Risk of Malocclusion Among Patients Undergoing Single-Stage Versus Two-Stage Cleft Palate Repair.
| Title: | Risk of Malocclusion Among Patients Undergoing Single-Stage Versus Two-Stage Cleft Palate Repair. |
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| Authors: | McCrary H; University of Utah Division of Otolaryngology - Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA.; Torrecillas V; University of Utah Division of Otolaryngology - Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA.; Pollard SH; University of Utah Department of Communication Sciences and Disorders, University of Utah, Salt Lake City, Utah, USA.; Collingridge DS; Intermountain Medical Center, Salt Lake City, Utah, USA.; Yamashiro D; University of Utah Division of Plastic Surgery, University of Utah, Salt Lake City, Utah, USA.; Skirko JR; University of Arizona College of Medicine Department of Otolaryngology - Head and Neck Surgery, University of Arizona, Salt Lake City, Utah, USA. |
| Source: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2022 Oct; Vol. 59 (10), pp. 1271-1278. Date of Electronic Publication: 2022 Jan 04. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: SAGE Publications in Association with American Cleft Palate-Craniofacial Association Country of Publication: United States NLM ID: 9102566 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-1569 (Electronic) Linking ISSN: 10556656 NLM ISO Abbreviation: Cleft Palate Craniofac J Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2018- : [Thousand Oaks, CA] : SAGE Publications in Association with American Cleft Palate-Craniofacial Association; Original Publication: Pittsburgh, PA : The Association, [1991- |
| MeSH Terms: | Cleft Lip*/complications ; Cleft Palate*/complications ; Cleft Palate*/surgery ; Malocclusion* ; Malocclusion, Angle Class III*; Child ; Child, Preschool ; Humans ; Retrospective Studies ; Treatment Outcome |
| Abstract: | Objective: Evaluate impact of single-stage versus staged palate repair on the risk of developing malocclusion among patients with cleft palate (CP).; Design: Retrospective cohort study 2000-2016.; Setting: Academic, tertiary children's hospital.; Patients: Patients undergoing CP repair between 1999-2015.; Interventions: CP repair, categorized as either single-stage or staged.; Main Outcome Measure: Time to development of Class III malocclusion.; Results: 967 patients were included; 60.1% had a two-stage CP repair, and 39.9% had single-stage. Malocclusion was diagnosed in 28.2% of patients. In the model examining all patients at ≤5 years (n = 659), patients who were not white had a higher risk of malocclusion (HR 2.46, p = 0.004) and staged repair was not protective against malocclusion (HR 0.98, p = 0.91). In all patients >5 years (n = 411), higher Veau classification and more recent year of birth were significantly associated with higher hazard rates (p |
| Contributed Indexing: | Keywords: cleft palate; craniofacial surgery; malocclusion; retrospective study |
| Entry Date(s): | Date Created: 20220104 Date Completed: 20220913 Latest Revision: 20250728 |
| Update Code: | 20260130 |
| DOI: | 10.1177/10556656211044944 |
| PMID: | 34981987 |
| Database: | MEDLINE |
Journal Article