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}
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}
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}
Sara Kinter, Joseph A Delaney, Srinivas Susarla, Christy McKinney
{"title":"Retrospective Cohort Studies in Craniofacial Outcomes Research: An Epidemiologist's Approach to Mitigating Bias.","authors":"Sara Kinter, Joseph A Delaney, Srinivas Susarla, Christy McKinney","doi":"10.1177/10556656241233234","DOIUrl":"10.1177/10556656241233234","url":null,"abstract":"<p><p>Retrospective cohort studies, defined as a follow-up study in which outcome occurred prior to study onset, are common in craniofacial outcomes research and will continue to be prevalent given the increasing availability of secondary datasets and inherent prospective study limitations. However, if available data are not adequately measured, or necessary variables are absent, retrospective cohort studies can be particularly prone to bias. This brief communication aims to highlight the primary sources of bias, including measurement error, selection bias, and confounding. Each source is clearly defined, examples pertinent to craniofacial outcomes are provided, and mitigation strategies are discussed.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1061-1067"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933769","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}
Jing Zhai, Shuyan You, Zhonghua Liang, Haihua Yu, Chengfeng Zhu, Lu Han
{"title":"Diagnostic Potential of Complementation of MRI to Prenatal Ultrasound for Detecting Orofacial Clefts in High-Risk Fetuses: A Network Meta-Analysis.","authors":"Jing Zhai, Shuyan You, Zhonghua Liang, Haihua Yu, Chengfeng Zhu, Lu Han","doi":"10.1177/10556656241231119","DOIUrl":"10.1177/10556656241231119","url":null,"abstract":"<p><p>ObjectiveTo compare the complementation of magnetic resonance imaging (MRI) to prenatal ultrasound (US) with prenatal US alone in detecting orofacial clefts in high-risk fetuses.DesignA network meta-analysis.SettingLiterature retrieval in PubMed, EMBASE, and Cochrane library, and meta-analysis based on STATA 14.0.PatientsFetuses were at high-risk for orofacial clefts.InterventionsPrenatal US and the complementation of MRI to prenatal US.Main outcome measuresThe pooled sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), diagnostic odds ratio (DOR), and area under the curve (AUC).ResultsThirteen studies involving 776 patients were included. Direct meta-analysis showed that the complementation of MRI to prenatal US did not differ from prenatal US in detecting orofacial clefts if the type of orofacial clefts was not distinguished. Subgroup analysis showed that the specificity of prenatal US for the detection of isolated cleft palate (CP) was lower than that of the complementation of MRI to prenatal US. Furthermore, network meta-analysis consistently suggested a comparable diagnostic value between prenatal US and the complementation of MRI to prenatal US. Moreover, subgroup analysis showed that the specificity of prenatal US was significantly lower than that of complementation of MRI to prenatal US for the detection of isolated CP.ConclusionsMRI is more accurate than ultrasound in detecting cleft palate. Therefore, MRI should be offered if there is a fetus with a possible or ultrasound diagnosis of cleft palate, especially if the evaluation of cleft palate is deemed unsatisfactory after careful evaluation of the images.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"905-913"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137328","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":"Mobile App Use in Clinical Care for Cleft Patients in the UK and Republic of Ireland.","authors":"Henry T de Berker, Clare M Rivers","doi":"10.1177/10556656251338951","DOIUrl":"https://doi.org/10.1177/10556656251338951","url":null,"abstract":"<p><p>ObjectiveTo establish whether mobile applications (apps) are used as part of routine care for patients with cleft lip and palate in the UK and Republic of Ireland and to determine what role apps could play in the delivery of care.DesignA 5-question survey was designed by the authors and disseminated via Clinical Standards Advisory Groups (CSAGs), professional contacts, and the following presentation of preliminary results at the Craniofacial Society of Great Britain and Ireland's annual conference (2024). Responses were collected between April 5 and May 9, 2024.SettingUnited Kingdom (UK) and Republic of Ireland.ParticipantsProfessionals working in cleft care.InterventionsN/aMain outcome measuresCurrent app use, desirable functions in a cleft app, and views on the need for future app development in cleft care.ResultsSeventy-one responses, from 10 different roles working in cleft care. Twenty-one percent of respondents used apps in clinical practice. Respondents named 23 different apps that they used. Of those not using apps, 22% had failed to find the appropriate app. Eighty-two percent of those who had not looked believed there is a role for apps in cleft care. The most common suggested functions for a cleft app were therapy/treatment (85%), patient information (75%), and clinical education/training (59%).ConclusionsMany healthcare professionals use a variety of apps in the delivery of cleft care. There is an appetite among cleft professionals in the UK and the Republic of Ireland for a cleft-specific application. Work is required to establish an evidence base for app use in cleft care.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251338951"},"PeriodicalIF":1.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163243","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}
