results: The burden of care of NAM was significantly greater than TIO for both the number of visits (9.9 vs 6.6, [ P < .001]); and treatment duration (127 vs 112 days, [ P < .05]). Significant differences in nasolabial esthetic ratings were noted among the 3 centers. No significant differences were observed in the nasolabial esthetic outcomes between the NAM and TIO groups. Conclusions: 1. NAM required more visits and longer overall duration compared with TIO. 2. The center employing IO showed favorable nasolabial esthetics compared to those not utilizing IO. 3. No significant differences were found in the nasolabial esthetics of patients who have received NAM compared with TIO.

Funder

Trout Family Trust, Lancaster, PA

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Oral Surgery

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3