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The Americleft study: an inter-center study of treatment outcomes for patients with unilateral cleft lip and palate part 4. Nasolabial aesthetics.
Cleft Palate Craniofac J. 2011 May; 48(3):259-64.CP

Abstract

OBJECTIVE

To compare the nasolabial aesthetics for individuals with nonsyndromic complete unilateral cleft lip and palate between the ages of 5 and 12 years.

DESIGN

Retrospective cross-sectional study.

SETTING

Four cleft centers in North America.

SUBJECTS

A total of 124 subjects with repaired complete unilateral cleft lip and palate who were treated at the four centers.

METHODS

After ethics approval was obtained, 124 preorthodontic frontal and profile patient images were scanned, cropped to show the nose and upper lip, and coded. Using the coded images, four nasolabial features that reflect aesthetics (i.e., nasal symmetry, nasal form, vermilion border, and nasolabial profile) were rated by five examiners using the rating system reported by Asher-McDade et al. (1991) . Intrarater and interrater reliabilities were determined using weighted kappa statistics. Mean ratings, by center, were compared using analysis of variance.

RESULTS

Intrarater reliability scores were good to very good and interrater reliability scores were moderate to good. Total nasolabial scores were Center B = 2.98, Center C = 3.02, Center D = 2.80, and Center E = 2.87. No statistically significant differences among centers were detected for both total aesthetic scores and for any of the individual aesthetic components.

CONCLUSION

There were no significant differences in nasolabial aesthetics among the centers evaluated. Overall good to fair nasolabial aesthetic results were achieved using the different treatment protocols in the four North American centers.

Authors+Show Affiliations

Division of Orthodontics, College of Dentistry, The Ohio State University, Columbus, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21219227

Citation

Mercado, Ana, et al. "The Americleft Study: an Inter-center Study of Treatment Outcomes for Patients With Unilateral Cleft Lip and Palate Part 4. Nasolabial Aesthetics." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 48, no. 3, 2011, pp. 259-64.
Mercado A, Russell K, Hathaway R, et al. The Americleft study: an inter-center study of treatment outcomes for patients with unilateral cleft lip and palate part 4. Nasolabial aesthetics. Cleft Palate Craniofac J. 2011;48(3):259-64.
Mercado, A., Russell, K., Hathaway, R., Daskalogiannakis, J., Sadek, H., Long, R. E., Cohen, M., Semb, G., & Shaw, W. (2011). The Americleft study: an inter-center study of treatment outcomes for patients with unilateral cleft lip and palate part 4. Nasolabial aesthetics. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 48(3), 259-64. https://doi.org/10.1597/09-186.1
Mercado A, et al. The Americleft Study: an Inter-center Study of Treatment Outcomes for Patients With Unilateral Cleft Lip and Palate Part 4. Nasolabial Aesthetics. Cleft Palate Craniofac J. 2011;48(3):259-64. PubMed PMID: 21219227.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Americleft study: an inter-center study of treatment outcomes for patients with unilateral cleft lip and palate part 4. Nasolabial aesthetics. AU - Mercado,Ana, AU - Russell,Kathleen, AU - Hathaway,Ronald, AU - Daskalogiannakis,John, AU - Sadek,Hani, AU - Long,Ross E,Jr AU - Cohen,Marilyn, AU - Semb,Gunvor, AU - Shaw,William, Y1 - 2011/01/10/ PY - 2011/1/12/entrez PY - 2011/1/12/pubmed PY - 2014/9/24/medline SP - 259 EP - 64 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac. J. VL - 48 IS - 3 N2 - OBJECTIVE: To compare the nasolabial aesthetics for individuals with nonsyndromic complete unilateral cleft lip and palate between the ages of 5 and 12 years. DESIGN: Retrospective cross-sectional study. SETTING: Four cleft centers in North America. SUBJECTS: A total of 124 subjects with repaired complete unilateral cleft lip and palate who were treated at the four centers. METHODS: After ethics approval was obtained, 124 preorthodontic frontal and profile patient images were scanned, cropped to show the nose and upper lip, and coded. Using the coded images, four nasolabial features that reflect aesthetics (i.e., nasal symmetry, nasal form, vermilion border, and nasolabial profile) were rated by five examiners using the rating system reported by Asher-McDade et al. (1991) . Intrarater and interrater reliabilities were determined using weighted kappa statistics. Mean ratings, by center, were compared using analysis of variance. RESULTS: Intrarater reliability scores were good to very good and interrater reliability scores were moderate to good. Total nasolabial scores were Center B = 2.98, Center C = 3.02, Center D = 2.80, and Center E = 2.87. No statistically significant differences among centers were detected for both total aesthetic scores and for any of the individual aesthetic components. CONCLUSION: There were no significant differences in nasolabial aesthetics among the centers evaluated. Overall good to fair nasolabial aesthetic results were achieved using the different treatment protocols in the four North American centers. SN - 1545-1569 UR - https://www.unboundmedicine.com/medline/citation/21219227/The_Americleft_study:_an_inter_center_study_of_treatment_outcomes_for_patients_with_unilateral_cleft_lip_and_palate_part_4__Nasolabial_aesthetics_ L2 - http://journals.sagepub.com/doi/full/10.1597/09-186.1?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -