Cleft Palate-Craniofacial Journal最新文献

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Correlation between Cleft Width and Adjacent Teeth Inclination in Patients with Unilateral Cleft Lip and Palate Using CBCT: A Retrospective Study. 使用 CBCT 对单侧唇腭裂患者的裂隙宽度与邻牙倾斜度之间的相关性进行回顾性研究。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-06-01 Epub Date: 2024-02-28 DOI: 10.1177/10556656241236532
Reham Khaled Tayyar, Tarek Z Khattab
{"title":"Correlation between Cleft Width and Adjacent Teeth Inclination in Patients with Unilateral Cleft Lip and Palate Using CBCT: A Retrospective Study.","authors":"Reham Khaled Tayyar, Tarek Z Khattab","doi":"10.1177/10556656241236532","DOIUrl":"10.1177/10556656241236532","url":null,"abstract":"<p><p>ObjectivesTo evaluate buccolingual and mesiodistal inclination of cleft-adjacent maxillary permanent central incisors (U1) and canines (U3) in patients with unilateral cleft lip and palate (UCLP) in the late mixed dentition and to investigate the correlation between the alveolar cleft width and cleft-adjacent teeth inclination using cone beam computed tomography (CBCT).DesignObservational cross-sectional retrospective study.SettingDepartment of Orthodontics, Hama University Dental School.Patients32 patients with UCLP (22 boys, 10 girls; mean age = 10.53 ± 1.51 years).Main Outcome MeasureBuccolingual and mesiodistal inclination of maxillary central incisors and canines were measured on both sides. Then, the cleft and non-cleft sides were compared using the Wilcoxon signed-rank test. Pearson's correlation was used to explore the association between the alveolar cleft width and cleft-adjacent U1 and U3 buccolingual and mesiodistal inclination.ResultsThe cleft-adjacent central incisors were significantly inclined lingually and distally compared with their non-cleft antimeres (<i>P</i> = .003, <i>P</i> < .001, respectively). The cleft-adjacent canines were significantly inclined buccally and mesially compared with their non-cleft antimeres (<i>P</i> < .001, for both). A positive correlation was found between the buccolingual inclination of cleft-adjacent U1 and the alveolar cleft width (<i>r</i> = 0.49, <i>P</i> = .004).ConclusionsPatients with UCLP demonstrated a significant lingual and distal inclination of cleft-adjacent U1 and a significant buccal and mesial inclination of cleft-adjacent U3. The buccolingual inclination of cleft-adjacent U1 tends to increase with increasing the alveolar cleft width; however, the correlation was weak.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1032-1038"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preoperative Velopharyngeal Closure Predicts Hypernasality Outcomes of Secondary Furlow Double-Opposing Z-Plasty. 术前伶仃闭合可预测二次Furlow双闭合Z成形术的低哮鸣音结果
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-06-01 Epub Date: 2024-03-14 DOI: 10.1177/10556656241237422
Kayla Prezelski, Carolyn Kim, Jeyna Perez, Cortney Vant Slot, Alex A Kane, James R Seaward
{"title":"Preoperative Velopharyngeal Closure Predicts Hypernasality Outcomes of Secondary Furlow Double-Opposing Z-Plasty.","authors":"Kayla Prezelski, Carolyn Kim, Jeyna Perez, Cortney Vant Slot, Alex A Kane, James R Seaward","doi":"10.1177/10556656241237422","DOIUrl":"10.1177/10556656241237422","url":null,"abstract":"<p><p>ObjectiveTo determine if preoperative velopharyngeal closure percentage (VCP) is predictive of successful Furlow double opposing Z-plasty (DOZP) and subsequently determine the optimal velopharyngeal closure cutoff for successful DOZP.DesignRetrospective studySettingTertiary academic centerPatients110 patients with repaired cleft lip and palate having hypernasality treated with DOZPInterventionsSpeech videofluoroscopy images were used to obtain the preoperative VCP and other measurements.Main Outcome MeasuresChanges in hypernasality scores using the Cleft Audit Protocol for Speech-Augmented-Americleft Modification (CAPS-A-AM) rating system were used as the primary outcome measure. A successful DOZP was defined as a postoperative hypernasality score of ≤ 1 or an improvement of 2 or more scores from baseline. A receiver operating characteristic (ROC) curve was calculated to determine preoperative VCP cutoff.ResultsThere were 110 patients who underwent DOZP for treatment of velopharyngeal insufficiency. Of these patients, 94 (85%) had