Cleft Palate-Craniofacial Journal最新文献

{"title":"Social Determinants of Health and No-Show Clinic Appointments in Children with 22q11.2-Related Disorders.","authors":"Adrian Williamson, Antonio A Bon Nieves, Meghan Tracy, Nikita Raje, Jill M Arganbright","doi":"10.1177/10556656251327819","DOIUrl":"https://doi.org/10.1177/10556656251327819","url":null,"abstract":"<p><p>ObjectiveChildren with 22q11.2 deletion syndrome (22q11.2DS) present with complex medical challenges and often are followed by multiple specialists. Healthcare for these patients may be influenced by demographic and socioeconomic factors. This study's aim is to identify factors correlated with no-show clinic visits for these children.DesignRetrospective cohort studySettingTertiary care hospitalParticipantsPediatric patients with a diagnosis of 22q11.2DS. Patients without appointment attendance or socioeconomic data were excluded.InterventionsNoneMain Outcomes and MeasuresTo identify potential healthcare disparities, the patient's home address was cross-referenced with the GeoMarker database to define socioeconomic variables. We analyzed the rate of no-show clinic appointments to identify associations with socioeconomic, racial, or ethnic factors.ResultsOf the 198 patients with 22q11.2DS were included in this study. These patients were scheduled for 2049 visits with the 22q11.2 multidisciplinary clinic (22qMDC) and 8708 additional clinic visits within the institution. The median 22qMDC no-show rate was 0% [interquartile range-IQR: 0, 9.78] and 4.35% [IQR: 0, 15.00] for other clinic appointments. Socioeconomic factors associated with clinic no-show included Hispanic or Latino ethnicity, lower median household income, lower fraction of population with high school diploma, higher fraction of population below the poverty line, and higher fraction of population that required assisted income.ConclusionsThese findings highlight potential influences of socioeconomic factors on no-show clinic appointments in children with 22q11.2DS. These factors can be used to develop targeted interventions aimed at improving clinic attendance and ultimately elevating patient outcomes.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251327819"},"PeriodicalIF":1.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651555","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}

{"title":"Morphological Changes in Maxillary Arch Post-Cheiloplasty in Cleft Lip and Palate Infants: A Case Series.","authors":"Truong Duc Ky Tran, Lam Hoai Phuong, Ho Nguyen Thanh Chon","doi":"10.1177/10556656251325343","DOIUrl":"https://doi.org/10.1177/10556656251325343","url":null,"abstract":"<p><p>ObjectiveThis study evaluated the effectiveness of cleft lip repair in modifying maxillary arch morphology in infants with complete unilateral cleft lip and palate (cUCLP) over a 6-month period.DesignProspective case series.SettingMy Thien Hospital of Odonto-Stomatology, Ho Chi Minh City, Vietnam.ParticipantsFifteen infants with cUCLP, average age 5.07 months.InterventionAll infants underwent unilateral cleft lip repair using Fisher's technique. Maxillary arch impressions were taken before surgery and 6 months postoperatively and converted into 3D models.Main Outcome MeasuresAnalysis focused on maxillary arch dimensions in anteroposterior and transverse directions, changes in cleft width, curvature of the larger segment, and position of the proximal edge.ResultsAlveolar cleft width (GL) and anterior curvature angle (∠GIC) showed significant reductions (<i>P</i> < .05). Additionally, posterior arch width (TT'), maxillary arch depth (I-TT'), and anterior arch depth (I-CC') showed significant increases (<i>P</i> < .05), while anterior arch width (CC') remained unchanged (<i>P</i> = .87). Measurements demonstrated high reliability with ICC > 0.75 for all parameters.ConclusionUnilateral cleft lip repair in cUCLP infants significantly narrowed the alveolar cleft width and reduced the anterior curvature angle. Increases in posterior arch width and maxillary arch depth were also observed. These morphological changes are crucial for planning future surgical interventions to optimize outcomes.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251325343"},"PeriodicalIF":1.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651519","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}

