Cleft Palate-Craniofacial Journal最新文献

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Midline Cervical Cleft: Case Report and Current Understanding. 中线颈椎裂:病例报告与当前认识
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2024-10-15 DOI: 10.1177/10556656241289363
Joshua Christopher Hwang, Robert Perry
{"title":"Midline Cervical Cleft: Case Report and Current Understanding.","authors":"Joshua Christopher Hwang, Robert Perry","doi":"10.1177/10556656241289363","DOIUrl":"https://doi.org/10.1177/10556656241289363","url":null,"abstract":"<p><p>Congenital midline cervical cleft (CMCC) is an extraordinarily rare midline lesion that is present at birth. The lesion can cause micrognathia and cervical contracture via underlying traction on the mandible. It is essential to recognize the condition and excise the lesion within 1 year of diagnosis to mitigate long term cosmetic and functional problems. We report a 10-month-old male infant with CMCC diagnosed immediately after birth. Ultrasound with color doppler imaging confirmed the anatomic characteristics of the lesion. The lesion was surgically excised and closed in layers, with no postoperative complications and good functional and cosmetic results. The pathognomonic presentation, etiology, differential diagnosis, and optimal surgical approach are also discussed.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241289363"},"PeriodicalIF":1.1,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478876","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
Investigating the Impact of Additional Congenital Malformations on Speech Outcomes at age Five in Children with a Cleft Palate. 研究先天性畸形对腭裂儿童五岁时言语能力的影响。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2024-10-09 DOI: 10.1177/10556656241287759
Sophie Butterworth, Kate J Fitzsimons, Lorraine Britton, Stephanie Van Eeden, Jibby Medina, Jan van der Meulen, Craig J H Russell
{"title":"Investigating the Impact of Additional Congenital Malformations on Speech Outcomes at age Five in Children with a Cleft Palate.","authors":"Sophie Butterworth, Kate J Fitzsimons, Lorraine Britton, Stephanie Van Eeden, Jibby Medina, Jan van der Meulen, Craig J H Russell","doi":"10.1177/10556656241287759","DOIUrl":"https://doi.org/10.1177/10556656241287759","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether children born with a cleft palate ± lip (CP ± L) and additional congenital differences (ACDs - including 'Congenital malformations and deformations' as coded in ICD-10), are less likely to meet the three national speech outcome standards at age five compared to children with CP ± L and no ACDs.</p><p><strong>Design: </strong>An observational study, utilizing national data from the UK Cleft Registry and Audit NEtwork (CRANE) Database linked to national administrative data of hospital admissions.</p><p><strong>Setting: </strong>National Health Service, England.</p><p><strong>Patients: </strong>2191 children (993 female, 1198 male) with CP ± L, born 2006-2012 in England, with complete speech data and consent to data linkage.</p><p><strong>Outcome measure: </strong>Perceptual speech analysis utilised the Cleft Audit Protocol for Speech - Augmented (CAPS-A) rating and United Kingdom National Speech Outcome Standards (Speech Standard 1 (SS1), Speech Standard 2a (SS2a) and Speech Standard 3 (SS3)).</p><p><strong>Results: </strong>Of 2191 children, 759 (35%) had at least one ACD. Presence of one ACD did not significantly impact speech outcomes but two or more ACDs reduced the odds of achieving all three speech standards: SS1 aOR 0.602 (CI 0.45-0.82, <i>P</i> = .002), SS2a aOR 0.563 (CI 0.41-0.77, <i>P</i> = .001), SS3 aOR 0.606 (0.43-0.84, <i>P</i> = .003). When exploring ACDs by ICD-10 groupings, congenital malformations of the 'Eye, ear, face and neck', 'Circulatory system', 'Digestive system', 'Musculoskeletal system' and 'Other congenital malformations' reduced a child's odds of achieving the speech standards.</p><p><strong>Conclusions: </strong>ACDs, in the absence of a known syndrome, have a significant impact on speech outcome at age five. Incorporating these factors into risk-adjustment models for service level outcome reporting is recommended.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241287759"},"PeriodicalIF":1.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394649","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 Novel Self-Retentive Obturator to Facilitate Feeding in an Infant with Cleft Palate: A Case Report and Literature Review. 一种新颖的自复位闭孔器,为一名腭裂婴儿提供喂食便利:病例报告和文献综述。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2024-10-09 DOI: 10.1177/10556656241289893
Deepak Singh, Veena Gv, Tulika Tripathi, Kaleem Fatima, Priyank Rai
{"title":"A Novel Self-Retentive Obturator to Facilitate Feeding in an Infant with Cleft Palate: A Case Report and Literature Review.","authors":"Deepak Singh, Veena Gv, Tulika Tripathi, Kaleem Fatima, Priyank Rai","doi":"10.1177/10556656241289893","DOIUrl":"https://doi.org/10.1177/10556656241289893","url":null,"abstract":"<p><p>Cleft lip and palate are common congenital defects with multifactorial complex etiology characterized by complete or incomplete cleft of lip, alveolus, and hard and soft palate. In infants, the main problem lies in the difficulty of suckling with frequent nasal regurgitation leading to respiratory and middle ear infections. This article presents a case report of an 8-day-old female with complete cleft of hard and soft palate who was given a novel self-retentive type feeding obturator. This obturator eliminated the need for supplementary aids to help in retention and has a simple design, is cost-effective, and easy to use.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241289893"},"PeriodicalIF":1.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394646","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: The Role of Artificial Intelligence and Interactive Educational Materials. 缩小唇腭裂患者健康素养方面的差距:人工智能和互动教育材料的作用。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2024-10-09 DOI: 10.1177/10556656241289653
Abdallah A Shehab, Katie E Shedd, Waleed Alamah, Samir Mardini, Uldis Bite, Waleed Gibreel
{"title":"Bridging Gaps in Health Literacy for Cleft Lip and Palate: The Role of Artificial Intelligence and Interactive Educational Materials.","authors":"Abdallah A Shehab, Katie E Shedd, Waleed Alamah, Samir Mardini, Uldis Bite, Waleed Gibreel","doi":"10.1177/10556656241289653","DOIUrl":"https://doi.org/10.1177/10556656241289653","url":null,"abstract":"<p><strong>Objective: </strong>Our goal is to address the health literacy gap concerning cleft lip and palate using artificial intelligence (AI), specifically OpenAI's ChatGPT-4, to enhance the readability of patient educational materials (PEMs). Additionally, we aim to explore the integration of interactive educational materials into these resources.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Setting: </strong>Websites of craniofacial teams approved by the American Cleft Palate-Craniofacial Association (ACPA).</p><p><strong>Patients/participants: </strong>PEMs collected from these websites.</p><p><strong>Interventions: </strong>First, we examined the PEMs for interactive educational content such as videos, photos, case examples, and audio clips. Subsequently, we used the WebFX online readability calculator and Grammarly to evaluate the texts' readability and clarity. After that, we used ChatGPT-4 to simplify the PEM texts to a 6th-grade reading level and re-evaluated their readability and clarity.</p><p><strong>Main outcome measure(s): </strong>Readability levels (grade level) and clarity scores of PEMs before and after AI modification, and the presence of interactive educational content.</p><p><strong>Results: </strong>Initial evaluations using the Flesch-Kincaid Grade Level formula showed that the texts were written at a median 9th-grade reading level. Modifications using ChatGPT-4 significantly improved readability, achieving a median 6th-grade level and enhanced clarity. Only 27% of the websites featured interactive educational content, indicating a gap in utilizing educational enhancements.</p><p><strong>Conclusion: </strong>The use of AI improved the readability and clarity of patient educational materials, aligning with recommended standards. However, the underutilization of interactive tools suggests a need for broader integration of these resources to optimize patient education and engagement.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241289653"},"PeriodicalIF":1.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394647","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