successful surgery as determined by their postoperative CAPS-A-AM hypernasality score. Preoperative VCP was a statistically significant predictor of successful DOZP (<i>P</i> < .0001). The ROC curve with Youden index (J) determined a cutoff (c*) of 55% preoperative VCP or greater to optimize surgical success rate. Grouping by preoperative VCP showed that surgical success increases directly with preoperative VCP, and patients with low VCP had above a 50% success rate in reducing hypernasality scores.ConclusionsPreoperative VCP was significantly associated with improved hypernasality ratings postoperatively. A preoperative VCP of ≥55% may be used to help predict success of Furlow palatoplasty treatment. Patients with lower VCP can still benefit from secondary DOZP.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1023-1031"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Presurgical Infant Orthopedic Videos on YouTube™: A Thematic Analysis of Caregiver Narratives. YouTube™ 上的婴儿矫形手术前视频:护理人员叙述的专题分析。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-06-01 Epub Date: 2024-02-23 DOI: 10.1177/10556656241233115
Raed Alrubaiaan, Bhavana Nair, Fatemeh Amir-Rad, May Aljanahi, Vijay Kumar S, Sabarinath Prasad
{"title":"Presurgical Infant Orthopedic Videos on YouTube™: A Thematic Analysis of Caregiver Narratives.","authors":"Raed Alrubaiaan, Bhavana Nair, Fatemeh Amir-Rad, May Aljanahi, Vijay Kumar S, Sabarinath Prasad","doi":"10.1177/10556656241233115","DOIUrl":"10.1177/10556656241233115","url":null,"abstract":"<p><p>ObjectiveInformation regarding how caregivers cope when using presurgical infant orthopedic (PSIO) appliances is sparse. This study aimed to understand caregivers' perspectives and experiences with contemporary PSIO treatment.DesignPSIO videos shared on the YouTube™ platform were used as the data source. Videos with caregivers were identified (n = 21) and portions with caregiver narratives were transcribed. This was followed by the application of a six-step thematic analysis as conceptualized by Braun and Clarke (2006, 2019).ResultsTwo themes were identified from the caregiver narratives in the PSIO videos. The Family Journey theme included reaction to diagnosis, choice of center, burden of care, care commitment, coping, and testimonials. The Information theme included PSIO techniques and PSIO benefits.ConclusionMultifaceted challenges and coping strategies were described by caregivers during the PSIO phase. Caregivers remained committed to treatment despite the burden of care, were motivated by an understanding of the benefits of PSIO, and customized care based on their individual strengths and needs. Study results can help providers gain an understanding of what caregivers experience outside the clinical environment.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"921-931"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overjet in Infants: A Cross-Sectional Study. 婴儿的牙齿过度前突:横断面研究
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-06-01 Epub Date: 2024-02-23 DOI: 10.1177/10556656241235030
Mohamed El-Rabbany, Ryan Shargo, Pat Ricalde
{"title":"Overjet in Infants: A Cross-Sectional Study.","authors":"Mohamed El-Rabbany, Ryan Shargo, Pat Ricalde","doi":"10.1177/10556656241235030","DOIUrl":"10.1177/10556656241235030","url":null,"abstract":"<p><p><i>Objective</i>The purpose of this study was to determine the normal ranges for overjet in healthy infants under 12 months of age.<i>Design</i>A cross sectional study of consecutive patients below 12 months of age.<i>Setting</i>The study was conducted at a private practice in Tampa, FL that specializes in pediatric craniomaxillofacial disorders.<i>Patients</i>All patients under the age 12 months were considered for entry into the study. Patients were excluded if they had temporomandibular joint pathology, sleep disordered breathing, facial trauma, or were diagnosed with a craniofacial anomaly.<i>Interventions</i>Measures of overjet, defined as the distance between the anterior surfaces of the alveolar ridges when in centric relation, were obtained.<i>Main Outcome Measure</i>The primary study outcome was the overjet of the enrolled patients.