Cleft Palate-Craniofacial Journal最新文献_第4页

The Correlation Between Static and Dynamic Facial Asymmetry in Unilateral Cleft Lip and Palate. 单侧唇腭裂患者面部静态和动态不对称的相关性。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2024-11-14 DOI: 10.1177/10556656241298143

Christopher Wright, Philip Benington, Xiangyang Ju, Toby Gillgrass, Craig Russell, Ashraf Ayoub

{"title":"The Correlation Between Static and Dynamic Facial Asymmetry in Unilateral Cleft Lip and Palate.","authors":"Christopher Wright, Philip Benington, Xiangyang Ju, Toby Gillgrass, Craig Russell, Ashraf Ayoub","doi":"10.1177/10556656241298143","DOIUrl":"https://doi.org/10.1177/10556656241298143","url":null,"abstract":"Objective: Assess the relationship between static and dynamic facial asymmetry in unilateral cleft lip and palate during maximum smile.Design: Retrospective cross-sectional study.Setting: Multidisciplinary dentofacial planning clinic.Participants: Thirty-one surgically managed non-syndromic unilateral cleft lip and palate patients between the ages of 13 to 17 years.Materials and methods: Dynamic three-dimensional (3D) facial images (four-dimensional [4D]) throughout the course of a maximum smile were captured using video stereophotogrammetry at a rate of 60 frames per second, which generated 180 3D images/expression. A generic facial mesh containing more than 7000 vertices was superimposed onto the 3D facial images to quantify and track facial asymmetry throughout the captured sequence. Partial ordinary Procrustes analysis was utilized to calculate an asymmetry score at the rest position, maximum smile, and at the point of maximum mathematical asymmetry. The relationships between the asymmetry at rest and the asymmetry at the point of maximum smile (static 3D), and the maximum mathematical asymmetry (dynamic 4D) were evaluated.Results: Asymmetry scores were higher at maximum smile than at rest. Maximum mathematical asymmetry was observed in most cases during the relaxation phase. Static asymmetry at rest and maximum smile was strongly correlated with the maximum mathematical asymmetry (r = 0.941, P < .001).Conclusions: Static 3D asymmetry at both rest and maximum smile are strongly correlated with dynamic 4D facial asymmetry. The use of 4D imaging, combined with generic mesh conformation and dense correspondence analysis, provides a valid objective measure of facial asymmetry.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241298143"},"PeriodicalIF":1.1,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631160","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

Recalcitrant Torticollis: A Formidable Treatment Challenge. 顽固性扭体症：治疗的巨大挑战

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2024-11-10 DOI: 10.1177/10556656241295567

Gwendolyn E Daly, Madeline Otto, Sara Alturky, Darius Balumuka, Kelsey Isbester, Fiona Stefanik, Gregory Sjostrand, Lori K Howell, Erik M Wolfswinkel

{"title":"Recalcitrant Torticollis: A Formidable Treatment Challenge.","authors":"Gwendolyn E Daly, Madeline Otto, Sara Alturky, Darius Balumuka, Kelsey Isbester, Fiona Stefanik, Gregory Sjostrand, Lori K Howell, Erik M Wolfswinkel","doi":"10.1177/10556656241295567","DOIUrl":"https://doi.org/10.1177/10556656241295567","url":null,"abstract":"Introduction: There are few evidence-based practice guidelines for recalcitrant torticollis (RT), defined as torticollis that persists past 1 year of age despite conservative therapy. Available evidence recommends a combination of physical therapy (PT), occupational therapy (OT), botulinum toxin injection (BTI), and in the most severe cases, surgical release.Methods: This is a single-center, retrospective study conducted with Institutional Review Board approval. Inclusion criteria were diagnosis of congenital muscular torticollis before 1 year old and persistence of symptoms past 1 year despite conservative treatment between January 1, 2005, and January 30, 2023. Patients with incomplete data, acquired torticollis, confounding diagnoses, or who did not receive a diagnosis or conservative therapy before 1 year of age were excluded.Results: Seventy-seven patients met the inclusion criteria. The average age at diagnosis was 4.5 ± 2.5 months. Initial treatment consisted of PT for 61 patients (79.2%), stretching exercises for 11 patients (14.3%), and OT for 4 patients (5.2%). Regardless of timing, 74 patients in total (96.1%) received PT for an average of 13.3 ± 8.6 months. Conservative treatment modalities led to the resolution of symptoms for 40 patients (51.2%) and improvement of symptoms for 35 patients (45.5%). Two patients received at least 1 BTI which led to further improvement of symptoms. One patient underwent operative intervention which consisted of sternocleidomastoid release.Conclusions: RT is a challenging clinical entity that requires diligent multidisciplinary care. Patients who present and begin conservative therapy before 1 year of age are likely to have improvement or resolution of symptoms without more advanced therapies.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241295567"},"PeriodicalIF":1.1,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631157","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