{"title":"Anterior Craniofacial Changes Following Occipital Switch Cranioplasty in Unilateral Lambdoid Craniosynostosis.","authors":"Lucas M Harrison, Kayla Prezelski, Rami R Hallac, Mario S Blondin, Lisa R David, Christopher M Runyan, Alex A Kane","doi":"10.1177/10556656251326351","DOIUrl":"https://doi.org/10.1177/10556656251326351","url":null,"abstract":"<p><p>ObjectiveAnterior craniofacial changes in unilateral lambdoid craniosynostosis include forehead bossing, increased orbital heights, and asymmetry of the midface and mandible, creating a facial twist. The purpose of this study is to comprehensively analyze the post-operative anterior craniofacial changes in patients with unilateral lambdoid craniosynostosis following occipital switch cranioplasty.DesignRetrospective review of three-dimensional images collected pre-operatively and post-operatively around 2 years.SettingTertiary care pediatric institution.ParticipantsEighteen patients with unilateral lambdoid craniosynostosis.InterventionsCranial vault remodeling with occipital switch cranioplasty.Main Outcome MeasuresFrontal, occipital, height, midface, ear, and orbital asymmetry. Nasal and chin deviation.ResultsFrontal and occipital asymmetry significantly improved post-operatively (<i>P</i> = .03; <i>P</i> < .01). Cranial height asymmetry and midface projection asymmetry did not significantly improve (<i>P</i> = .24; <i>P</i> = .59). The nasal deviation was, on average, 3.58 ± 1.69° prior to surgery and significantly improved with a residual deviation of 2.18 ± 1.35° (<i>P</i> = .01). The chin deviation significantly improved post-operatively from an average of 2.21 ± 1.52° to a residual deviation of 1.07 ± 1.12° (<i>P</i> = .04). Ear asymmetry, orbital width, and orbital height asymmetry did not significantly change with surgery.ConclusionsTwo years after occipital switch cranioplasty, patients with unilateral lambdoid craniosynostosis had significant improvements in frontal asymmetry, nasal deviation, and chin deviation. However, nasal and chin deviation remained residually asymmetric. Midface projection contralateral deficiency did not significantly change post-operatively over the study period. The release of the affected suture with occipital switch cranioplasty allowed for remodeling and growth to improve anterior craniofacial symmetry.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251326351"},"PeriodicalIF":1.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651786","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}

{"title":"A Nationwide Analysis of the Impact of Craniofacial Syndromes on Mandibular Distraction Osteogenesis Outcomes.","authors":"Raina Kushal Patel, Eloise W Stanton, Melanie Bakovic, Valeria Mejia, Asli Pekcan, Cuauhtemoc Ayala-Chavez, Pasha Shakoori, Mark M Urata, Jeffrey A Hammoudeh","doi":"10.1177/10556656251325125","DOIUrl":"https://doi.org/10.1177/10556656251325125","url":null,"abstract":"<p><strong>Objective: </strong>To investigate how craniofacial syndromes influence surgical outcomes of mandibular distraction osteogenesis (MDO), in order to optimize perioperative care.</p><p><strong>Design: </strong>Retrospective cohort.</p><p><strong>Setting: </strong>Single-center.</p><p><strong>Patients/participants: </strong>The American College of Surgeons National Surgical Quality Improvement Program-Pediatric (NSQIP-Pediatric) database was queried for relevant Current Procedural Terminology (CPT) codes from 2012 to 2022. Patients with craniofacial syndromes were identified using ICD-9 and ICD-10 codes.</p><p><strong>Intervention: </strong>Mandibular distraction osteogenesis.</p><p><strong>Main outcome measures: </strong>30-day perioperative adverse events including reoperation, readmission, and complications such as infection, dehiscence, pneumonia, sepsis, stroke, intracranial hemorrhage, nerve injury, and death.</p><p><strong>Results: </strong>A total of 209 patients were identified, with 77 (36.8%) having a craniofacial syndrome. The average age at MDO was significantly younger for patients with craniofacial syndromes (99 days) versus the nonsyndromic group (389 days). Patients with craniofacial syndromes had a higher likelihood of undergoing reoperation within 30 days postoperatively (<i>P</i> = .003) and experienced a 1.5 times longer average length of stay (LOS) (<i>P</i> = .039). Additionally, these patients were less likely to achieve same-day discharge (<i>P</i> = .033). Although the overall complication rate was slightly higher in patients with craniofacial syndromes, these differences were not statistically significant.</p><p><strong>Conclusions: </strong>This nationwide analysis indicates that while overall complication rates for MDO are similar, those with craniofacial syndromes face greater challenges, including higher reoperation rates, longer LOS, and lower same-day discharge rates, compared to patients without craniofacial syndromes. These results underscore the need for tailored postoperative care strategies to improve outcomes for this unique patient population.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251325125"},"PeriodicalIF":1.1,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538025","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}

