Cleft Palate-Craniofacial Journal最新文献

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A Geospatial Analysis of Barriers to Cleft Lip and Palate Care in the United States. 美国唇腭裂治疗障碍的地理空间分析。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-09-01 Epub Date: 2024-06-05 DOI: 10.1177/10556656241259883
Matthew J Heron, Siam K Rezwan, Katherine J Zhu, Jordan Gornitsky, Richard J Redett, Robin Yang
{"title":"A Geospatial Analysis of Barriers to Cleft Lip and Palate Care in the United States.","authors":"Matthew J Heron, Siam K Rezwan, Katherine J Zhu, Jordan Gornitsky, Richard J Redett, Robin Yang","doi":"10.1177/10556656241259883","DOIUrl":"10.1177/10556656241259883","url":null,"abstract":"<p><p>ObjectiveThis study evaluates the geospatial distribution of cleft lip and/or cleft palate (CL/P) care in the United States, assesses disparities between families with and without one-hour proximity to CL/P care, and recommends interventions for improving access.DesignWe identified American Cleft Palate Craniofacial Association-approved CL/P teams and calculated a one-hour driving radius around each clinic. We then used census data to compare risk factors for developing cleft (i.e., incidence risk factors) and obstacles to care (i.e., access risk factors) between counties with and without one-hour proximity.ResultsWe identified 187 CL/P teams in 45 states. Most were in the South (n = 60, 32.0%), though children in the Middle Atlantic had the greatest access to care. Alabama, Mississippi, Tennessee, and Kentucky had the least access. Children without access were 39% more likely to have gestational tobacco exposure, 8% more likely to have gestational obesity exposure, and 28% less likely to have health insurance (p < 0.01). Children without access in the South were 29% more likely to have a low birth weight and 46% more likely to be living below the poverty line (p < 0.01). Children with access were twice as likely to live in immigrant families and 7-times more likely to speak English as a second language.ConclusionsPronounced disparities affect patients with and without one-hour access to CL/P care. Interventions should address care costs for patients living furthest without access and language barriers for patients with access that speak English as a second language.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1478-1488"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248906","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
Pattern of Cleft Lip and Palate Clefts at a Tertiary Care Hospital in Saudi Arabia. 沙特阿拉伯一家三级医院的唇腭裂模式。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-09-01 Epub Date: 2024-08-02 DOI: 10.1177/10556656241267234
Ali M Alkhathami, Ahmed T Alturki, Muhammad M Ulhaq, Obaid Al-Meshal
{"title":"Pattern of Cleft Lip and Palate Clefts at a Tertiary Care Hospital in Saudi Arabia.","authors":"Ali M Alkhathami, Ahmed T Alturki, Muhammad M Ulhaq, Obaid Al-Meshal","doi":"10.1177/10556656241267234","DOIUrl":"10.1177/10556656241267234","url":null,"abstract":"<p><p>BackgroundClefts of the lip and palate (CL/P) and cleft palate (CP) are the most common craniofacial congenital anomalies. Clefts are classified as syndromic and nonsyndromic. Nonsyndromic clefts have no known genetic causes.ObjectivesThis study combines prospective and retrospective studies to review the patterns of CL/P and CP and associated syndromes and conditions in patients registered for CL/P surgery at a tertiary care pediatric center in our tertiary care hospital in Saudi Arabia.MethodsIt included patient data from May 2015 through April 2023. Patient record forms and SPSS (IBM version 20.0) were used to collect and analyze data. A significance level of 5% was used, with p ≤ 0.05 considered statistically significant.ResultsOf the 319 patients who met our inclusion criteria, 175 were male. Of the total, 99 had a left unilateral isolated cleft lip, 61 had a right unilateral isolated cleft lip, 69 had a bilateral cleft lip, and 90 had an isolated CP. Of the total, 140 had CL/P. Around 242 were nonsyndromic. The Chi-square test revealed a significant association between the prevalence of isolated CP and CLP and gender. The prevalence of left unilateral isolated cleft lip and bilateral and isolated CP was significantly associated with syndromic and nonsyndromic cases.ConclusionMales are more likely to be affected by orofacial clefts, which is consistent with the global trend. Isolated CP was the most common orofacial cleft. Within the sample, syndromes' association with orofacial clefts was significantly weaker than that of isolated and bilateral clefts.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1555-1559"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879741","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