Roland K Assaf, Robert A Younan, Wassim Najjar, Jose A Garcia Garcia, Dana Andari, Beyhan Annan, Raj M Vyas, Usama S Hamdan, David W Low
{"title":"The First & Second Digital Medical Illustration Workshop for Cleft Providers.","authors":"Roland K Assaf, Robert A Younan, Wassim Najjar, Jose A Garcia Garcia, Dana Andari, Beyhan Annan, Raj M Vyas, Usama S Hamdan, David W Low","doi":"10.1177/10556656251343395","DOIUrl":"https://doi.org/10.1177/10556656251343395","url":null,"abstract":"<p><p>ObjectiveThe paper highlights the potential benefits of digital medical illustration for improving patient care and medical education.DesignThe first and second medical illustration workshops were offered for participants of two annual meetings for cleft providers. Data was collected through a survey distributed to the participants at the end of the workshop.Main Outcome MeasuresThe survey consisted of three parts. The first part assessed participants' background. The second part focused on the participants' opinion on illustration in medical practice. The third part focused on the satisfaction of the workshop.ResultsA total of 38 participants filled the survey. 9 participants considered themselves having poor artistic ability, 11 responded fair, 14 considered themselves good, and 4 reported having very good artistic ability. One person somewhat disagreed that learning illustration would help in surgical practice, 14 were neutral and 22 somewhat agreed. 13 participants were neutral about medical illustration helping in academic practice and 24 somewhat agreed. 23 participants strongly agreed that the content of the workshop was relevant to their job, 5 somewhat agreed and 2 were neutral. 27 strongly agreed that the workshop has increased their interest in the subject, 2 somewhat agreed and 1 was neutral.ConclusionsThe Medical illustration workshops done were a success and received positive feedback. Digital medical illustration is already being used by a few cleft providers; many of whom acknowledge its potential benefits in surgical and academic practice.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251343395"},"PeriodicalIF":1.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163351","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 Novel Surgical Approach for Velopharyngeal Closure in Cleft Palate Patients Using Modified Endoscopic Soft Palate Augmentation.","authors":"Nami Fujii, Kanji Nohara, Emiko Tanaka Isomura, Nobukazu Tanaka, Makoto Matsukawa, Takayoshi Sakai","doi":"10.1177/10556656251342641","DOIUrl":"https://doi.org/10.1177/10556656251342641","url":null,"abstract":"<p><p>ObjectivePharyngeal flap transplantation improves velopharyngeal insufficiency after cleft palate surgery; however, the surgical timing remains controversial. In 2023, we reported the endoscopic soft palate augmentation (ESPA) technique, wherein fat is injected into the nasal side of the soft palate using an endoscope. It enhances the velopharyngeal closure function until pharyngeal flap transplantation. Herein, we present an improved version of ESPA.DesignCase series.SettingSingle-center study.PatientThree patients who had undergone palatoplasty were treated with the modified ESPA: a 10-year-old boy with BCLP, a 15-year-old boy with UCLP, and a 16-year-old girl with UCLP.InterventionWhile in the conventional ESPA, the endoscope and injection needle were integrated, in the improved ESPA, they were separate, marking a significant change. Moreover, the improved ESPA uses a 120-mm epidural needle to access the nasal side of the soft palate through the nostril.Main Outcome MeasuresWe believe the force needed for fat injection has been reduced, leading to less fat spillage at the syringe-needle attachment site and wastage. It also became easier to access the designated puncture site.ResultThe time taken for fat injection improved to an average of 16.0 min (conventional method: average 65.8 min) compared to that with conventional ESPA (5 cases). Additionally, the amount of fat required was halved to an average of 4.2 mL (conventional method: average 8.0 mL).ConclusionsThe enhanced ESPA technique reduces the amount of fat to be harvested and shortens the operation time, indicating that it is less invasive than the conventional ESPA.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251342641"},"PeriodicalIF":1.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163198","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}
