Institute of Dentistry and Oral Sciences, Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic; Department of Orthodontics and Dentofacial Orthopedics, School of Dental Medicine, University of Bern, Switzerland; Department of Orthodontics, Jagiellonian University, Krakow, Poland.
Department of Orthodontics and Cleft Anomalies, Dental Clinic, 3rd Medical Faculty, Charles University, Faculty Hospital Royal Vineard, Prague, Czech Republic.
J Craniomaxillofac Surg. 2019 Jul;47(7):1092-1095. doi: 10.1016/j.jcms.2019.03.023. Epub 2019 Mar 25.
Our aim was to evaluate the dental arch relationship in a preadolescent Slavic population with unilateral cleft lip and palate (UCLP) by using the Goslon Yardstick.
Patients treated in Warsaw, Poland (n = 32), Prague, Czech Republic (n = 33) and Bratislava, Slovakia (n = 30) were included in this retrospective study. Each cleft center used a unique surgical protocol. Three raters scored blindly the dental arch relationship on plaster models. Intra- and inter-rater agreement were assessed with kappa statistics, and differences between the groups were evaluated with one-way analysis of variance. Intra-rater agreement was very good (k > 0.825), while inter-rater agreement was either good or very good (kappa >0.703).
We found that patients treated in Warsaw showed a more favorable dental arch relationship (Goslon score = 2.58, SD = 0.77) than patients treated in Prague (Goslon score = 3.21, SD = 1.04). Patients treated in Bratislava showed an intermediate Goslon score (3.07; SD = 0.99).
This study showed that the dental arch relationships in patients treated in Warsaw with a one-stage repair were more favorable than in patients treated in Prague and Bratislava with a two-stage protocol and comparable to the best results obtained in the Eurocleft and Americleft studies.
本研究旨在使用 Goslon 标准评估单侧唇腭裂（UCLP）的未成年斯堪的纳维亚人群的牙弓关系。
本回顾性研究纳入了在波兰华沙（n=32）、捷克布拉格（n=33）和斯洛伐克布拉迪斯拉发（n=30）接受治疗的患者。每个裂隙中心都使用了独特的手术方案。3 位评估员对石膏模型的牙弓关系进行了盲法评分。采用 Kappa 统计评估组内和组间的一致性，并通过单因素方差分析评估组间的差异。组内评估员的一致性非常好（k>0.825），而组间评估员的一致性为好或非常好（kappa>0.703）。
我们发现，在华沙接受治疗的患者牙弓关系更有利（Goslon 评分=2.58，SD=0.77），而在布拉格接受治疗的患者（Goslon 评分=3.21，SD=1.04）的牙弓关系较差。在布拉迪斯拉发接受治疗的患者则表现出中等的 Goslon 评分（3.07；SD=0.99）。
本研究表明，与采用两阶段方案治疗的布拉格和布拉迪斯拉发患者相比，采用一期修复的华沙患者的牙弓关系更有利，与 Eurocleft 和 Americleft 研究中的最佳结果相当。
