Abstract
Objective: To evaluate the effect of infant orthopedics (IO) on facial appearance of 54 patients with unilateral cleft lip and palate (UCLP), aged 4 and 6 years.
Design: Prospective two-arm randomized controlled clinical trial in three Cleft Palate Centers in the Netherlands (Dutchcleft-trial).
Interventions: Patients were divided randomly into two groups. Half of the patients (IO+) had a plate until surgical closure of the soft palate at the age of +/- 52 weeks; the other half (IO-) received no intervention.
Main outcome measures: Facial appearance at 4 and 6 years of age assessed on full face photographs and photographs showing only nose and mouth. Ratings were performed on a VAS-scale by professionals and laymen.
Results: At 4 years of age the full face pictures of IO+ children were scored to be more attractive than those of IO- children. However, this difference had disappeared at 6 years of age. At the age of 6, only professionals saw a significant difference on nasolabial photographs between IO+ and IO-. Regression analysis showed a minor effect of occlusion, lip revision, or type of nose reconstruction on the esthetic results.
Conclusions: IO had a positive effect on full facial appearance of UCLP children at the age of 4 years, but at the age of 6, only professionals saw a positive effect of IO on the nasolabial photographs. This is irrelevant for UCLP patients since they deal with laymen in their daily life.
| Original language | English |
|---|---|
| Pages (from-to) | 407-413 |
| Number of pages | 7 |
| Journal | Cleft Palate-Craniofacial Journal |
| Volume | 45 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Jul-2008 |
| Externally published | Yes |
Keywords
- esthetics
- cleft palate
- treatment outcome
- infant orthopedics
- randomized clinical trial
- multicenter
- RANDOMIZED CLINICAL-TRIAL
- MAXILLARY ARCH DIMENSIONS
- NASOLABIAL APPEARANCE
- DECIDUOUS DENTITION
- CHILDREN
- ATTRACTIVENESS
- IMPAIRMENT
- RATINGS
- RELIABILITY
- VALIDITY