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Scandcleft randomis...
Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 6. Dental arch relationships in 5 year-olds.
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- Heliövaara, Arja (author)
- Department of Plastic Surgery, Cleft Palate and Craniofacial Center, Helsinki University Hospital, Helsinki, Finland
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- Küseler, Annelise (author)
- Cleft Palate Center, Aarhus, Denmark
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- Skaare, Pål (author)
- Department of Plastic and Reconstructive Surgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway
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- Shaw, William (author)
- Dental School, University of Manchester, Manchester, UK
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- Mølsted, Kirsten (author)
- Copenhagen Cleft Palate Center, University Hospital of Copenhagen, Denmark
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- Karsten, Agneta (author)
- Karolinska Institutet,Division of Orthodontics, Department of Dental Medicine, Stockholm Craniofacial Team, Karolinska Institutet, Stockholm, Sweden
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- Brinck, Eli (author)
- Department of Plastic and Reconstructive Surgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway
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- Rizell, Sara, 1963 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,Orthodontic clinic, University Clinics of Odontology Gothenburg, Sweden
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- Marcusson, Agneta, 1956- (author)
- Linköpings universitet,Avdelningen för Kirurgi, Ortopedi och Onkologi,Medicinska fakulteten,Region Östergötland, Käkkliniken US
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- Sæle, Paul (author)
- Oral Health Center of Excellence/Western Norway, Bergen, Norway
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- Hurmerinta, Kirsti (author)
- Department of Plastic Surgery, Cleft Palate and Craniofacial Center, Helsinki University Hospital, Helsinki, Finland;
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- Rønning, Elisabeth (author)
- Department of Plastic and Reconstructive Surgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway
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- Najar Chalien, Midia (author)
- Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,Orthodontic clinic, University Clinics of Odontology Gothenburg, Sweden
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- Bellardie, Haydn (author)
- Greater Manchester Cleft Unit, Royal Manchester Children’s Hospital, Manchester, UK
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- Mooney, Jeanette (author)
- Greater Manchester Cleft Unit, Royal Manchester Children’s Hospital, Manchester, UK
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- Eyres, Phil (author)
- Dental School, University of Manchester, Manchester, UK
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- Semb, Gunvor (author)
- Dental School, University of Manchester, Manchester, UK;Department of Plastic and Reconstructive Surgery, Oslo University Hospital, Rikshospitalet and Statped Sørøst, Oslo, Norway
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Saele, P (author)
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(creator_code:org_t)
- Taylor & Francis, 2017
- 2017
- English.
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In: Journal of plastic surgery and hand surgery. - : Taylor & Francis. - 2000-6764 .- 2000-656X. ; 51:1, s. 52-57
- Related links:
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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http://kipublication...
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https://urn.kb.se/re...
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Abstract
Subject headings
Close
- Good dentofacial growth is a major goal in the treatment of unilateral cleft lip and palate (UCLP). The aim was to evaluate dental arch relationships at age 5 years after four different protocols of primary surgery for UCLP.Three parallel randomised clinical trials were undertaken as an international multi-centre study by 10 cleft teams in five countries: Denmark, Finland, Sweden, Norway, and the UK.Three different surgical procedures for primary palatal repair (Arms B, C, D) were tested against a common procedure (Arm A) in the total cohort of 448 children born with non-syndromic UCLP. Study models of 418 patients (273 boys) at the mean age of 5.1 years (range=4.8-7.0) were available. Dental arch relationships were assessed using the 5-year index by a blinded panel of 16 orthodontists. Kappa statistics were calculated to assess reliability. The trials were tested statistically with t- and Chi-square tests.Good-to-very good levels of intra- and interrater reliability were obtained (0.71-0.94 and 0.70-0.87). Comparisons within each trial showed no statistically significant differences in the mean 5-year index scores or their distributions between the common method and the local team protocol. The mean index scores varied from 2.52 (Trial 2, Arm C) to 2.94 (Trial 3, Arm D).The results of the three trials do not provide statistical evidence that one technique is better than the others. Further analysis of the possible influence of individual surgical skill and learning curve are being pursued in this dataset.ISRCTN29932826.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Child
- Preschool
- Cleft Lip
- diagnosis
- surgery
- Cleft Palate
- diagnosis
- surgery
- Dental Arch
- abnormalities
- physiopathology
- Female
- Follow-Up Studies
- Humans
- Infant
- Internationality
- Male
- Postoperative Complications
- diagnosis
- therapy
- Randomized Controlled Trials as Topic
- Reconstructive Surgical Procedures
- adverse effects
- methods
- Recovery of Function
- Risk Assessment
- Time Factors
- Treatment Outcome
- dental arch relationship
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Heliövaara, Arja
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Küseler, Annelis ...
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Skaare, Pål
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Shaw, William
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Mølsted, Kirsten
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Karsten, Agneta
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show more...
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Brinck, Eli
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Rizell, Sara, 19 ...
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Marcusson, Agnet ...
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Sæle, Paul
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Hurmerinta, Kirs ...
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Rønning, Elisabe ...
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Najar Chalien, M ...
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Bellardie, Haydn
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Mooney, Jeanette
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Eyres, Phil
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Semb, Gunvor
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Saele, P
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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 Other Medical an ...
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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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University of Gothenburg
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Karolinska Institutet
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Linköping University