Comparison of Facial Aesthetic Evaluation Given by Patients with Cleft Lip and/or Palate and Professionals: A Systematic Review. 唇腭裂患者与专业人士对面部美学评价的比较:系统回顾
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-05-15 DOI: 10.1177/10556656241254186
Xin Wang, Wenying Kuang, Jianan Yan, Jingyi Xu, Xinyu Zhang, Yanping Jiang, Wenjun Yuan
{"title":"Comparison of Facial Aesthetic Evaluation Given by Patients with Cleft Lip and/or Palate and Professionals: A Systematic Review.","authors":"Xin Wang, Wenying Kuang, Jianan Yan, Jingyi Xu, Xinyu Zhang, Yanping Jiang, Wenjun Yuan","doi":"10.1177/10556656241254186","DOIUrl":"10.1177/10556656241254186","url":null,"abstract":"<p><p>ObjectiveTo compare the differences of facial aesthetic evaluation between patients with Cleft Lip and/or Palate (CL/P) and professionals for the treatment outcome of CL/P.DesignThis systematic review was conducted on MedLine, Web of Science, Embase and Cochrane Library databases. The Risk of Bias in Non-randomized Studies of Intervention (ROBINS-I) tool was used to evaluate the included researches.SettingNot applicable.Patients, ParticipantsPatients with CL/P and professionalsInterventionsNot applicable.Main Outcome MeasuresThe facial aesthetic evaluation of patients with CL/P and professionals.ResultsAmong the 1695 literatures retrieved, 22 articles were included, including 974 patients with CL/P and 251 professionals. The bias risk assessment on 21 articles was rated \"Moderate\" and only one article was rated \"Serious\". Due to the high heterogeneity of the included studies, meta-analysis was not possible, so descriptive analysis was conducted. Among the included studies, two articles indicated similar views from both groups, 19 noted differences between the two groups, of which three articles indicated more positive evaluation by professionals and nine articles indicated more positive evaluation by patients.ConclusionsThe available data indicate that there is a difference between patients with CL/P and professionals in the aesthetic evaluation, but it is not clear which group is more positive. During the treatment of patients with CL/P, apart from the objective aesthetic evaluation, professionals should fully consider subjective ideas and self-assessment of patients, in order to improve the quality of life for patients.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1314-1329"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140944490","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
A Rare Case of Mydriasis as an Immediate Complication After Orthognathic Surgery in a Patient with Cleft Lip and Palate. 一例罕见的唇腭裂患者正颌外科手术后即刻并发症--瞳孔散大。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-11-18 DOI: 10.1177/10556656241259889
Isabela Toledo Teixeira da Silveira, Bhárbara Marinho Barcellos, Bruno Gomes Duarte, Marina de Almeida Barbosa Mello, Fernanda Leite, Renato Yassutaka Faria Yaedú
{"title":"A Rare Case of Mydriasis as an Immediate Complication After Orthognathic Surgery in a Patient with Cleft Lip and Palate.","authors":"Isabela Toledo Teixeira da Silveira, Bhárbara Marinho Barcellos, Bruno Gomes Duarte, Marina de Almeida Barbosa Mello, Fernanda Leite, Renato Yassutaka Faria Yaedú","doi":"10.1177/10556656241259889","DOIUrl":"10.1177/10556656241259889","url":null,"abstract":"<p><p>This study aims to report a rare complication, anisocoria (mydriasis), in a patient with cleft lip and palate in the immediate postoperative period after orthognathic surgery and discuss the literature surrounding this event. Mydriasis after orthognathic surgery may be related to the separation of the pterygoid plate from the sphenoid bone, which can injure the cranial nerves. Therefore, knowledge of possible anatomical variations of the posterior region of the maxilla becomes extremely important to minimize complications in cleft patients. The reported case highlights the management of anisocoria as a complication as well as the importance of its knowledge.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1431-1435"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649442","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
Socioeconomic Influence on Surgical Management and Outcomes in Patients with Craniosynostosis - A Systematic Review. 社会经济因素对颅颌关节发育不良患者手术治疗和结果的影响--系统综述。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-06-17 DOI: 10.1177/10556656241261838
Melanie Bakovic, Lilliana Starsiak, Spencer Bennett, Ryan McCaffrey, Esperanza Mantilla-Rivas, Monica Manrique, Gary F Rogers, Albert K Oh
{"title":"Socioeconomic Influence on Surgical Management and Outcomes in Patients with Craniosynostosis - A Systematic Review.","authors":"Melanie Bakovic, Lilliana Starsiak, Spencer Bennett, Ryan McCaffrey, Esperanza Mantilla-Rivas, Monica Manrique, Gary F Rogers, Albert K Oh","doi":"10.1177/10556656241261838","DOIUrl":"10.1177/10556656241261838","url":null,"abstract":"<p><p>ObjectiveDisparities in insurance and socioeconomic status (SES) may impact surgical management and subsequent postoperative outcomes for patients with craniosynostosis. This systematic review summarizes the evidence on possible differences in surgical care, including procedure type, age at surgery, and differences in surgical outcomes such as complications, length of hospital stay, and child development based on SES.DesignThe databases Scopus, PubMed, and CINAHL were searched between May and July 2022. Following PICO criteria, studies included focused on patients diagnosed with craniosynostosis; corrective surgery for craniosynostosis; comparison of insurance, income, or zip code; and surgical management of postoperative outcomes.ResultsThe initial search yielded 724 articles. After three stages of screening, 13 studies were included. Assessed outcomes included: type of procedure (6 articles), age at time of surgery (3 articles), post-operative complications (3 articles), referral delay (2 articles), length of stay (2 articles), hospital costs (2 articles), and child development (1 article). Of the studies with significant results, insurance type was the main SES variable of comparison. While some findings were mixed, these studies indicated that patients with public medical insurance were more likely to experience a delay in referral, undergo an open rather than minimally-invasive procedure, and have more complications, longer hospitalization, and higher medical charges.ConclusionsThis study demonstrated that SES may be associated with several differences in the management of patients with craniosynostosis. Further investigation into the impact of SES on the management of patients with craniosynostosis is warranted to identify possible interventions that may improve overall care.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1418-1430"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332276","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
A Sustainable Solution for Reducing Draping Waste in Cleft Surgeries. 减少唇裂手术中敷料浪费的可持续解决方案。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-08-06 DOI: 10.1177/10556656241271706
Umer Qureshi, Taylor Hallman, Christian Arcelona, Kathryn Reisner, Ariel E Figueroa, Kristof S Gutowski, Rachel Donaldson, Arun K Gosain
{"title":"A Sustainable Solution for Reducing Draping Waste in Cleft Surgeries.","authors":"Umer Qureshi, Taylor Hallman, Christian Arcelona, Kathryn Reisner, Ariel E Figueroa, Kristof S Gutowski, Rachel Donaldson, Arun K Gosain","doi":"10.1177/10556656241271706","DOIUrl":"10.1177/10556656241271706","url":null,"abstract":"<p><p>ObjectiveThis study aims to reduce the waste generated from primary cleft lip and/or palate (CL/P) repair.DesignA retrospective chart review examined a single surgeon's experience with CL/P repair using standard draping technique and reduced draping technique. Fisher's exact tests were performed comparing complication rates between techniques.SettingAll procedures were conducted at a single academic medical center under the care of a board-certified pediatric plastic surgeon and fellowship-trained pediatric anesthesiologists.PatientsThe study included all patients ≤ 24 months of age who underwent primary CL/P repair using a reduced draping technique at the senior author's institution. An equivalent number of patients who underwent CL/P repair by the senior author immediately prior to implementation of the reduced draping technique were included for comparison.InterventionPatients undergoing CL/P repair before the change in technique were draped using the standard CL/P draping. The senior author then switched to using a reduced draping on all CL/P repairs afterwards.Main Outcome MeasuresWeights and costs of both draping sets were obtained and differences calculated. A manual chart review was performed to assess rates of accidental intraoperative extubation, postoperative infection, fistula formation, and wound dehiscence.ResultsThe implementation of a reduced draping technique resulted in a 530 gram weight savings and $7.49 cost savings per procedure. Fisher's exact tests revealed no statistically significant differences in complication rates except for oral mucosal dehiscence, which was lower in the reduced draping group.ConclusionsReduced draping in CL/P repairs significantly reduces operative waste without compromising surgical outcomes.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1340-1345"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894752","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
