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Infant orthopedics and facial appearance: a randomized clinical trial (Dutchcleft).
Cleft Palate Craniofac J. 2006 Nov; 43(6):659-64.CP

Abstract

OBJECTIVE

To study the effect of infant orthopedics on facial appearance.

DESIGN

Prospective two-arm randomized controlled trial in parallel with three participating academic cleft palate centers. Treatment allocation was concealed and performed by means of a computerized balanced allocation method.

SETTING

Cleft Palate Centers of Amsterdam, Nijmegen, and Rotterdam, the Netherlands.

PATIENTS

Infants with complete unilateral cleft lip and palate, no other malformations.

INTERVENTIONS

One group (IO(+)) wore passive maxillary plates during the first year, the other group (IO(-)) did not.

MAIN OUTCOME MEASURE(S)

Two metrical response modalities were used (i.e., visual analog scales and reference scores) to score facial appearance. Full face and cropped photographs were compared with reference photographs and were judged. The photographs were judged by 45 judges, 24 laypeople, and 21 professionals. Transformation of the scores into z scores was applied to compare and to pool both response modalities. The validity of each individual judge was evaluated, as was the reliability of the scales. Differences between the treatment groups were evaluated by means of t tests.

RESULTS

Photographs were available of 41 subjects, 21 with and 20 without infant orthopedics. No significant differences were found between groups. Mean z-score values for the full-face photographs were: group IO(+) = 0.10 (SD = 0.73) and group IO(-) = -0.03 (SD = 0.48); for the cropped photographs were: group IO(+) = 0.12 (SD = 0.71) and group IO(-) = -0.06 (SD = 0.55).

CONCLUSIONS

Infant orthopedics have no effect on facial appearance.

Authors+Show Affiliations

Department of Orthodontics, Academic Center for Dentistry, Louwesweg 1, 1066 EA Amsterdam, the Netherlands. cprahl@acta.nlNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17105328

Citation

Prahl, Charlotte, et al. "Infant Orthopedics and Facial Appearance: a Randomized Clinical Trial (Dutchcleft)." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 43, no. 6, 2006, pp. 659-64.
Prahl C, Prahl-Andersen B, van 't Hof MA, et al. Infant orthopedics and facial appearance: a randomized clinical trial (Dutchcleft). Cleft Palate Craniofac J. 2006;43(6):659-64.
Prahl, C., Prahl-Andersen, B., van 't Hof, M. A., & Kuijpers-Jagtman, A. M. (2006). Infant orthopedics and facial appearance: a randomized clinical trial (Dutchcleft). The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 43(6), 659-64.
Prahl C, et al. Infant Orthopedics and Facial Appearance: a Randomized Clinical Trial (Dutchcleft). Cleft Palate Craniofac J. 2006;43(6):659-64. PubMed PMID: 17105328.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Infant orthopedics and facial appearance: a randomized clinical trial (Dutchcleft). AU - Prahl,Charlotte, AU - Prahl-Andersen,Birte, AU - van 't Hof,Martin A, AU - Kuijpers-Jagtman,Anne M, PY - 2006/11/16/pubmed PY - 2007/1/31/medline PY - 2006/11/16/entrez SP - 659 EP - 64 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac. J. VL - 43 IS - 6 N2 - OBJECTIVE: To study the effect of infant orthopedics on facial appearance. DESIGN: Prospective two-arm randomized controlled trial in parallel with three participating academic cleft palate centers. Treatment allocation was concealed and performed by means of a computerized balanced allocation method. SETTING: Cleft Palate Centers of Amsterdam, Nijmegen, and Rotterdam, the Netherlands. PATIENTS: Infants with complete unilateral cleft lip and palate, no other malformations. INTERVENTIONS: One group (IO(+)) wore passive maxillary plates during the first year, the other group (IO(-)) did not. MAIN OUTCOME MEASURE(S): Two metrical response modalities were used (i.e., visual analog scales and reference scores) to score facial appearance. Full face and cropped photographs were compared with reference photographs and were judged. The photographs were judged by 45 judges, 24 laypeople, and 21 professionals. Transformation of the scores into z scores was applied to compare and to pool both response modalities. The validity of each individual judge was evaluated, as was the reliability of the scales. Differences between the treatment groups were evaluated by means of t tests. RESULTS: Photographs were available of 41 subjects, 21 with and 20 without infant orthopedics. No significant differences were found between groups. Mean z-score values for the full-face photographs were: group IO(+) = 0.10 (SD = 0.73) and group IO(-) = -0.03 (SD = 0.48); for the cropped photographs were: group IO(+) = 0.12 (SD = 0.71) and group IO(-) = -0.06 (SD = 0.55). CONCLUSIONS: Infant orthopedics have no effect on facial appearance. SN - 1055-6656 UR - https://www.unboundmedicine.com/medline/citation/17105328/Infant_orthopedics_and_facial_appearance:_a_randomized_clinical_trial__Dutchcleft__ L2 - http://journals.sagepub.com/doi/full/10.1597/05-139?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -