Influence of surgical technique and timing of primary repair on interarch relationship in UCLP: A randomized clinical trial.
Influence of surgical technique and timing of primary repair on interarch relationship in UCLP: A randomized clinical trial.
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手术技术和初次修复时机对 UCLP 牙弓间关系的影响：一项随机临床试验。
DOI：
10.1111/ocr.12435
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发表时间：
2021
影响因子：
3.1
通讯作者：
Pegoraro-Krook,MariaInês
中科院分区：
文献类型：
--
作者：
Ozawa,TerumiOkada;Dutka,JenifferdeCassiaRillo;Garib,Daniela;Lauris,RitaCMC;Almeida,AraciMalagodi;Brosco,TelmaVidottodeSousa;Lauris,JoséRobertoP;Dolce,Calogero;Pegoraro-Krook,MariaInês
目的比较两种唇腭裂修复术和两种腭裂修复术治疗单侧唇腭裂（UCLP）患儿的牙弓关系。研究的患者包括初始组的673名婴儿完全UCLP随机分为8个研究组，根据唇修复程序（Millard与脊柱技术）;腭修复程序（冯兰根贝克与Furlow技术）;腭修复时间（早期：9至12个月与晚期：15 - 18个月）。因变量包括：唇修复技术、腭修复技术、腭修复时的年龄和外科医生;以性别为自变量。使用一般线性模型（P<0.05）的数据进行了分析。ResultsThere没有显着差异的咬合指数分数作为唇或腭手术技术，腭修复时机和性别的功能。显着差异被发现作为一个功能的surgeon.ConclusionDental弓关系的咬合指数分数不受唇和腭修复技术或患者年龄在腭修复。外科医生是影响牙弓关系结果的主要因素。
ObjectiveTo compare dental arch relationships in children with unilateral cleft lip and palate (UCLP) between two surgical techniques for repair of cleft lip/palate and two ages of palate repair.Settings and SampleDental models were taken for a group of 448 subjects at a mean age of 7 years and were evaluated by means of the Goslon Yardstick. The patients studied consisted of an initial group of 673 infants with complete UCLP randomized into 8 study groups according to lip repair procedures (Millard versus Spina techniques); palate repair procedures (von Langenbeck versus Furlow techniques); and palate repair timing (early: 9 to 12 months versus late: 15‐18 months).MethodsFour surgeons performed all surgeries. Dependent variables included the following: lip repair technique, palate repair technique, age at time of palate repair and surgeon; with sex as an independent variable. The data were analysed using a general linear model (P< .05).ResultsThere were no significant differences for occlusal index scores as a function of lip or palate surgical technique, palatal repair timing and sex. Significant differences were found for occlusal index scores as a function of the surgeon.ConclusionDental arch relationships were not influenced by lip and palatal repair techniques or patient age at palatal repair. The surgeon was the major factor that influenced the dental arch relationship outcome.