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Scandcleft randomis...
Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 2. Surgical results
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- Rautio, Jorma (author)
- Helsinki University Hospital, Finland
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- Andersen, Mikael (author)
- University of Copenhagen Hospital, Denmark
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- Bolund, Stig (author)
- University of Copenhagen Hospital, Denmark
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- Hukki, Jyri (author)
- Helsinki University Hospital, Finland
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- Vindenes, Hallvard (author)
- University of Bergen, Norway
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- Davenport, Peter (author)
- Royal Manchester Childrens Hospital, England
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- Arctander, Kjartan (author)
- Rikshosp Oslo, Norway
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- Larson, Ola (author)
- Karolinska University Hospital, Sweden
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- Berggren, Anders (author)
- Linköpings universitet,Avdelningen för kliniska vetenskaper,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US
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- Abyholm, Frank (author)
- Rikshosp Oslo, Norway
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- Whitby, David (author)
- Royal Manchester Childrens Hospital, England
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- Leonard, Alan (author)
- Royal Hospital Sick Children, North Ireland
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- Lilja, Jan, 1942 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för plastikkirurgi,Institute of Clinical Sciences, Department of Plastic Surgery
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- Neovius, Erik (author)
- Karolinska University Hospital, Sweden
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- Elander, Anna, 1955 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för plastikkirurgi,Institute of Clinical Sciences, Department of Plastic Surgery
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- Heliovaara, Arja (author)
- Helsinki University Hospital, Finland
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- Eyres, Phil (author)
- University of Manchester, England
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- Semb, Gunvor (author)
- University of Manchester, England; National Hospital Norway, Norway
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(creator_code:org_t)
- TAYLOR & FRANCIS LTD, 2017
- 2017
- English.
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In: Journal of Plastic Surgery and Hand Surgery. - : TAYLOR & FRANCIS LTD. - 2000-656X .- 2000-6764. ; 51:1, s. 14-20
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://gup.ub.gu.se...
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Abstract
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- Background: Longstanding uncertainty surrounds the selection of surgical protocols for unilateral cleft lip and palate, and randomised trials have only rarely been performed. The Scandcleft Project consists of three trials commenced in 1997 involving ten centres in Denmark, Finland, Norway, Sweden, and the UK. Three groups of centres tested a newly-defined common technique for palatal repair (Arm A) against their local protocols (Arms B, C, D). Arm A was familiar to most of the surgeons in Trial 1, but not to the surgeons in the other Trials. Aim: To evaluate surgical events and complications of the 448 (293 boys, 155 girls) patients with complete unilateral cleft lip and palate (UCLP) enrolled in the three trials. Method: The three trials were carried out in parallel in adherence with a fully developed, ethically approved protocol. Operative time, bleeding, complications, and major dehiscence during and after both primary surgeries were recorded by the surgeon. Rates of fistula and surgery for velopharyngeal incompetence (VPI) were assessed until the youngest patient of the study had reached the age of 9 years. Pearson Chi-square statistical analysis was used to compare the outcomes. Results: No significant differences in bleeding, infection, anaesthetic complications or length of hospital stay between the different arms were found for Trial 1. However, in Trials 2 and 3 there were more airway problems in Arm A than with the traditional local protocols (Arms C or D). In Trial 3 fistula and VPI surgery rates were also higher in Arm A. Conclusions: The results do not provide statistical evidence that any technique is better than others, but indicate that surgery was more problematic for surgeons who were still gaining experience with an unfamiliar surgical protocol.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Cleft lip and palate; surgical technique; palatal fistula; velopharyngeoplasty rate
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Rautio, Jorma
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Andersen, Mikael
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Bolund, Stig
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Hukki, Jyri
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Vindenes, Hallva ...
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Davenport, Peter
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Arctander, Kjart ...
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Larson, Ola
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Berggren, Anders
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Abyholm, Frank
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Whitby, David
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Leonard, Alan
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Lilja, Jan, 1942
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Neovius, Erik
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Elander, Anna, 1 ...
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Heliovaara, Arja
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Eyres, Phil
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Semb, Gunvor
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
- Articles in the publication
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Journal of Plast ...
- By the university
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Linköping University
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University of Gothenburg