Lacerda Rosa Helena Wanderley, Ozawa Terumi Okada, Ramos Tânia Braga, Furtado Paulo Germano Cavalcanti, de Oliveira Lindalva Alves, de Oliveira Andressa Feitosa Bezerra
Cleft Center, HULW, UFPB, João Pessoa, Brazil,
Oral Maxillofac Surg. 2014 Dec;18(4):403-7. doi: 10.1007/s10006-013-0425-2. Epub 2013 Jul 12.
To evaluate the surgical outcomes of patients with complete unilateral cleft lip and palate (CUCLP) operated on by a single surgeon of the cleft reference center of the Lauro Wanderley University Hospital at the Federal University of Paraiba.
Forty-four individuals' dental casts diagnosed with CUCLP, born between 1995 and 2002, mean age of 11 years, were evaluated by three calibrated orthodontic specialists and scored by the Great Ormond Street, London and Oslo (GOSLON) yardstick on two occasions. The scores were compared with those observed in other centers around the world. The Kappa test was applied to evaluate the intra- and inter-examiner agreement. Descriptive statistics was applied for the GOSLON yardsticks core.
The mean GOSLON score was 2.75. For the GOSLON yardstick, 43.2 % of the sample presented scores 1 and 2, 31.8 % had score 3, and 25 % were with scores 4 and 5. There was very good intra- and inter-examiner Kappa agreement in the application of the GOSLON yardstick.
The data suggest favorable outcomes, with 75 % of cases with no need of orthognathic surgery. The Kappa values confirmed the high reproducibility of the GOSLON yardstick.
评估由帕拉伊巴联邦大学劳罗·万德利大学医院腭裂参考中心的一名外科医生为完全性单侧唇腭裂（CUCLP）患者实施手术的效果。
对44例诊断为CUCLP的患者牙模进行评估，这些患者出生于1995年至2002年，平均年龄11岁，由三名经过校准的正畸专科医生进行评估，并分两次采用伦敦大奥蒙德街和奥斯陆（GOSLON）量表进行评分。将这些分数与世界其他中心观察到的分数进行比较。应用Kappa检验评估检查者内部和检查者之间的一致性。对GOSLON量表核心部分进行描述性统计。
GOSLON平均得分为2.75。对于GOSLON量表，43.2%的样本得分为1分和2分，31.8%得3分，25%得4分和5分。在应用GOSLON量表时，检查者内部和检查者之间的Kappa一致性非常好。
数据表明手术效果良好，75%的病例无需正颌手术。Kappa值证实了GOSLON量表具有较高的可重复性。