Influence of Cleft Lip and Palate on Children's Recorder, Flute, and Clarinet Performance. 唇腭裂对儿童木笛、长笛和单簧管演奏的影响。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2024-11-05 DOI: 10.1177/10556656241290432

F N van der Weijden, E Mego Hernández, M A M Schopman, P E Rossell Perry, L H van Essen

{"title":"Influence of Cleft Lip and Palate on Children's Recorder, Flute, and Clarinet Performance.","authors":"F N van der Weijden, E Mego Hernández, M A M Schopman, P E Rossell Perry, L H van Essen","doi":"10.1177/10556656241290432","DOIUrl":"https://doi.org/10.1177/10556656241290432","url":null,"abstract":"Objective: To evaluate whether having a cleft palate with or without cleft lip (CP ± L) influences the performance of a child on a wind instrument.Design: Cross-sectional.Setting: This study was conducted at Asociación San Lucas (Peru), which has a multidisciplinary care program for children with CP ± L. Free recorder lessons are offered to all patients aged 6-8 years. After that, the children can switch to flute, clarinet, violin, viola, or cello. For a fee, children without CP ± L can also participate in the music program.Participants: All children with and without CP ± L who were participating in the music program and were able to play the recorder, flute, or clarinet (N = 43).Main outcome measures: Quantitative and qualitative performance exercises: maximum blowing duration, highest note, lowest note, diminuendo, crescendo, and sound quality.Results: No significant differences in performance were found between children with and without CP ± L. Older children and children with more experience on their instrument demonstrated a significantly longer blowing duration and better sound quality. Within the CP ± L group, those with a satisfactory surgery result had a significantly longer blowing duration than those with a partly satisfactory result (eg, presence of a fistula, palatal surgery revisions, or (need of) pharingoplasty). Furthermore, children with bilateral cleft lip and palate performed diminuendo significantly less smoothly than those with the unilateral type.Conclusion: Children with and without CP ± L demonstrated equally good performances on the recorder, flute, and clarinet. Therefore, families and caregivers should not discourage children with CP ± L from learning to play these wind instruments.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241290432"},"PeriodicalIF":1.1,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584571","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

Bridging Gaps in Health Literacy for Cleft Lip and Palate: Correspondence. 缩小唇腭裂患者健康素养方面的差距：通信。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2024-11-03 DOI: 10.1177/10556656241296373

Amnuay Kleebayoon, Viroj Wiwanitkit

引用次数: 0

Imaging Yield and Surgical Outcomes of Nasal, Medial Brow, Forehead, and Scalp Dermoid Cysts. 鼻腔、眉毛内侧、额头和头皮皮样囊肿的成像结果和手术疗效

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2024-11-03 DOI: 10.1177/10556656241295572

Alexandre Meira Pazelli, Leda Wang, Lauren Gates-Tanzer, Dawn M R Davis, Shelagh Cofer, Samir Mardini, Julia Lehman, Julie Guerin, Edward S Ahn, Waleed Gibreel

