Treatment outcome after one-stage repair in children with complete unilateral cleft lip and palate assessed with the Goslon Yardstick

Cleft Palate Craniofac J. 2009 Jul;46(4):374-80. doi: 10.1597/07-242.1. Epub 2009 Jan 1.

Abstract

Objective: To compare results of Golson Yardstick measurement of dental arch relationships in a sample of 10-year-old Polish children with results of the Golson measurement in published reports.

Materials and methods: Plaster models of 28 consecutively treated subjects with unilateral cleft lip and palate (UCLP) that was repaired with a one-stage simultaneous closure performed in the first year of life. All individuals were born between 1994 and 1995. The Goslon score (categories 1 to 5) was allocated. Intra- and interrater agreement was assessed with kappa statistics and Pearson correlation coefficient. Independent t tests were employed to detect difference between the score in the present and other published samples.

Results: Mean Goslon score equaled 2.44; 57% of the patients were allocated Goslon category 1 or 2, 32% were rated Goslon 3, and 11% of the patients were assigned category 4 or 5. Intrarater agreement was between 0.75 and 0.77. Interrater agreement was 0.79.

Conclusions: Dental arch relationship following one-stage repair was comparable with the results of the centers with the best outcome.

MeSH terms

  • Child
  • Cleft Lip / surgery*
  • Cleft Palate / surgery*
  • Dental Arch / pathology*
  • Female
  • Humans
  • Male
  • Maxillofacial Development
  • Models, Dental
  • Poland
  • Reproducibility of Results
  • Treatment Outcome