{"title":"MSX1 Gene Polymorphisms in Patients with non-Syndromic Cleft lip and Palate: A Tertiary Care Centre Based Case-Control Study from Central Kerala.","authors":"Arun Jyothish, Alex George, Puthucode V Narayanan, Rajanikant Golgodu Krishnamurthy","doi":"10.1177/10556656231214131","DOIUrl":"10.1177/10556656231214131","url":null,"abstract":"<p><p>ObjectiveThe purpose of this study was to investigate the contribution of MSX1 gene polymorphisms to the risk of developing NSCLP.DesignCase-Control Study.SettingA tertiary care centre.Patients/ParticipantsThe sample consisted of 200 subjects (100 cases and 100 controls).InterventionsNone.Main Outcome Measure(s)Genotyping was performed by restriction fragment length polymorphism. Allele and genotype frequencies were calculated between patients and controls and analyzed using online Web Tools such as SISA and SNPstats. The <i>MSX1</i> gene polymorphisms c. 799 GT, c.458 CA can be risk factors in the development of orofacial clefts.ResultsIn the cases, an association was found between NSCLP and c.799 and c.458 of the MSX1 gene when compared with the control. The dominant and overdominant models, c. 799 GT, c.458 CA genotypes and c. 799 T, c.458 A alleles in the population are said to be the main risk factors to develop the NSCLP in our study population. The genotype variation of c 799 G/T and c.458 C/A are revealed to be specifically contributing to an NSCLP-type Cleft lip and Palate. It is worth noting that NSCLP females in the study population showed a stronger association with heterozygous genotypes of c.799 and c.458. However, further investigation with a larger cohort is necessary to confirm these findings.ConclusionOverall the results of the study revealed that MSX1 c 799 G > T and c.458 C > A can be considered as one of the genetic risk factors in the formation of Non-Syndromic Cleft Lip and Palate in the study population.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"504-512"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650323","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}

{"title":"Buccal Fat Pad in Primary and Secondary Cleft Palate Repair: A Systematic Review of the Literature.","authors":"Carolina Romero-Narvaez, Lawrence O Lin, Richard E Kirschner","doi":"10.1177/10556656231206238","DOIUrl":"10.1177/10556656231206238","url":null,"abstract":"<p><p>ObjectiveTo review the evidence supporting the use of buccal fat pad (BFP) in primary and secondary cleft palate repair and its short- and long- term clinical outcomes.DesignSystematic review conducted by 2 independent reviewers following PRISMA guidelines.Setting: None ParticipantsArticles were identified from three databases (Pubmed/Medline, Embase and Web of Science). Search terms included \"cleft palate\", \"palatoplasty\", \"palate repair\", \"buccal fat pad\".InterventionsUse of BFP in primary and secondary cleft palatoplasty.Main Outcome MeasuresPrimary outcomes were immediate postoperative complications, postoperative fistula, and maxillary growth. Secondary outcomes were palatal length, speech, and donor site morbidity.ResultsNinety-one reports were retrieved after excluding duplicates. Twenty-three studies were included (13 case series and 10 comparative studies). Overall level of evidence was low. Randomized and non-randomized studies had a high risk of bias. In primary palatoplasty, BFP was more frequently used filling lateral relaxing incisions(57.4%), or in the hard-soft palate junction and covering mucosal defects(30.1%). In these patients, post operative fistula incidence was 2.8%. Two studies found wider transverse maxillary dimensions after BFP use. No higher incidence of bleeding, infection, dehiscence, or flap necrosis was reported. In secondary palatoplasty, no recurrent fistulas were reported for patients undergoing BFP for fistula repair.ConclusionsBFP appears to be associated with a favorable impact in fistula prevention and management, as well as in transverse maxillary growth. However, there is a high heterogeneity among studies, high risk of bias and overall low quality of evidence. More high-quality research with long-term follow-up is warranted.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"385-400"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684133","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}