Taylor B Teplitzky, Neila L Kline, Ashley F Brown, Kandi Trevino, Caitlin Wilson, Cortney Van't Slot, Yann-Fuu Kou, Romaine F Johnson, Stephen R Chorney
{"title":"Age-Related Dysphagia Among Children with 22q11.2-Deletion Syndrome.","authors":"Taylor B Teplitzky, Neila L Kline, Ashley F Brown, Kandi Trevino, Caitlin Wilson, Cortney Van't Slot, Yann-Fuu Kou, Romaine F Johnson, Stephen R Chorney","doi":"10.1177/10556656251345211","DOIUrl":"https://doi.org/10.1177/10556656251345211","url":null,"abstract":"<p><p>ObjectiveTo describe videofluoroscopic swallow study (VFSS) findings for children with 22q11.2-deletion syndrome and evaluate age-associated changes.DesignRetrospective case series.SettingTertiary children's hospital.Patients, ParticipantsChildren <18 years old.MethodsAll VFSS between 2016 and 2021 were included. Comorbidities and dysphagia patterns were compared between children younger or older than 2 years of age.InterventionsNone.Main Outcome MeasuresAbnormal swallowing findings on VFSS measured by a standardized severity scale of oral and pharyngeal dysphagia.Results40 children obtained a VFSS at a mean age of 4.3 years (standard deviation (SD): 5.5). Congenital heart disease was seen in 78% (N = 31) and gastroesophageal reflux disease in 50% (N = 20). Oropharyngeal dysphagia was demonstrated in 98% (N = 39). Oral residue was seen in 30% (N = 12) and 28% (N = 11) had pharyngonasal reflux. Pharyngeal residue was noted in 75% (N = 30), abnormal pharyngeal squeeze in 55% (N = 22), abnormal hyolaryngeal elevation in 45% (N = 18), delayed swallow in 45% (N = 18), and pharyngeal pooling in 15% (N = 6). Thin-liquid aspiration was identified in 35% (N = 14). A modified diet was required for 75% (N = 30) and 38% of children (N = 15) also required tube feeding. When comparing the children less than 2 years (53%, N = 21), pharyngeal squeeze abnormalities were less common compared to older children (33% vs. 79%, <i>P</i> = .01).ConclusionOropharyngeal dysphagia is common in children with 22q11.2-deletion syndrome characterized by abnormal pharyngeal squeeze and hyolaryngeal elevation with delayed swallow triggers. While most maintained modified oral intake, age-related changes were not encountered on VFSS.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251345211"},"PeriodicalIF":1.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163268","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}
Maura Guyler, Susan J Doh, Klarens Menage, Brian Rothstein, Krystal L Tomei, Howard D Wang
{"title":"Race Is Associated With Delayed Diagnosis of Sagittal Craniosynostosis: A Single-Institutional Retrospective Study.","authors":"Maura Guyler, Susan J Doh, Klarens Menage, Brian Rothstein, Krystal L Tomei, Howard D Wang","doi":"10.1177/10556656251344384","DOIUrl":"https://doi.org/10.1177/10556656251344384","url":null,"abstract":"<p><p>ObjectiveIdentify factors associated with delayed diagnosis of sagittal craniosynostosis.DesignRetrospective cohort study.SettingSingle institution tertiary care center over 10 years.PatientsNinety-one patients diagnosed with sagittal craniosynostosis.InterventionsVariables collected included sex, race, ethnicity, age at diagnosis, insurance type, distance traveled, community designation and Area Deprivation Index (ADI), cephalic index (CI), and prematurity (birth at gestational age < 37 weeks). Statistical analysis was performed using Fisher exact test, Wilcoxon-sum test, and multivariable logistic regression.<i>Main Outcome Measure(s):</i>Age at diagnosis and factors associated with delayed diagnosis (>6 months of age).ResultsOn univariable analysis, diagnosis >6 months of age was associated with a greater proportion of non-Hispanic black patients (44% vs 8%, <i>P</i> < .001) and a smaller proportion of non-Hispanic white patients (39% vs 79%, <i>P</i> < .001). A greater proportion of patients had CI ≥ 75 (55% vs 6%, <i>P</i> < .001), and a greater proportion of patients had public insurance (68% vs 38%, <i>P</i> = .008). On multivariable logistic regression non-Hispanic black patients were nearly 7 times more likely compared to non-Hispanic white patients to experience delayed diagnosis when controlling for national (OR 6.96, <i>P</i> = .018) or state ADI (OR 6.51, <i>P</i> = .039).ConclusionAfter adjusting for multiple clinical and sociodemographic factors including insurance type and CI, black patients were nearly 7 times more likely than white patients to experience delayed diagnosis of sagittal craniosynostosis. Future studies are needed to identify modifiable factors contributing to this diagnosis gap and identify opportunities to close it.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656251344384"},"PeriodicalIF":1.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163257","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}