关键词: cleft lip and palate facial growth midfacial growth

来  源:   DOI:10.1177/10556656241233220

Abstract:
OBJECTIVE: To determine whether facial growth at five years is different for children with a left versus right sided cleft lip and palate.
METHODS: Retrospective cohort study.
METHODS: Seven UK regional cleft centres.
METHODS: Patients born between 2000-2014 with a complete unilateral cleft lip and palate (UCLP).
METHODS: 5-Year-Old\'s Index scores.
RESULTS: 378 children were included. 256 (68%) had a left sided UCLP and 122 (32%) had a right sided UCLP. 5-Year-Old\'s index scores ranged from 1 (good) to 5 (poor). There was a higher proportion of patients getting good scores (1 and 2) in left UCLP (43%) compared to right UCLP (37%) but there was weak evidence for a difference (Adjusted summary odds ratio 1.27, 95% CI 0.87 to 1.87; P = .22).
CONCLUSIONS: Whilst maxillary growth may be different for left versus right sided UCLP, definitive analysis requires older growth indices and arch forms.
摘要:
目的:确定左右唇腭裂患儿在5年时的面部发育是否不同。
方法:回顾性队列研究。
方法:英国七个地区裂隙中心。
方法:2000-2014年出生的患有完全性单侧唇腭裂(UCLP)的患者。
方法:5岁儿童指数得分。
结果:纳入378名儿童。256(68%)的左侧UCLP和122(32%)的右侧UCLP。5岁儿童的指数得分从1(好)到5(差)不等。与右侧UCLP(37%)相比,左侧UCLP中获得良好评分(1和2)的患者比例更高(43%),但存在差异的证据薄弱(调整后汇总比值比1.27,95%CI0.87至1.87;P=.22)。
结论:虽然左右侧UCLP的上颌骨生长可能不同,确定性分析需要较旧的增长指数和拱形形式。
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