{"title":"Imaging Yield and Surgical Outcomes of Nasal, Medial Brow, Forehead, and Scalp Dermoid Cysts.","authors":"Alexandre Meira Pazelli, Leda Wang, Lauren Gates-Tanzer, Dawn M R Davis, Shelagh Cofer, Samir Mardini, Julia Lehman, Julie Guerin, Edward S Ahn, Waleed Gibreel","doi":"10.1177/10556656241295572","DOIUrl":"https://doi.org/10.1177/10556656241295572","url":null,"abstract":"Objective: Dermoid cyst (DC) is a congenital cyst with the potential to have intracranial extension (ICE). This study aims to evaluate the imaging yield and surgical outcomes of nasal, medial brow, forehead, and scalp DCs.Design: Retrospective review of craniofacial DCs treated at our institution between 1992 and 2024.Results: A total of 117 patients (57 females) were included. The median age at cyst detection and removal were 4.8 months (IQR 3.6-9.6) and 1.8 years (IQR 0.9-5.3), respectively. In 42 patients, parents have noticed the presence of the cyst immediately after birth. Cyst wall rupture during surgical removal was reported in 15.4%. The median follow-up time was 1.3 months (IQR 0.5-12.2). Three patients experienced recurrence. No postoperative complication was reported. The regions with the highest prevalence of ICE were the forehead, frontotemporal scalp, and nasal region. The lateral frontal/temporal scalp had a 33.3% rate of ICE. Midline forehead/scalp lesions demonstrated a higher risk of ICE compared to their lateral equivalents (54.5% vs 17.5%, P = .03). The sensitivity and specificity of magnetic resonance imaging (MRI) were 100% and 95.7%, while for computed tomography (CT scans) were 72.7% and 96.5%. The Area Under the Curve for MRI was 0.978, and for CT was 0.846. The sensitivity and specificity of ultrasound were 50% and 100%.Conclusions: Midline forehead/scalp DCs are more prone to extend intracranially than lateral DCs. MRI had a higher sensitivity and specificity than CT scans in detecting ICE. Routine screening imaging should be considered in midline forehead/scalp, lateral frontal/temporal, and nasal DCs.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241295572"},"PeriodicalIF":1.1,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570128","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

Patient-Reported Esthetic Outcomes Following Secondary Rhinoplasty in Adult Patients with a Cleft lip and Palate. 唇腭裂成年患者二次鼻整形术后的患者美学效果报告。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2024-11-03 DOI: 10.1177/10556656241296793

Pauliina Homsy, Annemari Grann, Patrik Lassus

{"title":"Patient-Reported Esthetic Outcomes Following Secondary Rhinoplasty in Adult Patients with a Cleft lip and Palate.","authors":"Pauliina Homsy, Annemari Grann, Patrik Lassus","doi":"10.1177/10556656241296793","DOIUrl":"https://doi.org/10.1177/10556656241296793","url":null,"abstract":"Objective: Secondary rhinoplasty is a frequently requested revision procedure in patients with a history of cleft lip and palate (CLP). The satisfaction of patients with the esthetic outcome of the procedure has been infrequently studied.Design: Adult patients with CLP who had undergone a secondary rhinoplasty between 2009 and 2019 were identified in a cross-sectional cohort that had filled the FACE-Q rhinoplasty module. The effect of the cleft type and the number and timing of the nasal revision surgeries were evaluated.Results: Forty participants were included, median age of 26 years (range 18-59 years). Nine (23%) participants had a history of bilateral CLP. The median time form the last nasal operation to the study was 4.5 years (range 16 days to 10 years). The participants reported being satisfied with the appearance of the nose (median score 52, interquartile range [IQR] 44-60) but the satisfaction with the appearance of the nostrils (median score 44, IQR 30-64) was below the normative value for the scale. Patients with a history of bilateral CLP reported worse satisfaction across all the aspects of health-related quality of life assessed (P < .05 for all). No association was observed between the age at the first open rhinoplasty and satisfaction with the appearance of the nose or the nostrils.Conclusions: Following secondary rhinoplasty, adults with CLP are, in general, satisfied with their nose but less so with nostrils. Compared to unilateral CLP, bilateral CLP is associated with a worse health-related quality of life.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241296793"},"PeriodicalIF":1.1,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570129","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

Evaluation of a Novel Objective Method for The Assessment of Nasal Symmetry Among Patients with Unilateral Cleft Lip. 评估单侧唇裂患者鼻部对称性的新型客观方法

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2024-11-01 Epub Date: 2023-12-21 DOI: 10.1177/10556656231222451

Liron Ezra, Eitan Bar Droma, Aamer Baransi, Michael Friger, Eldad Silberstein

{"title":"Evaluation of a Novel Objective Method for The Assessment of Nasal Symmetry Among Patients with Unilateral Cleft Lip.","authors":"Liron Ezra, Eitan Bar Droma, Aamer Baransi, Michael Friger, Eldad Silberstein","doi":"10.1177/10556656231222451","DOIUrl":"10.1177/10556656231222451","url":null,"abstract":"Objective: This is a cross sectional study aimed to asses novel semi objectve compter assisted method to asses the symmetry amog unilateral cleft lip patients.Design: using Standard inferior view nose photos that were uploaded to Digimizer© Version 4.6.1 (2005-2016 MedCalc Software) Image Analysis, symmetry percentage was calculated and compared between cleft and non-cleft neonates. This method was compared to two subjective methods of rating symmetry.Setting: This a cross sectional pilot study performed in the Univresity Medical Center using standard inferior views of unilateral cleft patients which were compared to non-cleft neonates.Patients: Photographs of 71 neonates with unilateral complete and incomplete cleft lip and 30 neonates without facial cleft, which were born at the university medical center, Beer Sheba, Israel, were analyzed in a standard manner to determine nasal symmetry.Main measures: the novel method proposed produced a nominal value for percentage of symmetry.Results: Using Pearson's correlation test we found intra-rater reliability of 91.2% (p < 0.001) and Inter-rater reliability of 82.9% (p < 0.001). The analysis correlated with the surgeons subjective scores in both the numerical ranking method at 73% (p < 0.001) and 72.6% (p < 0.001) and the Ordinal ranking method at 87.6% (p < 0.001) and 77.7% (p < 0.001). The ability of the method to discriminate healthy from Cleft Lip patients overall was 92.3% With high sensitivity and specificity.Conclusions: This method accurately distinguishes healthy patients from cleft lip patients. We have achieved High levels of inter and intra-rater reliability. Significant correlations were found between our semiobjective method and the subjective scores.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"1853-1859"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832600","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

Surgical Tray Optimization in the Setting of Cleft Lip and Palate Reconstruction: Implications for Operative Cost and Efficiency. 唇腭裂重建手术中的手术托盘优化：对手术成本和效率的影响。

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2024-10-29 DOI: 10.1177/10556656241293705

Matteo Laspro, Leya Groysman, Lucas R Perez Rivera, Anna Mae Geolingo, Henry Tong, Marina Nakos-Athanasiou, David L Tran, David A Staffenberg, Roberto L Flores

{"title":"Surgical Tray Optimization in the Setting of Cleft Lip and Palate Reconstruction: Implications for Operative Cost and Efficiency.","authors":"Matteo Laspro, Leya Groysman, Lucas R Perez Rivera, Anna Mae Geolingo, Henry Tong, Marina Nakos-Athanasiou, David L Tran, David A Staffenberg, Roberto L Flores","doi":"10.1177/10556656241293705","DOIUrl":"10.1177/10556656241293705","url":null,"abstract":"Objectives: To assess surgical instrument usage in cleft lip (CL) and cleft palate (CP) surgery and create an optimized surgical tray with an associated cost-savings analysis.Design: Prospective, observational study.Setting: Single institution, 6-month prospective review.Patients/participants: A total of 10 primary CL surgeries and 10 primary CP surgeries were included in this study.Intervention: Complete lists of surgical instruments utilized in CL and CP surgeries were collected.Utilization fractions (UFs) were calculated as the percentages of average used instruments to averaged opened instruments per case. New optimized CL and CP surgical trays were idealized by removing instruments not used in at least 20% of cases, and a cost analysis was performed to identify potential savings. Calculation of annual potential savings was also conducted based on institutional caseload.Results: The average instrument UFs were 26.0% for CL and 22.6% for CP. The estimated costs were $33.15 to $290.29 for the original CL surgical tray and $10.20 to $63.80 for the optimized tray. For CP, the original tray's cost was estimated at $38.25 to $319.00, and the optimized tray at $9.18 to $57.42. This demonstrates a cost reduction of $22.95 to $226.49 for CL and $29.07 to 261.58 for CP.Conclusions: The idealized surgical instrument tray could contribute to reducing healthcare expenditures and promoting operating room efficiency, patient safety, and environmentally friendlier operating theaters.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241293705"},"PeriodicalIF":1.1,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523455","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

Effectiveness of 2 Lip Taping Techniques in Infants With Bilateral Cleft Lip and Palate: A Randomized Clinical Trial. 双侧唇腭裂婴儿使用两种唇部绑带技术的效果：随机临床试验

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2024-10-25 DOI: 10.1177/10556656241292403

