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The Asher-McDade Aesthetic Index in Comparison With Two Scoring Systems in Nonsyndromic Complete Unilateral Cleft Lip and Palate Patients.
J Craniofac Surg. 2015 Jun; 26(4):1242-5.JC

Abstract

OBJECTIVE

To compare the Asher-McDade aesthetic index with 2 systems used to score the appearance of the nasolabial area in patients with a complete cleft lip and palate.

DESIGN

Retrospective analysis of the results of complete unilateral cleft lip and palate patients.

SETTING

Academic Center for Dentistry of Amsterdam and the VU University Medical Center.

PATIENTS

Six-year-olds with complete unilateral cleft lip and palate.

MAIN OUTCOME MEASURES

Cleft lip and palate patients assessed using the scoring system proposed by Prahl et al, a 5-point ordinal scale, and the scoring system proposed by Asher-McDade et al by 6 judges, 3 orthodontists, and 3 plastic surgeons. A calculation of intra- and interobserver reliability was made. A comparison was made of all the assessment methods using Kendalls' tau.

RESULTS

Photographs of 55 children (38 boys and 17 girls) with complete unilateral cleft lip and palate were assessed. For the scoring system of Prahl et al, interobserver reliability varied from 0.43 to 0.53, for the 5-point scale between 0.45 and 0.57, and for the scoring system by Asher-McDade et al these varied between 0.52 and 0.66. Multiple significant correlations were found between the used scoring systems.

CONCLUSION

It can be concluded that the Asher-McDade aesthetic index is still superior to the other scoring systems used in this study. However, all 3 scoring systems can reliably be used when 3 or more observers are used.

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Authors+Show Affiliations

Mosmuller DG
*Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Center Amsterdam, HV Amsterdam, The Netherlands †Department of Maxillofacial Surgery, Shenzhen's Childrens Hospital, Fu Tian District, Shenzhen, China ‡Department of Orthodontics, Academic Center for Dentistry, LA Amsterdam §Department of Medical Statistics, VU University Medical Center Amsterdam, HV Amsterdam, The Netherlands.
Bijnen CL
No affiliation info available
Kramer GJ
No affiliation info available
Disse MA
No affiliation info available
Prahl C
No affiliation info available
Kuik DJ
No affiliation info available
Niessen FB
No affiliation info available
Don Griot JP
No affiliation info available

MeSH

ChildCleft LipCleft PalateEstheticsFemaleHumansMaleOutcome Assessment, Health CareReconstructive Surgical ProceduresReproducibility of ResultsRetrospective Studies

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26080166

Clinical Trial Links

Efficacy of Maxillo-facial Treatment on Cleft Lip and Palate Patients Faces: Aesthetic Considerations

Citation

Mosmuller, D G M., et al. "The Asher-McDade Aesthetic Index in Comparison With Two Scoring Systems in Nonsyndromic Complete Unilateral Cleft Lip and Palate Patients." The Journal of Craniofacial Surgery, vol. 26, no. 4, 2015, pp. 1242-5.
Mosmuller DG, Bijnen CL, Kramer GJ, et al. The Asher-McDade Aesthetic Index in Comparison With Two Scoring Systems in Nonsyndromic Complete Unilateral Cleft Lip and Palate Patients. J Craniofac Surg. 2015;26(4):1242-5.
Mosmuller, D. G., Bijnen, C. L., Kramer, G. J., Disse, M. A., Prahl, C., Kuik, D. J., Niessen, F. B., & Don Griot, J. P. (2015). The Asher-McDade Aesthetic Index in Comparison With Two Scoring Systems in Nonsyndromic Complete Unilateral Cleft Lip and Palate Patients. The Journal of Craniofacial Surgery, 26(4), 1242-5. https://doi.org/10.1097/SCS.0000000000001784
Mosmuller DG, et al. The Asher-McDade Aesthetic Index in Comparison With Two Scoring Systems in Nonsyndromic Complete Unilateral Cleft Lip and Palate Patients. J Craniofac Surg. 2015;26(4):1242-5. PubMed PMID: 26080166.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Asher-McDade Aesthetic Index in Comparison With Two Scoring Systems in Nonsyndromic Complete Unilateral Cleft Lip and Palate Patients. AU - Mosmuller,D G M, AU - Bijnen,C L, AU - Kramer,G J C, AU - Disse,M A, AU - Prahl,C, AU - Kuik,D J, AU - Niessen,F B, AU - Don Griot,J P W, PY - 2015/6/17/entrez PY - 2015/6/17/pubmed PY - 2016/2/19/medline SP - 1242 EP - 5 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 26 IS - 4 N2 - OBJECTIVE: To compare the Asher-McDade aesthetic index with 2 systems used to score the appearance of the nasolabial area in patients with a complete cleft lip and palate. DESIGN: Retrospective analysis of the results of complete unilateral cleft lip and palate patients. SETTING: Academic Center for Dentistry of Amsterdam and the VU University Medical Center. PATIENTS: Six-year-olds with complete unilateral cleft lip and palate. MAIN OUTCOME MEASURES: Cleft lip and palate patients assessed using the scoring system proposed by Prahl et al, a 5-point ordinal scale, and the scoring system proposed by Asher-McDade et al by 6 judges, 3 orthodontists, and 3 plastic surgeons. A calculation of intra- and interobserver reliability was made. A comparison was made of all the assessment methods using Kendalls' tau. RESULTS: Photographs of 55 children (38 boys and 17 girls) with complete unilateral cleft lip and palate were assessed. For the scoring system of Prahl et al, interobserver reliability varied from 0.43 to 0.53, for the 5-point scale between 0.45 and 0.57, and for the scoring system by Asher-McDade et al these varied between 0.52 and 0.66. Multiple significant correlations were found between the used scoring systems. CONCLUSION: It can be concluded that the Asher-McDade aesthetic index is still superior to the other scoring systems used in this study. However, all 3 scoring systems can reliably be used when 3 or more observers are used. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/26080166/The_Asher_McDade_Aesthetic_Index_in_Comparison_With_Two_Scoring_Systems_in_Nonsyndromic_Complete_Unilateral_Cleft_Lip_and_Palate_Patients_ L2 - https://doi.org/10.1097/SCS.0000000000001784 DB - PRIME DP - Unbound Medicine ER -