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Comparison of two scoring systems in the assessment of nasolabial appearance in cleft lip and palate patients.
J Craniofac Surg. 2014 Jul; 25(4):1222-5.JC

Abstract

OBJECTIVE

The aim of this study was to determine the reliability of 2 scoring systems.

DESIGN

This study used a retrospective analysis of the results of complete unilateral cleft lip and palate patients.

SETTING

The study was conducted at the VU Medical Center and the Academic Center for Dentistry of Amsterdam.

PATIENTS

Patients were complete unilateral cleft lip and palate patients at the age of 6 years.

MAIN OUTCOME MEASURES

Assessment of the nose and lip together and separately with a numerical photographic reference scoring system and with a 5-point ordinal scale without the use of a reference photograph by 6 judges. Intraobserver and interobserver reliability was calculated; both ways of assessment were compared by using Kendall tau.

RESULTS

Photographs were available of 55 children (6 years old, 38 boys and 17 girls) with a complete unilateral cleft lip and palate. The interobserver reliabilities of the lip and nose together were 0.53 and, for the nose and lip separately, 0.51 and 0.43, respectively with the use of the numerical scale. In the 5-point scale, these were 0.55 for the nose and lip together and 0.57 and 0.45 for the nose and lip separately, respectively. Furthermore, it was found that the lip dominates in the scorings of the lip and nose together (linear regression analysis).

CONCLUSIONS

The 2 tested systems are equivalent in their reliability and outcome. The lip is dominating in the overall scorings. It is advocated to use the 5-point scale without the use of a reference photograph and to assess the lip and nose separately.

Authors+Show Affiliations

From the *Department of Plastic, Reconstructive and Hand Surgery, VU Medical Center, Amsterdam, the Netherlands; †Department of Orthodontics, Academic Center for Dentistry, Amsterdam, the Netherlands; and ‡Department of Medical Statistics, VU University Medical Center, Amsterdam, the Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

24978682

Citation

Mosmuller, D G M., et al. "Comparison of Two Scoring Systems in the Assessment of Nasolabial Appearance in Cleft Lip and Palate Patients." The Journal of Craniofacial Surgery, vol. 25, no. 4, 2014, pp. 1222-5.
Mosmuller DG, Bijnen CL, Don Griot JP, et al. Comparison of two scoring systems in the assessment of nasolabial appearance in cleft lip and palate patients. J Craniofac Surg. 2014;25(4):1222-5.
Mosmuller, D. G., Bijnen, C. L., Don Griot, J. P., Kramer, G. J., Disse, M. A., Prahl, C., Kuik, D. J., & Niessen, F. B. (2014). Comparison of two scoring systems in the assessment of nasolabial appearance in cleft lip and palate patients. The Journal of Craniofacial Surgery, 25(4), 1222-5. https://doi.org/10.1097/SCS.0000000000000872
Mosmuller DG, et al. Comparison of Two Scoring Systems in the Assessment of Nasolabial Appearance in Cleft Lip and Palate Patients. J Craniofac Surg. 2014;25(4):1222-5. PubMed PMID: 24978682.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of two scoring systems in the assessment of nasolabial appearance in cleft lip and palate patients. AU - Mosmuller,D G M, AU - Bijnen,C L, AU - Don Griot,J P W, AU - Kramer,G J C, AU - Disse,M A, AU - Prahl,C, AU - Kuik,D J, AU - Niessen,F B, PY - 2014/7/1/entrez PY - 2014/7/1/pubmed PY - 2015/9/2/medline SP - 1222 EP - 5 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 25 IS - 4 N2 - OBJECTIVE: The aim of this study was to determine the reliability of 2 scoring systems. DESIGN: This study used a retrospective analysis of the results of complete unilateral cleft lip and palate patients. SETTING: The study was conducted at the VU Medical Center and the Academic Center for Dentistry of Amsterdam. PATIENTS: Patients were complete unilateral cleft lip and palate patients at the age of 6 years. MAIN OUTCOME MEASURES: Assessment of the nose and lip together and separately with a numerical photographic reference scoring system and with a 5-point ordinal scale without the use of a reference photograph by 6 judges. Intraobserver and interobserver reliability was calculated; both ways of assessment were compared by using Kendall tau. RESULTS: Photographs were available of 55 children (6 years old, 38 boys and 17 girls) with a complete unilateral cleft lip and palate. The interobserver reliabilities of the lip and nose together were 0.53 and, for the nose and lip separately, 0.51 and 0.43, respectively with the use of the numerical scale. In the 5-point scale, these were 0.55 for the nose and lip together and 0.57 and 0.45 for the nose and lip separately, respectively. Furthermore, it was found that the lip dominates in the scorings of the lip and nose together (linear regression analysis). CONCLUSIONS: The 2 tested systems are equivalent in their reliability and outcome. The lip is dominating in the overall scorings. It is advocated to use the 5-point scale without the use of a reference photograph and to assess the lip and nose separately. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/24978682/Comparison_of_two_scoring_systems_in_the_assessment_of_nasolabial_appearance_in_cleft_lip_and_palate_patients_ L2 - https://doi.org/10.1097/SCS.0000000000000872 DB - PRIME DP - Unbound Medicine ER -