Worth the Pain? Comparing Pain Scores in Primary Furlow Palatoplasty With and Without Buccal Flap Augmentation. 疼痛值得吗?比较有无颊瓣增厚的原发性 Furlow 腭成形术的疼痛评分
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2024-10-08 DOI: 10.1177/10556656241288534
James A Mentz, Jessica R Nye, Madysen Johnson, Kylie Swiekatowski, Chioma G Obinero, Austin Lignieres, Danielle L Sobol, Matthew R Greives
{"title":"Worth the Pain? Comparing Pain Scores in Primary Furlow Palatoplasty With and Without Buccal Flap Augmentation.","authors":"James A Mentz, Jessica R Nye, Madysen Johnson, Kylie Swiekatowski, Chioma G Obinero, Austin Lignieres, Danielle L Sobol, Matthew R Greives","doi":"10.1177/10556656241288534","DOIUrl":"https://doi.org/10.1177/10556656241288534","url":null,"abstract":"<p><strong>Objective: </strong>Pain following primary palatoplasty can adversely affect nutritional and quality of life following primary palatoplasty. The incorporation of buccal flaps during primary cleft palate (CP) repair provides additional tissue to reduce the risk of velopharyngeal insufficiency, though the additional donor site may alter pain levels in the postoperative period. This study sought to compare postoperative pain levels in patients undergoing primary CP repair with or without buccal flaps.</p><p><strong>Design: </strong>A single-institution, retrospective cohort study.</p><p><strong>Setting: </strong>An academic children's hospital with an affiliated comprehensive cleft care team.</p><p><strong>Patients: </strong>Patients age 18 months or less with cleft palate undergoing primary palatoplasty from 2016 to 2021 were included. Patients were stratified by the number of buccal flaps utilized during repair.</p><p><strong>Main outcome measures: </strong>Primary outcome was 24-h postoperative pain score, measured using the FLACC pain scale. Secondary outcome was 24-h postoperative narcotic use, measured in morphine milligram equivalents (MME).</p><p><strong>Results: </strong>A total of 106 patients (53 without buccal flaps, 53 with 1 + buccal flaps) were included. There was no significant difference in postoperative pain scores between the groups (<i>p </i>> 0.9). Both groups had similar postoperative narcotic utilization (<i>p </i>= 0.8).</p><p><strong>Conclusions: </strong>This study demonstrates no significant difference in postoperative pain levels or narcotic utilization between patients undergoing primary Furlow palatoplasty with or without buccal flaps. This information can help address parental concerns regarding pain in the context of a larger donor site for patients undergoing primary palatoplasty with buccal flaps. Larger, multi-institutional randomized trials are needed to confirm these findings.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241288534"},"PeriodicalIF":1.1,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394650","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
Current Ear and Hearing Care Practices for Infants and Toddlers with Cleft Palate in the United States. 美国腭裂婴幼儿的耳科和听力护理现状。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2024-10-08 DOI: 10.1177/10556656241283535
Ursula M Findlen, Anna Meehan, Gregory Allen, Deborah S F Kacmarynski, Jonathan Grischkan, Emily C Nightengale, Lauren C Alexander, Sarah Hatch Pollard, Adriane L Baylis
{"title":"Current Ear and Hearing Care Practices for Infants and Toddlers with Cleft Palate in the United States.","authors":"Ursula M Findlen, Anna Meehan, Gregory Allen, Deborah S F Kacmarynski, Jonathan Grischkan, Emily C Nightengale, Lauren C Alexander, Sarah Hatch Pollard, Adriane L Baylis","doi":"10.1177/10556656241283535","DOIUrl":"https://doi.org/10.1177/10556656241283535","url":null,"abstract":"<p><strong>Objective: </strong>To examine ear and hearing clinical practices across American Cleft Palate-Craniofacial Association (ACPA) approved teams in the United States.</p><p><strong>Design: </strong>Multi-site prospective, observational, longitudinal study.