Athar Thair, Mushriq Abid

{"title":"Effectiveness of 2 Lip Taping Techniques in Infants With Bilateral Cleft Lip and Palate: A Randomized Clinical Trial.","authors":"Athar Thair, Mushriq Abid","doi":"10.1177/10556656241292403","DOIUrl":"https://doi.org/10.1177/10556656241292403","url":null,"abstract":"Objectives: This trial was designed to test the efficacy of 2 lip taping methods in modifying the maxillary arch dimensions (MADs) of infants with bilateral cleft lip and palate (BCLP) before lip repair surgery.Design: Parallel-group randomized clinical trial.Setting: The trial was conducted at 3 centers in Baghdad city.Participants: Thirty-six nonsyndromic infants with BCLP.Intervention: The eligible infants were randomly assigned to either the first experimental group that received a conventional horizontal tape (3 M Steri strip-1/4 inch) or the second experimental group that received a custom-made tape made of Steri strips and orthodontic extra oral elastics. All of the included infants in both groups had rubber base impressions taken for them at the start of treatment (T1) and right before surgical lip repair (T2). A desktop scanner was used to scan each of the generated models, creating digital models that could be used for outcome evaluation.Main outcomes measures: Virtual MAD measurements were performed by a blinded assessor on the generated digital models both before (T1) and after (T2) treatment.Results: At T2, both groups showed statistically significant changes in all measured MADs, with a mean difference ranging from 1.36 to 2.95 mm for the conventional taping group and from 1.46 to 7.96 mm for the custom-made one. The comparison of the 2 groups revealed both statistically and clinically significant differences with a P value <.05. The custom-made taping demonstrated more constriction in maxillary arch in terms of changes, which could provide easier surgical manipulation for the cleft parts.Conclusion: Lip taping appears to be an efficient technique for modifying the MADs in infants with BCLP.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241292403"},"PeriodicalIF":1.1,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511442","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

Behavioral Correlates of Caregiver-Reported Oral Health of Children with Cleft Lip and/or Cleft Palate Ages 14 to 48 Months: An Observational Study. 14 至 48 个月唇裂和/或腭裂儿童口腔健康护理人员报告的行为相关性：观察研究

IF 1.1 4区医学

Cleft Palate-Craniofacial Journal Pub Date : 2024-10-22 DOI: 10.1177/10556656241290549

Haley Holland, Sarah Pollard, Kathy Chapman, Donald L Chi

{"title":"Behavioral Correlates of Caregiver-Reported Oral Health of Children with Cleft Lip and/or Cleft Palate Ages 14 to 48 Months: An Observational Study.","authors":"Haley Holland, Sarah Pollard, Kathy Chapman, Donald L Chi","doi":"10.1177/10556656241290549","DOIUrl":"10.1177/10556656241290549","url":null,"abstract":"To identify behaviors associated with poor caregiver-reported oral health in a population of young children with cleft palate with or without cleft lip (CP ± L).Observational cross-sectional study.U.S. Cleft Outcomes Research NETwork (CORNET) Consortium.Eight hundred thirty-four caregivers of US children with CP ± L ages 14 to 48 months who provided demographic and medical information and answered 8 items on oral health behaviors (eg, sugar-sweetened beverage intake frequency, having a regular source of dental care, toothbrushing, and fluoride exposure).Caregiver-reported oral health status of the child (poor/fair vs good/very good). Logistic regression models were used to generate confounder-adjusted odds ratios (OR) and evaluate associations between oral health behaviors and caregiver-reported oral health status of the child.The mean age of children was 25.5 ± 7.5 months, 82.7% were white, and 24.1% were Hispanic/Latino. About 16.7% of caregivers reported their child's oral health as fair/poor. Children consuming 2+ servings of juice and/or sugar-sweetened beverages daily (OR: 2.18; 95% confidence interval [CI]: 1.2, 4.0; P = 0.011), those drinking bottled water (OR: 1.75; 95% CI: 1.0, 3.1; P = 0.049), and those consuming 1+ servings of meal replacement drinks daily (OR: 2.86; 95% CI: 1.2, 6.5; P = 0.015) had increased odds of fair/poor caregiver-reported child oral health.Sugar-sweetened beverages and meal replacement drinks, as well as bottled water intake, were associated with poorer caregiver-reported oral health for children with CP ± L. Future research should focus on ways to improve beverage-related behaviors in children with CP ± L to prevent dental diseases and promote oral health.","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241290549"},"PeriodicalIF":1.1,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478862","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