<i>Results</i>A total of 152 infants were included in this study. Of these, 51 were female, and 40 were born prematurely (ranging from 32-37 weeks of gestation). In neonates below 1 month of age, the mean overjet was 2.25 mm (95% CI 1.31-3.19). Multivariate linear regression analysis showed overjet to significantly decrease with age, at a mean rate of approximately 0.1 mm per month (coefficient of -0.09, 95% CI -1.61 to -0.02, p = 0.01). When controlling for potential confounders, average overjet was not shown to vary significantly between the sexes, with prematurity, with race, or with primary diagnosis at presentation.<i>Conclusion</i>This paper establishes normative values for overjet in infants below 12 months of age.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"901-904"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Occlusal Outcomes in Non-Robin Sequence Patients with Isolated Cleft Palate. 非罗宾序列孤立性腭裂患者的咬合效果。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-06-01 Epub Date: 2024-02-22 DOI: 10.1177/10556656241236078
Catherine Beaumont, Audrey Bellerive, Anne-Sophie Julien, Jacques E Leclerc
{"title":"Occlusal Outcomes in Non-Robin Sequence Patients with Isolated Cleft Palate.","authors":"Catherine Beaumont, Audrey Bellerive, Anne-Sophie Julien, Jacques E Leclerc","doi":"10.1177/10556656241236078","DOIUrl":"10.1177/10556656241236078","url":null,"abstract":"<p><p>Objectives1. To assess the skeletal class occlusion and lateral cephalometry in children with isolated cleft palates (non-Robin sequence) and 2. to identify associations between these findings and pre-palatoplasty cleft palate measurements.Study designRetrospective cohort study.SettingNorth American Institutional Tertiary Paediatric Center.PatientsOur cleft database was reviewed, and patients were included if they had an isolated cleft palate without a Robin Sequence diagnosis, had a Furlow palatoplasty and had available per operative cleft palate measurements and available lateral cephalogram between 6 and 8 years old. Thirty-two patients matched to inclusion criteria.InterventionFurlow's Palatoplasty.Main Outcome and MeasuresCleft size at palatoplasty, cephalometric measurements and skeletal occlusal classes were analysed. ANOVA was used to test the association between cephalometric measurements and occlusal classes. Results are presented as means with a 95% confidence interval. The association between cleft measurements and cephalometric parameters was tested with Spearman Correlation (r<sub>s</sub>).ResultsThe skeletal occlusal outcome at 7 years old for this series of patients was: Class I: 19%; Class II: 59% and Class III: 22%. No single cleft measurement at palatoplasty was predictive of the skeletal occlusal outcome. A larger hard palate cleft was associated with a shorter antero-posterior maxilla.ConclusionsThe skeletal occlusal class outcomes were similar to those found in a previous study in the literature. The occlusal prognosis appears to be better than in patients with Robin Sequence or with an associated cleft lip. No preoperative measurement was found to be associated with the occlusal outcome.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"995-1002"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cleft Laterality Dental Arch Relationship Outcomes for Children with Unilateral Cleft Lip and Palate in New Zealand. 新西兰单侧唇腭裂儿童的侧裂牙弓关系结果。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-06-01 Epub Date: 2024-02-27 DOI: 10.1177/10556656241234599
Peter V Fowler, H Keall, D Kennedy, D Healey, J M D Thompson
{"title":"Cleft Laterality Dental Arch Relationship Outcomes for Children with Unilateral Cleft Lip and Palate in New Zealand.","authors":"Peter V Fowler, H Keall, D Kennedy, D Healey, J M D Thompson","doi":"10.1177/10556656241234599","DOIUrl":"10.1177/10556656241234599","url":null,"abstract":"<p><p>ObjectivesTo investigate cleft laterality dental arch relationship outcomes of children with non-syndromic complete unilateral cleft lip and palate (UCLP) in New Zealand.DesignA retrospective nationwide study.SettingsVirtual 3D orthodontic study models collected prior to undertaking secondary alveolar bone grafting.ParticipantsA total of 104 patients with UCLP (L = 80: R = 24).Outcome measuresFour 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.ResultsIntra-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 <i>P</i> = .08).ConclusionsFrom 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.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"959-963"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"When I was Younger, My Story Belonged to Everyone Else": Co-production of Resources for Adults Living with Craniosynostosis. "当我年轻时,我的故事属于所有人":为患有颅骨发育不良症的成年人共同制作资源。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-06-01 Epub Date: 2024-03-18 DOI: 10.1177/10556656241236580