Crowdsourcing the Impact of Illustration in Cleft Surgery Education. 众包插图在裂隙手术教育中的影响。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-05-22 DOI: 10.1177/10556656241257101
Meagan Wu, Elizabeth B Card, Jonathan H Sussman, Dillan F Villavisanis, Benjamin B Massenburg, Jinggang J Ng, Dominic J Romeo, Jordan W Swanson, Jesse A Taylor, David W Low
{"title":"Crowdsourcing the Impact of Illustration in Cleft Surgery Education.","authors":"Meagan Wu, Elizabeth B Card, Jonathan H Sussman, Dillan F Villavisanis, Benjamin B Massenburg, Jinggang J Ng, Dominic J Romeo, Jordan W Swanson, Jesse A Taylor, David W Low","doi":"10.1177/10556656241257101","DOIUrl":"10.1177/10556656241257101","url":null,"abstract":"<p><p>ObjectiveThis study aimed to (1) assess layperson preferences for how surgical information is presented; (2) evaluate how the format of visual information relates to layperson comfort with undergoing surgery, perceptions of surgeon character traits, and beliefs about artistic skill impacting plastic surgery practice; and (3) identify sociodemographic characteristics associated with these outcomes.DesignA survey was developed in which one of five standardized sets of information depicting a unilateral cleft lip repair was presented as (1) text alone, (2) quick sketches, (3) simple drawings, (4) detailed illustrations, or (5) photographs.SettingOnline crowdsourcing platform.ParticipantsRaters aged 18 years and older from the United States.InterventionsNone.Main Outcome Measure(s)After viewing the surgical information, participants answered three sets of Likert scale questions. Ratings were averaged to produce three composite scores assessing (1) comfort with undergoing surgery (2) perceptions of surgeon character traits, and (3) beliefs about plastic surgery and artistry.ResultsFour hundred seventy-nine participants were included. Surgeon character traits score was highest among participants who viewed detailed illustrations at 4.46 ± 0.59, followed by photographs at 4.43 ± 0.54, text alone at 4.28 ± 0.59, simple drawings at 4.17 ± 0.67, and quick sketches at 4.17 ± 0.71 (<i>p </i>= 0.0014). Participants who viewed detailed illustrations rated surgical comfort score and plastic surgery and artistry score highest, although differences did not achieve statistical significance.ConclusionsViewing detailed cleft lip repair illustrations was significantly associated with positive perceptions of surgeon character traits. Our data help to contextualize methods of communication and education valued by the public when seeking cleft care.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1352-1362"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082738","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
Implementation of an Enhanced Recovery After Surgery Protocol for Cranial Vault Remodeling Procedures. 实施颅顶重塑手术的术后恢复强化方案。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-06-06 DOI: 10.1177/10556656241255940
Clarice A Swift, Colton J Fernstrum, Haven M Howell, John B Phillips, Rebekah B Aultman, Katherine E Baker, Clay B Thames, Gidarell C Bryant, Alexander E Velazquez, Anna G Boydstun, John M Sullivan, Michael S Lebhar, Emily E Hecox, Laura S Humphries, Ian C Hoppe
{"title":"Implementation of an Enhanced Recovery After Surgery Protocol for Cranial Vault Remodeling Procedures.","authors":"Clarice A Swift, Colton J Fernstrum, Haven M Howell, John B Phillips, Rebekah B Aultman, Katherine E Baker, Clay B Thames, Gidarell C Bryant, Alexander E Velazquez, Anna G Boydstun, John M Sullivan, Michael S Lebhar, Emily E Hecox, Laura S Humphries, Ian C Hoppe","doi":"10.1177/10556656241255940","DOIUrl":"10.1177/10556656241255940","url":null,"abstract":"<p><p>BackgroundEnhanced recovery after surgery (ERAS) protocols have been implemented across surgical disciplines, including cranial vault remodeling for craniosynostosis. The authors aim to describe the implementation of an ERAS protocol for cranial vault remodeling procedures performed for patients with craniosynostosis at a tertiary care hospital.DescriptionInstitutional review board approval was received. All patients undergoing a cranial remodeling procedure for craniosynostosis at the authors' institution over a 10-year period were collected (n = 168). Patient and craniosynostosis demographics were collected as well as operative details. Primary outcome measures were intensive care unit length of stay (ICU LOS) and narcotic usage. Chi squared and independent t-tests were employed to determine significance. A significance value of 0.05 was utilized.ResultsDuring the time examined, there were 168 primary cranial vault remodeling procedures performed at the authors' institution - all of which were included in the analysis. Use of the ERAS protocol was associated with decreased initial 24-hour morphine equivalent usage (p < 0.01) and decreased total morphine equivalent usage (p < 0.01). Patients using the ERAS protocol experienced a shorter ICU LOS (p < 0.01), but the total hospital length of stay was unchanged.ConclusionThis study reiterates the benefit of developing and implementing an ERAS protocol for patients undergoing cranial vault remodeling procedures. The protocol resulted in an overall decreased ICU LOS and a decrease in narcotic use. This has implications for ways to maximize hospital reimbursement for these procedures, as well as potentially improve outcomes.