The Influence of Sidedness in Unilateral Cleft Lip and Palate on Mid Facial Growth at Five Years of Age

被引:0
|
作者
Fell, Matthew [1 ,2 ,7 ]
Chong, David [3 ]
Parmar, Paras [4 ]
Su, Ting-Li [5 ]
Enocson, Lars [6 ]
Richard, Bruce [6 ]
机构
[1] Spires Cleft Ctr, Oxford, England
[2] Univ Bristol, Bristol Dent Sch, Cleft Collect, Bristol, England
[3] Royal Childrens Hosp, Melbourne, Australia
[4] Worcestershire Royal Hosp, Worcester, England
[5] Univ Manchester, Univ Cent Lancashire, Sch Med Sci, Lancashire Clin Trial Unit, Preston, England
[6] Birmingham Women & Childrens Hosp, Birmingham, England
[7] Univ Bristol, Bristol Dent Sch, Cleft Collect, Oakfield House, Bristol BS8 2BN, England
关键词
cleft lip and palate; facial growth; midfacial growth; ORDINAL OUTCOMES; ASSOCIATIONS; PROTOCOL; INDEX;
D O I
10.1177/10556656241233220
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objective To determine whether facial growth at five years is different for children with a left versus right sided cleft lip and palate.Design Retrospective cohort study.Setting Seven UK regional cleft centres.Patients Patients born between 2000-2014 with a complete unilateral cleft lip and palate (UCLP).Main Outcomes Measure 5-Year-Old's Index scores.Results 378 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; P = .22).Conclusions Whilst maxillary growth may be different for left versus right sided UCLP, definitive analysis requires older growth indices and arch forms.
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页数:6
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