Nicola M Stock, Bruna Costa, William Bannister, Charlotte Ashby, Nammie Matthews, Louise Hebden, Laura Melles, Zoe Hilton-Webb, Sally Smith, Kristian Kane, Lewis Carter, Anna Kearney, Katie Piggott, Charlotte Russell, Karen Wilkinson-Bell
{"title":"\"When I was Younger, My Story Belonged to Everyone Else\": Co-production of Resources for Adults Living with Craniosynostosis.","authors":"Nicola M Stock, Bruna Costa, William Bannister, Charlotte Ashby, Nammie Matthews, Louise Hebden, Laura Melles, Zoe Hilton-Webb, Sally Smith, Kristian Kane, Lewis Carter, Anna Kearney, Katie Piggott, Charlotte Russell, Karen Wilkinson-Bell","doi":"10.1177/10556656241236580","DOIUrl":"10.1177/10556656241236580","url":null,"abstract":"<p><p>ObjectiveDespite growing recognition that congenital craniofacial conditions have lifelong implications, psychological support for adults is currently lacking. The aim of this project was to produce a series of short films about living with craniosynostosis in adulthood, alongside a psychoeducational booklet.DesignThe resources were developed using multiple focus groups and meetings attended by researchers, patient representatives, a leading charitable organisation, an award-winning film production company, clinicians, and other experts in the field.ResultsAn online mixed-methods survey was developed based on prior work to request feedback on the acceptability and utility of the resources from the craniosynostosis community. While data collection to evaluate the resources is ongoing, preliminary results (<i>n</i> = 36) highlight an acceptability rating of 100%.ConclusionsThe resources developed represent a step forward in addressing the unmet information and support needs of adults with craniosynostosis and highlight the benefits of co-production in research.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1074-1078"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Influence of Sidedness in Unilateral Cleft Lip and Palate on Mid Facial Growth at Five Years of Age. 单侧唇腭裂患者的偏侧对五岁时中面部生长的影响。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-06-01 Epub Date: 2024-02-12 DOI: 10.1177/10556656241233220
Matthew Fell, David Chong, Paras Parmar, Ting-Li Su, Lars Enocson, Bruce Richard
{"title":"The Influence of Sidedness in Unilateral Cleft Lip and Palate on Mid Facial Growth at Five Years of Age.","authors":"Matthew Fell, David Chong, Paras Parmar, Ting-Li Su, Lars Enocson, Bruce Richard","doi":"10.1177/10556656241233220","DOIUrl":"10.1177/10556656241233220","url":null,"abstract":"<p><p>ObjectiveTo determine whether facial growth at five years is different for children with a left versus right sided cleft lip and palate.DesignRetrospective cohort study.SettingSeven UK regional cleft centres.PatientsPatients born between 2000-2014 with a complete unilateral cleft lip and palate (UCLP).Main Outcomes Measure5-Year-Old's Index scores.Results378 children were included. 256 (68%) had a left sided UCLP and 122 (32%) had a right sided UCLP. 5-Year-Old's index scores ranged from 1 (good) to 5 (poor). There was a higher proportion of patients getting good scores (1 and 2) in left UCLP (43%) compared to right UCLP (37%) but there was weak evidence for a difference (Adjusted summary odds ratio 1.27, 95% CI 0.87 to 1.87; <i>P</i> = .22).ConclusionsWhilst maxillary growth may be different for left versus right sided UCLP, definitive analysis requires older growth indices and arch forms.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1068-1073"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12120203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychosocial Status and Self-Perception in Patients with Cleft Lip and/or Palate. 唇裂和/或腭裂患者的社会心理状态和自我认知。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-06-01 Epub Date: 2024-03-04 DOI: 10.1177/10556656241236369