{"title":"Systematic Review and Meta-Analysis of the Index of Orthognathic Functional Treatment Need for Detecting Subjects with Great Need for Orthognathic Surgery.","authors":"Ali Borzabadi-Farahani","doi":"10.1177/10556656231216833","DOIUrl":"10.1177/10556656231216833","url":null,"abstract":"<p><p>Index of Orthognathic Functional Treatment Need (IOFTN) Identifies patients with greatest need for orthognathic surgery. This systematic review looks into the available evidence on prevalence of patients with great treatment need (IOFTN 4&5) who had orthognathic surgery in previous studies. Literature search of the major electronic databases was carried out for articles published between 2014 and September 2023, looking for \"Index of Orthognathic Functional Treatment Need\",\"Orthognathic Surgery\",\"IOFTN\", \"Epidemiology\" and \"Dentofacial Deformity\". The prevalence of patients identified with IOFTN grades of 4&5 was calculated. A random-effect model was employed and the Forest and Galbraith plots were produced. The pooled prevalence estimate for subjects with IOFTN scores of 4&5 was calculated. The heterogeneity among studies was assessed with the I² statistics. In total, 14 retrospective studies conducted between 2015 and 2019 in 7 countries (UK, New Zealand, Iran, Pakistan, Turkey, Malaysia, Japan) were included, reporting on 1339 orthognathic patients. The sample sizes ranged from 30 to 200. Only 7 studies reported on the subcategories of the IOFTN for grades 1, 2&3. The prevalence of orthognathic patients with IOFTN scores of 4 & 5 ranged from 79% to 100%. The heterogeneity I² statistics was high (76%, random effects model) for 14 studies, but after removing 3 outlier studies reduced to zero. The pooled prevalence estimate for subjects with IOFTN scores of 4&5 was 93% (95% CI, 0.91-0.94%). According to this meta-analysis, IOFTN successfully identified 93% of patients who underwent orthognathic surgery with a great need for treatment (Grade 4 & 5). To enhance the identification of patients with well-compensated malocclusions, previous orthodontic treatment, or extreme occlusal deviations (e.g., proclination or retroclination of incisors), it would be advantageous to employ additional means alongside IOFTN for assessing orthognathic need in this group.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"519-526"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463931","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}

{"title":"Evaluation of the Change in Halitosis with the Improvement in Oral Health in Cleft Lip and Palate Patients.","authors":"Belma Isık Aslan, Fatma Denız Uzuner, Ezgi Sila Taskaldıran, Gulay Tuter, Ayse Gulsen, Kahraman Güngör, Neslihan Ucuncu","doi":"10.1177/10556656231212033","DOIUrl":"10.1177/10556656231212033","url":null,"abstract":"<p><p>AimThis study aimed to assess the effects of hygiene education on periodontal health and mouth/nasal halitosis in patients with cleft.Materials and Methods39 patients with cleft who were accepted for orthodontic treatment divided into two groups as with (Group1; n = 24) and without braces (Group2; n = 15). Plaque Index (PI), Gingival Index (GI), and Tongue coating Index (TCI) values were recorded. The BANA test microbiological kit, was used to determine the amount of anaerobic bacteria. Values of volatile sulfur components (VSC) for the measurement of oral and nasal halitosis were measured with a Halimeter device. After the initial measurements, oral hygiene instructions were given to eliminate the plaque production on teeth, periodontal structure, tongue and palate. All measurements were repeated 4 weeks after the hygiene instructions. Wilcoxon and Mann-Whitney U test were used for statistical analysis.ResultsIn both groups, the PI, GI, values were significantly decreased (<i>P</i> < .05). Tongue coating area, thickness and TCI were significantly reduced (<i>P</i> < .05). Oral halitosis values decreased significantly (<i>P</i> < .05). The PI values decreased significantly more in the Group 1 (<i>P</i> < .05). Non significant difference was detected in nasal halitosis in both groups. In unilateral cleft lip and palate cases cases (n = 23), no significant difference was found in nasal halitosis values between the cleft and the healthy sides (<i>P</i> > 0.05).ConclusionIn patients with clet cases, periodontal health was improved and oral halitosis was reduced by the given hygiene education; brushing the teeth, especially the tongue and palate. However, hygiene education did not have a significant effect on nasal halitosis. Key Words: Cleft lip and palate, Halitosis, BANA test, Periodontal index.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"488-496"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487944","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}