</p><p><strong>Setting: </strong>Seventeen Cleft Palate Teams in the United States.</p><p><strong>Patients, participants: </strong>Children with cleft palate, with or without cleft lip (CP ± L), born between 2015 and 2022, evaluated by 18 months (n = 1246).</p><p><strong>Interventions: </strong>None.</p><p><strong>Main outcome measure(s): </strong>Standard of care otolaryngology and audiology appointments evaluated in the context of whether otolaryngology and audiology services were provided as embedded care within the team visit or as ancillary services.</p><p><strong>Results: </strong>Over 71% of infants passed newborn hearing screening (NBHS). By age 18 months, only 40% of infants received audiologic follow-up while 93.6% of children received otolaryngology care. Follow-up was significantly better for infants served by teams with embedded providers versus those who refer families for ancillary services; the odds of seeing an audiologist by 18 months were three times as high among participants seen by teams with embedded audiology (OR = 3.25; CI = 2.0, 5.2) while those seen by teams with embedded otolaryngologists had more than double the odds of seeing an otolaryngologist by 18 months (OR = 2.2; CI = 1.5, 3.2).</p><p><strong>Conclusions: </strong>There is considerable variability across ACPA-approved centers in the US regarding the timing and completion of otolaryngology and audiologic follow-up for children with CP ± L. This study highlights the importance of following established standards of care and the impact that team composition and access to clinical services can have on equity of care.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241283535"},"PeriodicalIF":1.1,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394648","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 Bibliometric Analysis of 100 Top-cited Articles on Cleft Orthodontics. 对 100 篇关于齿裂矫正的热门文章进行文献计量分析。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2024-10-07 DOI: 10.1177/10556656241288192
Anurag Negi, Sakshi Katyal, Vijay Yadav, Pranitha Vallala
{"title":"A Bibliometric Analysis of 100 Top-cited Articles on Cleft Orthodontics.","authors":"Anurag Negi, Sakshi Katyal, Vijay Yadav, Pranitha Vallala","doi":"10.1177/10556656241288192","DOIUrl":"https://doi.org/10.1177/10556656241288192","url":null,"abstract":"<p><strong>Objective: </strong>This bibliometric study seeks to provide a comprehensive overview of the 100 most frequently cited articles in the domain of cleft orthodontics. The analysis will reveal key influential publications, collaborative author networks, and identify prevailing research themes within the field.</p><p><strong>Method: </strong>The studies related to Orthodontics in the realm of cleft lip and palate (CLP) were retrieved from the Scopus database on 30th August 2024 using key terms. The results obtained were sorted in descending order of citations and the 100 top-cited articles were hand-filtered. RStudio software version 4.2.0 and Bibliometrix R-package was used for performing scientometrics involving co-citation, co-occurrence, collaboration and co-word analyses, bibliographic coupling and network mapping.</p><p><strong>Results: </strong>A total of n = 3984 articles were retrieved from which top-100 cited articles were filtered. These documents were published during 1950-2019 with peak production in 1997. The United States and the Netherlands were the most prolific countries involved in the given research. The majority of the highly referenced articles pertained to alveolar bone grafting, and treatment outcomes being the second common focus followed by Infant and early orthopedics (Naso-alveolar moulding, Maxillary Protraction) and facial growth during the given period.</p><p><strong>Conclusions: </strong>Thematic mapping depicted bone grafting, alveoloplasty (infant orthopedics) and maxillofacial development as the more developed core topics than the psychology and self-perception of patients with CLP. Recent research trends have shifted towards three-dimensional assessment methods.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241288192"},"PeriodicalIF":1.1,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382154","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 Comparative Effectiveness Study of Speech and Surgical Outcomes: Study Overview. 语言和手术效果的比较效益研究:研究概述