Lauren K Salinero, Dominic J Romeo, Matthew E Pontell, Leigh Friedman, Vinayak S Ahluwalia, Connor S Wagner, Carlos E Barrero, Joseph Napoli, Oksana A Jackson, David W Low, Scott P Bartlett, Jordan Swanson, Leanne Magee, Jesse A Taylor
{"title":"Psychosocial Status and Self-Perception in Patients with Cleft Lip and/or Palate.","authors":"Lauren K Salinero, Dominic J Romeo, Matthew E Pontell, Leigh Friedman, Vinayak S Ahluwalia, Connor S Wagner, Carlos E Barrero, Joseph Napoli, Oksana A Jackson, David W Low, Scott P Bartlett, Jordan Swanson, Leanne Magee, Jesse A Taylor","doi":"10.1177/10556656241236369","DOIUrl":"10.1177/10556656241236369","url":null,"abstract":"<p><p>ObjectiveTo describe how the psychosocial status of patients with cleft lip and/or palate (CL/P) relates to patient-reported outcomes (PROs).DesignCross-sectional retrospective chart review.SettingTertiary care pediatric hospital.Patients/ParticipantsPatients aged 8 to 29 years attending cleft team evaluations during a 1-year period.Main Outcome MeasuresCLEFT-Q.ResultsPatients (N = 158) with isolated or syndromic CL/P and mean age 13.4 ± 3.0 years were included. Fifteen (9%) patients had siblings who also had CL/P. Of 104 patients who met with the team psychologist, psychosocial concerns were identified in 49 (47%) patients, including 25 (24%) with Attention-Deficit/Hyperactivity Disorder or behavior concerns, 28 (27%) with anxiety, and 14 (13%) with depression or mood concerns. Younger age and having siblings with cleft were associated with better PROs, while psychosocial concerns were associated with worse PROs on Speech, Psychosocial, and Face Appearance scales.ConclusionsPatient perception of cleft outcomes is linked to psychosocial factors.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1079-1086"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prospective Evaluation of Health-Related Quality-of-Life in Children with Craniosynostosis. 前瞻性评估颅骨发育不良儿童与健康相关的生活质量。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-06-01 Epub Date: 2024-02-21 DOI: 10.1177/10556656241234562
Valeria Gamarra, Gregory D Pearson, Annie Drapeau, Jonathan Pindrik, Canice E Crerand, Ari N Rabkin, Ibrahim Khansa
{"title":"Prospective Evaluation of Health-Related Quality-of-Life in Children with Craniosynostosis.","authors":"Valeria Gamarra, Gregory D Pearson, Annie Drapeau, Jonathan Pindrik, Canice E Crerand, Ari N Rabkin, Ibrahim Khansa","doi":"10.1177/10556656241234562","DOIUrl":"10.1177/10556656241234562","url":null,"abstract":"<p><p>ObjectiveTo investigate health-related quality of life (HRQL) in children aged 2 to 7 years, who have undergone surgery for craniosynostosis.DesignCross-sectional survey.SettingA tertiary pediatric academic medical center.ParticipantsChildren with craniosynostosis who underwent surgical correction, and who were 2-7 years old at the time of the study. Children from families that did not speak English were excluded.InterventionsCaregivers were asked to fill out the Pediatric Quality of Life Inventory (PedsQL) Core Parent Report and the PedsQL Cognitive Functioning Scale.Main outcome measuresPedsQL: Psychosocial Health Summary Score, Physical Health Summary Score, Total Core Score, Cognitive Functioning Scale Score. Scores range from 0 to 100, with higher scores reflecting greater QoLSubject factors: comorbidities, syndromic status, type of craniosynostosis, type of surgeryResultsThe study included 53 subjects, of whom 13.2% had a syndrome. Core and cognitive scores did not depend on presence of a syndrome or suture involved. Subjects who underwent posterior cranial distraction achieved higher Total Core Scores than subjects who underwent open vault remodeling. Among subjects with sagittal craniosynostosis, there was a tendency for higher scores among children who underwent minimally-invasive surgery compared to those who underwent open vault remodeling.ConclusionsThis study demonstrates similar HRQL among children with and without a syndrome, higher HRQL among children undergoing posterior cranial distraction than those undergoing open vault remodeling, and trends towards higher HRQL in children with sagittal craniosynostosis who underwent minimally-invasive surgery compared to those who underwent open vault remodeling.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"970-975"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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