{"title":"Cultural Beliefs on Cleft lip and/or Cleft Palate and Their Implications on Management: A Systematic Review.","authors":"H Hasanuddin, Aisha Ah Al-Jamaei, Ellen M Van Cann, Muhammad Ruslin, Marco N Helder, Prasannasrinivas Deshpande, Tymour Forouzanfar","doi":"10.1177/10556656231209823","DOIUrl":"10.1177/10556656231209823","url":null,"abstract":"<p><p>ObjectiveThis article examines and summarizes the published epidemiological literature on cross-cultural variations. Particular emphasis was put on addressing cross-cultural beliefs on the causes, management, and attitude toward cleft lip and/or cleft palate. A healthcare provider's awareness of these cross-cultural attitudes and beliefs is vital for promoting effective collaboration with patients' families and ensuring a favorable medical outcome.DesignSystematic review.SettingNot applicable.ParticipantsPatients with cleft lip and/or cleft palate, their families, their communities, and healthcare providers.InterventionsNot applicable.Main Outcome MeasuresNot applicable.ResultsAll relevant and eligible studies were identified using PubMed and Google Scholar databases. The cultural belief was categorized and measured using Murdock's Theories of Illness. The study was reported in compliance with PRISMA guidelines. The quality of the selected studies was evaluated in accordance with the Critical Appraisal Skills Programme criteria (CASP). Fourteen articles covering thirteen countries on four continents met the inclusion criteria. In diverse communities, cleft lip and/or cleft palate was attributed to natural (infection, medication, improper diet, smoke, or radiation) or supernatural (God, eclipse, ancestral spirit, and curse) causes. Reported consequences include stigmatization, inappropriate treatments, leaving patients untreated, and infanticide.ConclusionCultural beliefs are the main cause of misconceptions surrounding a cleft lip and/or cleft palate. There is also a need for public health care providers' intervention to educate society about the natural causes and ease of management, thereby increasing opportunities for patients substantially.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"466-476"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414925","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}

{"title":"Availability and Readability Level of Online Patient Education Materials Provided by Cleft Lip and Palate Teams.","authors":"Lauren E Powell, Erica M Bien, Jade M Cohen, Ruth J Barta","doi":"10.1177/10556656231213170","DOIUrl":"10.1177/10556656231213170","url":null,"abstract":"<p><p>ObjectivesEvaluate the readability of online English and Spanish cleft lip and palate patient education materials.DesignReview of free online materialsSettingEnglish and Spanish language online patient education materials on cleft lip and palate were collected from American Cleft Palate-Craniofacial Association (ACPA) approved teams.ParticipantsAmerican Cleft Palate-Craniofacial Association (ACPA) approved teamsInterventionsEnglish materials were analyzed using the Flesch-Kincaid, SMOG, and Coleman-Liau readability calculators. Spanish materials were analyzed using the Fry Graph, Fernandez Huerta, and INFLESZ calculators. A one-way analysis of variance (ANOVA) was used to test for variability between the readability tools.OutcomesReadability levels were examined for both sets of materials.Results171 (90.5%) teams provided English language materials online, with an average readability score calculated as 10.5 ± 2.9 (10th-11th grade). A total of 44 (23.2%) teams listed Spanish language materials online, with average readability score of 7.9 ± 1.2 (8th grade). ANOVA demonstrated statistically significant variability between the readability assessment tools (<i>P</i> < .01).ConclusionOnline cleft lip and palate patient education material provided by ACPA craniofacial teams were more available in English than in Spanish. Both sets of materials demonstrated readability levels above the recommended 6th-7th grade. Refining readability is associated with lowered healthcare costs and increased patient satisfaction.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"497-503"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487943","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}