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2024-10-04 DOI: 10.1177/10556656241274242
Kathy L Chapman, Thomas Sitzman, Adriane Baylis, Mary Hardin-Jones, Richard Kirschner, M'hamed Hamy Temkit
{"title":"A Comparative Effectiveness Study of Speech and Surgical Outcomes: Study Overview.","authors":"Kathy L Chapman, Thomas Sitzman, Adriane Baylis, Mary Hardin-Jones, Richard Kirschner, M'hamed Hamy Temkit","doi":"10.1177/10556656241274242","DOIUrl":"10.1177/10556656241274242","url":null,"abstract":"<p><strong>Aims: </strong>To provide an overview of the Cleft Outcomes Research NETwork (CORNET) and the CORNET Speech and Surgery study. The study is (1) comparing speech outcomes and fistula rate between two common palate repair techniques, straight-line closure with intra-velar veloplasty (IVVP) and Furlow Double-Opposing Z-palatoplasty (Furlow Z-plasty); (2) summarizing practice variation in the utilization of early intervention speech-language (EI-SL) services; and (3) exploring the association between EI-SL services and speech outcomes.</p><p><strong>Design: </strong>Prospective, longitudinal, observational, comparative effectiveness, multi-center.</p><p><strong>Sites: </strong>Twenty sites across the United States.</p><p><strong>Participants: </strong>One thousand two hundred forty-seven children with cleft palate with or without cleft lip (CP ± L). Children with submucous cleft palate or bilateral sensorineural severe to profound hearing loss were excluded from participation.</p><p><strong>Interventions: </strong>Straight-line closure with IVVP or Furlow Z-plasty based on each surgeon's standard clinical protocol.</p><p><strong>Main outcome measure(s): </strong>The primary study outcome is perceptual ratings of hypernasality judged from speech samples collected at 3 years of age. Secondary outcomes are fistula rate, measures of speech production, and quality of life. The statistical analyses will include generalized estimating equations with propensity score weighting to address potential confounders.</p><p><strong>Current progress: </strong>Recruitment was completed in February 2023; 80% of children have been retained to date. Five hundred sixty two children have completed their final 3-year speech assessment. Final study activities will end in early 2025.</p><p><strong>Conclusions: </strong>This study addresses long-standing questions related to the effectiveness of the two most common palatoplasty approaches and describes CORNET which provides an infrastructure that will streamline future studies in all areas of cleft care.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241274242"},"PeriodicalIF":1.1,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373331","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
Reliability of Variables of Consonant Production and Velopharyngeal Competence in 10-year-olds with Cleft Palate Using Multiple Raters. 使用多重评分器对 10 岁腭裂儿童的辅音发音和伶牙俐齿能力变量进行可靠性分析。
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2024-10-03 DOI: 10.1177/10556656241287761
Kristina Klintö, Malin Schaar Johansson, Magdalena Andersson, Caroline Gällstedt, Cecilia Lindberg, Cecilia Nelli, Åsa Okhiria
{"title":"Reliability of Variables of Consonant Production and Velopharyngeal Competence in 10-year-olds with Cleft Palate Using Multiple Raters.","authors":"Kristina Klintö, Malin Schaar Johansson, Magdalena Andersson, Caroline Gällstedt, Cecilia Lindberg, Cecilia Nelli, Åsa Okhiria","doi":"10.1177/10556656241287761","DOIUrl":"https://doi.org/10.1177/10556656241287761","url":null,"abstract":"<p><strong>Objective: </strong>To assess the reliability of speech data and speech-related quality indicators in the Swedish quality registry for cleft lip and palate (CLP) at 10 years of age.</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Setting: </strong>University hospitals.</p><p><strong>Participants: </strong>One hundred twenty-one 10-year-olds with unilateral or bilateral CLP.