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1370-1375"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263181","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
Treatment Outcomes of Lip Taping in Patients with Non-syndromic Cleft Lip and/or Palate: A Systematic Review and Meta-analysis. 非综合征唇裂和/或腭裂患者的唇胶带治疗效果:系统回顾与元分析》。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-05-07 DOI: 10.1177/10556656241249822
Vignesh R, Ruchi Singhal, Ritu Namdev, Adarsh Kumar, Charu Dayma, Asha Rani
{"title":"Treatment Outcomes of Lip Taping in Patients with Non-syndromic Cleft Lip and/or Palate: A Systematic Review and Meta-analysis.","authors":"Vignesh R, Ruchi Singhal, Ritu Namdev, Adarsh Kumar, Charu Dayma, Asha Rani","doi":"10.1177/10556656241249822","DOIUrl":"10.1177/10556656241249822","url":null,"abstract":"<p><p>ObjectiveTo conduct a systematic review of the data in peer-reviewed medical literature and evaluate the effectiveness of lip taping as a pre-surgical naso-alveolar molding (NAM) technique in infants with cleft lip and/or palate.DesignAn electronic search of various databases for relevant studies, regardless of date, from inception to June 2023 was carried out and evaluated. After completing the electronic search and applying our inclusion/exclusion criteria, 6 studies-2 randomized control trials, 2 non-randomized studies, and 2 case series-were included. Data extraction of relevant articles was done independently by 2 authors. Quality assessment was done using the JBI prevalence critical appraisal tool and certainty of evidence was carried out by GRADE approach.Main Outcome MeasuresNasolabial Aesthetics, Dentoalveolar Relationship.ResultsA total of six studies were included in the current review. Meta-analysis was carried out, and forest plots were obtained for a single mean from the lip-taping group. 3 studies had a low risk of bias, while 3 studies displayed a serious risk of bias. Significant improvement in various outcome measures was noted with lip taping when compared with the control group although the certainty of evidence was very low.ConclusionWhen compared to no therapy, lip taping appears to ameliorate dentoalveolar measurements and nasolabial aesthetics. To increase our knowledge of lip taping, more research will be needed in the future, as there are not many studies to prove lip taping is better than other treatment approaches.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1281-1293"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873362","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
Analysis and Reporting of Randomized Trials in Cleft Palate Surgery: Learning from the Timing of Primary Surgery (TOPS) Trial. 腭裂手术随机试验的分析与报告:从初级手术时机(TOPS)试验中学习。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2025-08-01 Epub Date: 2024-05-09 DOI: 10.1177/10556656241253949
Matthew Fell, Ginette Phippen, Stephanie van Eeden, David Chong, Marc C Swan, Simon van Eeden, John B Carlin
{"title":"Analysis and Reporting of Randomized Trials in Cleft Palate Surgery: Learning from the Timing of Primary Surgery (TOPS) Trial.","authors":"Matthew Fell, Ginette Phippen, Stephanie van Eeden, David Chong, Marc C Swan, Simon van Eeden, John B Carlin","doi":"10.1177/10556656241253949","DOIUrl":"10.1177/10556656241253949","url":null,"abstract":"<p><p>The Timing of Primary Surgery (TOPS) trial was published August 2023 in the New England Journal of Medicine and is a milestone achievement for a study focused on cleft palate. Due to the complexity of outcome reporting in cleft and the rarity of such comparative trials, TOPS presents a useful opportunity to critically review the design, analysis and reporting strategies utilised. This perspective article focused on the inclusion of participants, the choice of the primary outcome measure and the analysis of ordinal data within the trial. Considerations for future comparative studies in cleft care are discussed.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1436-1442"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899962","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
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