</p><p><strong>Main outcome measures: </strong>Six independent raters reassessed audio recordings for comparison with registry data. For calculation of agreement, the single measures intraclass correlation coefficient (ICC) was used for percentage of consonants correct (PCC) and non-oral speech errors, quadratic weighted kappa for velopharyngeal competence (VPC), and percentage agreement and kappa for quality indicators. The results of the three to four raters with the highest intra-rater and inter-rater reliability were used for comparison with registry data.</p><p><strong>Results: </strong>There was excellent agreement between registry data and reassessments for PCC (ICC, 0.93) and percentage of non-oral errors (ICC, 0.80). For VPC, one rater and registry data had good agreement (k, 0.704); the remaining cases had fair agreement (k, 0.476-0.554). The percentage agreement between registry data and reassessments for quality indicators ranged from fair to excellent. When calculated with kappa, agreement was good to excellent (mean of all k values, 0.67-0.70).</p><p><strong>Conclusions: </strong>The CLP registry variables PCC and percentage of non-oral errors and the quality indicators <i>without non-oral speech errors</i> and <i>competent/marginally incompetent velopharyngeal function</i> are reliable for use in clinical audits and research of 10-year-olds. The three-tier ratings of VPC have weaker reliability but can still be useful in more detailed analyses if interpreted with caution.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241287761"},"PeriodicalIF":1.1,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367152","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
Automatic Landmark Annotation and Measurement of 3D Mandibular Morphology Using Non-Rigid Registration: A Preliminary Exploration and Accuracy Assessment. 使用非刚性注册自动标注和测量三维下颌骨形态:初步探索与精度评估
IF 1.1 4区 医学
Cleft Palate-Craniofacial Journal Pub Date : 2024-10-03 DOI: 10.1177/10556656241288204
Zhewei Chen, Bowen Lei, Binghang Li, Hengyuan Ma, Yehong Zhong
{"title":"Automatic Landmark Annotation and Measurement of 3D Mandibular Morphology Using Non-Rigid Registration: A Preliminary Exploration and Accuracy Assessment.","authors":"Zhewei Chen, Bowen Lei, Binghang Li, Hengyuan Ma, Yehong Zhong","doi":"10.1177/10556656241288204","DOIUrl":"https://doi.org/10.1177/10556656241288204","url":null,"abstract":"<p><p>This study aimed to develop an automatic methodology for mandibular landmarking and measurement using non-rigid registration as well as analyze the accuracy of automatic landmarking and measurements.</p><p><p>Statistical analysis.</p><p><p>Digital technology center, tertiary hospital.</p><p><p>130 healthy Chinese adults with equal gender distribution, average age 28.2 ± 5.6 years.</p><p><p>Four mean shape mesh templates were generated from 100 head CT scans. Following manual indication of landmarks, these templates were applied for automatic landmark annotation and measurements on mandibles from another 30 head CT scans, using non-rigid iterative closest point registration.</p><p><p>Differences of landmark coordinates and measurements between automatic and manual annotation were analyzed using mean difference, centroid size, Euclidean distances and intraclass correlation coefficient (ICC), assessing the accuracy and validity of automatic landmark annotation.</p><p><p>The majority of automatic landmarks (16/22) did not exhibit consistent displacement to specific direction. ICCs of all landmark coordinates exceed 0.950, with 87.9% larger than 0.990. The average Euclidean distance between manual and automatic landmarks was 2.038 ± 0.947 mm. Most ICCs of linear and angular measurements between manual and automatic annotation (20/26) exceeded 0.900, with the average errors being 1.425 ± 0.973 mm and 2.257 ± 0.649 °, respectively.</p><p><p>A novel and efficient method for automatic landmark annotation was established based on non-rigid registration. Its credibility and accuracy in mandibular annotation and measurements were demonstrated.</p>","PeriodicalId":49220,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"10556656241288204"},"PeriodicalIF":1.1,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367151","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}
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